The Possible Use Of The Acromial View As A Dynamic Test In Rotator Cuff Lesion

Park, Jin Young; Kim, Seung Cheol; Moon, Ki Hyuk; Yoo, Moon Jib

Abstract

OBJECTIVE
The purpose of this study is to reveal whether the acromial view (provisional name) can be used as a dynamic test in rotator cuff lesion. MATERIALS AND METHOD: One hundred and sixty-five patients who suffered from shoulder pain were reviewed. Average age was 53 years (male, 75; female, 90) . Criteria of positive finding were the spur or bony sclerosis at the contact area of the anterior acromion and greater tuberosity. The technique begins with placing the patient in a lateral decubitus position on the painful shoulder. After forward elevation of the upper arm up to 90 with internal rotation, the contralateral shoulder should be tilted forward about 10 to prevent overlapping with the painful shoulder. The tube tilts to 10 cephalad direction. The central X-ray is directed 1 cm medial to the lateral border of spine of the scapula.
RESULTS
Thirty shoulders showed a positive finding. Average age was 55 years (male, 14; female, 16) . Sensitivity for the rotator cuff lesion was 31% and specificity was 95%.
CONCLUSION
Although we need a more accurate method and a greater number of X-rays, the acromial view showed to be a valuable dynamic test for rotator cuff lesion with acromial spur.