Evidence map›Paper›PMID 40511360›Full record

ArticleIndian journal of orthopaedics2025

Elevated Critical Shoulder Angle and Acromion Index as Predictors of Symptomatic Rotator Cuff Tears: A Comparative Case-Control Study.

Waleed Albishi, Khalid Murrad, Abdulrahman Alaseem, Mosa Alzahrani, Abdullah S Mirza, Abdulrahman M Alrajhi, Laila M Alsabbagh, Hisham A Alsanawi, Abdulaziz Al-Ahaideb

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Article in Indian journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Waleed AlbishiDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Khalid MurradDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Abdulrahman AlaseemDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mosa AlzahraniDepartment of Orthopedic Surgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia.
Abdullah S MirzaDepartment of Medical Imaging, King Saud Medical City, Riyadh, Saudi Arabia.
Abdulrahman M AlrajhiDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Laila M AlsabbaghDepartment of Orthopedic Surgery, King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia.ORCID 0000-0003-4493-2638
Hisham A AlsanawiDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Abdulaziz Al-AhaidebDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rotator cuff tears are one of the most frequent pathologies behind shoulder pain among patients worldwide. Some studies have suggested a relationship between critical shoulder angle (CSA), acromion index (AI) and the diagnosis of a rotator cuff tear (RCT). Given the large variation among studies in the literature, we conducted this study to investigate the relationship between these radiologic values and the presence of symptomatic RCTs. Methods: Medical records, radiographs, and MRIs of patients who had undergone rotator cuff repair for symptomatic tears were collected. Patients with normal rotator cuffs was also included in the study as a control group for comparison. Results: A total of 160 patients with RCT and 106 matched control patients with a normal rotator cuff were included in our study. Among the RCT group, 87.5% of patients had a CSA value greater than 35° when measured by X-ray, and 65.6% had a CSA greater than 35° when MRI was utilized ( Conclusions: Patients with symptomatic RCT had significantly elevated CSA and AI, whether measured by X-ray or MRI, compared with patients with normal rotator cuffs.

Indexed as

Acromion indexCritical shoulder angleRotator cuff tearsShoulder pain

Identifiers

PMID40511360
PMCPMC12151949

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.