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Radiographic findings in patients suspected of subacromial impingement syndrome: prevalence and reliability
Objective Aims were to (i) report prevalence and (ii) evaluate reliability of the radiographic findings in examinations of patients suspected of subacromial impingement syndrome (SIS), performed before a patient’s first consultation at orthopaedic department. Materials and methods This cross-section...
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| Published in: | Skeletal radiology 2024-04, Vol.53 (11), p.2477-2490 |
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| creator | Andrea, Linda Christie Svendsen, Susanne Wulff Frost, Poul Smidt, Kate Gelineck, John Christiansen, David Høyrup Deutch, Søren Rasmussen Hansen, Torben Bæk Haahr, Jens Peder Dalbøge, Annett |
| description | Objective
Aims were to (i) report prevalence and (ii) evaluate reliability of the radiographic findings in examinations of patients suspected of subacromial impingement syndrome (SIS), performed before a patient’s first consultation at orthopaedic department.
Materials and methods
This cross-sectional study examined radiographs from 850 patients, age 18 to 63 years, referred to orthopaedic clinic on suspicion of SIS. Prevalence (%) of radiographic findings were registered. Inter- and intrarater reliability was analysed using expected and observed agreement (%), kappa coefficients, Bland–Altman plots, or intraclass coefficients.
Results
A total of 850 patients with a mean age of 48.2 years (SD = 8.8) were included. Prevalence of the radiographic findings was as follows: calcification 24.4%, Bigliani type III (hooked) acromion 15.8%, lateral/medial acromial spurs 11.1%/6.6%, acromioclavicular osteoarthritis 12.0%, and Bankart/Hill-Sachs lesions 7.1%. Inter- and intrarater Kappa values for most radiographic findings ranged between 0.40 and 0.89; highest values for the presence of calcification (0.85 and 0.89) and acromion type (0.63 and 0.66). The inter- and intrarater intraclass coefficients ranged between 0.41 and 0.83; highest values for acromial tilt (0.79 and 0.83) and calcification area (0.69 and 0.81).
Conclusion
Calcification, Bigliani type III (hooked) acromion, and acromioclavicular osteoarthritis were prevalent findings among patients seen in orthopaedic departments on suspicion of SIS. Spurs and Bankart/Hill-Sachs lesions were less common. Optimal reliabilities were found for the presence of calcification, calcification area, and acromial tilt. Calcification qualities, acromion type, lateral spur, and acromioclavicular osteoarthritis showed suboptimal reliabilities. Newer architectural measures (acromion index and lateral acromial angle) performed well with respect to reliability. |
| doi_str_mv | 10.1007/s00256-024-04675-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11410933</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3045118211</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-9afd8f038e52713128e0ad1dcdbf3897535e0f2d29bc877a845b643bc0aa1ec23</originalsourceid><addsrcrecordid>eNp9kctu1TAQhi0EoofCC7BAltiwCXh8iR02qKq4SZWQEKwtx56cuiROsJNK5-1xOaVcFqxGnvnm98z8hDwF9hIY068KY1y1DeOyYbLVqtH3yA6k4A2HFu6THROtbLiQ5oQ8KuWKMdBatQ_JiTCt4rxrd-TbZxfivM9uuYyeDjGFmPaFxkQXt0ZMa6FlKwv6FQOdh_ronc_zFN1I47RUGKdK0XJIoabxNV0yXrsRk0fqUqAZx-j6OMb18Jg8GNxY8MltPCVf3739cv6hufj0_uP52UXjJW_XpnNDMAMTBhXXIIAbZC5A8KEfhOm0EgrZwAPvem-0dkaqvpWi98w5QM_FKXlz1F22fsLg63zZjXbJcXL5YGcX7d-VFC_tfr62ABJYJ0RVeHGrkOfvG5bVTrF4HEeXcN6KFUwqAMMBKvr8H_Rq3nKq-1kB7ObMqlOV4keq3q6UjMPdNMDsjZn2aKatZtqfZlpdm579ucddyy_3KiCOQKml6kT-_fd_ZH8A7jGtSA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3106522595</pqid></control><display><type>article</type><title>Radiographic findings in patients suspected of subacromial impingement syndrome: prevalence and reliability</title><source>Springer Link</source><creator>Andrea, Linda Christie ; Svendsen, Susanne Wulff ; Frost, Poul ; Smidt, Kate ; Gelineck, John ; Christiansen, David Høyrup ; Deutch, Søren Rasmussen ; Hansen, Torben Bæk ; Haahr, Jens Peder ; Dalbøge, Annett</creator><creatorcontrib>Andrea, Linda Christie ; Svendsen, Susanne Wulff ; Frost, Poul ; Smidt, Kate ; Gelineck, John ; Christiansen, David Høyrup ; Deutch, Søren Rasmussen ; Hansen, Torben Bæk ; Haahr, Jens Peder ; Dalbøge, Annett</creatorcontrib><description>Objective
Aims were to (i) report prevalence and (ii) evaluate reliability of the radiographic findings in examinations of patients suspected of subacromial impingement syndrome (SIS), performed before a patient’s first consultation at orthopaedic department.
Materials and methods
This cross-sectional study examined radiographs from 850 patients, age 18 to 63 years, referred to orthopaedic clinic on suspicion of SIS. Prevalence (%) of radiographic findings were registered. Inter- and intrarater reliability was analysed using expected and observed agreement (%), kappa coefficients, Bland–Altman plots, or intraclass coefficients.
Results
A total of 850 patients with a mean age of 48.2 years (SD = 8.8) were included. Prevalence of the radiographic findings was as follows: calcification 24.4%, Bigliani type III (hooked) acromion 15.8%, lateral/medial acromial spurs 11.1%/6.6%, acromioclavicular osteoarthritis 12.0%, and Bankart/Hill-Sachs lesions 7.1%. Inter- and intrarater Kappa values for most radiographic findings ranged between 0.40 and 0.89; highest values for the presence of calcification (0.85 and 0.89) and acromion type (0.63 and 0.66). The inter- and intrarater intraclass coefficients ranged between 0.41 and 0.83; highest values for acromial tilt (0.79 and 0.83) and calcification area (0.69 and 0.81).
Conclusion
Calcification, Bigliani type III (hooked) acromion, and acromioclavicular osteoarthritis were prevalent findings among patients seen in orthopaedic departments on suspicion of SIS. Spurs and Bankart/Hill-Sachs lesions were less common. Optimal reliabilities were found for the presence of calcification, calcification area, and acromial tilt. Calcification qualities, acromion type, lateral spur, and acromioclavicular osteoarthritis showed suboptimal reliabilities. Newer architectural measures (acromion index and lateral acromial angle) performed well with respect to reliability.</description><identifier>ISSN: 0364-2348</identifier><identifier>ISSN: 1432-2161</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-024-04675-7</identifier><identifier>PMID: 38652296</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Calcification ; Imaging ; Impingement ; Lesions ; Medicine ; Medicine & Public Health ; Nuclear Medicine ; Orthopedics ; Osteoarthritis ; Pathology ; Radiology ; Reliability ; Scientific ; Scientific Article</subject><ispartof>Skeletal radiology, 2024-04, Vol.53 (11), p.2477-2490</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-9afd8f038e52713128e0ad1dcdbf3897535e0f2d29bc877a845b643bc0aa1ec23</cites><orcidid>0000-0003-0594-8688</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38652296$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andrea, Linda Christie</creatorcontrib><creatorcontrib>Svendsen, Susanne Wulff</creatorcontrib><creatorcontrib>Frost, Poul</creatorcontrib><creatorcontrib>Smidt, Kate</creatorcontrib><creatorcontrib>Gelineck, John</creatorcontrib><creatorcontrib>Christiansen, David Høyrup</creatorcontrib><creatorcontrib>Deutch, Søren Rasmussen</creatorcontrib><creatorcontrib>Hansen, Torben Bæk</creatorcontrib><creatorcontrib>Haahr, Jens Peder</creatorcontrib><creatorcontrib>Dalbøge, Annett</creatorcontrib><title>Radiographic findings in patients suspected of subacromial impingement syndrome: prevalence and reliability</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Objective
Aims were to (i) report prevalence and (ii) evaluate reliability of the radiographic findings in examinations of patients suspected of subacromial impingement syndrome (SIS), performed before a patient’s first consultation at orthopaedic department.
Materials and methods
This cross-sectional study examined radiographs from 850 patients, age 18 to 63 years, referred to orthopaedic clinic on suspicion of SIS. Prevalence (%) of radiographic findings were registered. Inter- and intrarater reliability was analysed using expected and observed agreement (%), kappa coefficients, Bland–Altman plots, or intraclass coefficients.
Results
A total of 850 patients with a mean age of 48.2 years (SD = 8.8) were included. Prevalence of the radiographic findings was as follows: calcification 24.4%, Bigliani type III (hooked) acromion 15.8%, lateral/medial acromial spurs 11.1%/6.6%, acromioclavicular osteoarthritis 12.0%, and Bankart/Hill-Sachs lesions 7.1%. Inter- and intrarater Kappa values for most radiographic findings ranged between 0.40 and 0.89; highest values for the presence of calcification (0.85 and 0.89) and acromion type (0.63 and 0.66). The inter- and intrarater intraclass coefficients ranged between 0.41 and 0.83; highest values for acromial tilt (0.79 and 0.83) and calcification area (0.69 and 0.81).
Conclusion
Calcification, Bigliani type III (hooked) acromion, and acromioclavicular osteoarthritis were prevalent findings among patients seen in orthopaedic departments on suspicion of SIS. Spurs and Bankart/Hill-Sachs lesions were less common. Optimal reliabilities were found for the presence of calcification, calcification area, and acromial tilt. Calcification qualities, acromion type, lateral spur, and acromioclavicular osteoarthritis showed suboptimal reliabilities. Newer architectural measures (acromion index and lateral acromial angle) performed well with respect to reliability.</description><subject>Calcification</subject><subject>Imaging</subject><subject>Impingement</subject><subject>Lesions</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Pathology</subject><subject>Radiology</subject><subject>Reliability</subject><subject>Scientific</subject><subject>Scientific Article</subject><issn>0364-2348</issn><issn>1432-2161</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1TAQhi0EoofCC7BAltiwCXh8iR02qKq4SZWQEKwtx56cuiROsJNK5-1xOaVcFqxGnvnm98z8hDwF9hIY068KY1y1DeOyYbLVqtH3yA6k4A2HFu6THROtbLiQ5oQ8KuWKMdBatQ_JiTCt4rxrd-TbZxfivM9uuYyeDjGFmPaFxkQXt0ZMa6FlKwv6FQOdh_ronc_zFN1I47RUGKdK0XJIoabxNV0yXrsRk0fqUqAZx-j6OMb18Jg8GNxY8MltPCVf3739cv6hufj0_uP52UXjJW_XpnNDMAMTBhXXIIAbZC5A8KEfhOm0EgrZwAPvem-0dkaqvpWi98w5QM_FKXlz1F22fsLg63zZjXbJcXL5YGcX7d-VFC_tfr62ABJYJ0RVeHGrkOfvG5bVTrF4HEeXcN6KFUwqAMMBKvr8H_Rq3nKq-1kB7ObMqlOV4keq3q6UjMPdNMDsjZn2aKatZtqfZlpdm579ucddyy_3KiCOQKml6kT-_fd_ZH8A7jGtSA</recordid><startdate>20240423</startdate><enddate>20240423</enddate><creator>Andrea, Linda Christie</creator><creator>Svendsen, Susanne Wulff</creator><creator>Frost, Poul</creator><creator>Smidt, Kate</creator><creator>Gelineck, John</creator><creator>Christiansen, David Høyrup</creator><creator>Deutch, Søren Rasmussen</creator><creator>Hansen, Torben Bæk</creator><creator>Haahr, Jens Peder</creator><creator>Dalbøge, Annett</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0594-8688</orcidid></search><sort><creationdate>20240423</creationdate><title>Radiographic findings in patients suspected of subacromial impingement syndrome: prevalence and reliability</title><author>Andrea, Linda Christie ; Svendsen, Susanne Wulff ; Frost, Poul ; Smidt, Kate ; Gelineck, John ; Christiansen, David Høyrup ; Deutch, Søren Rasmussen ; Hansen, Torben Bæk ; Haahr, Jens Peder ; Dalbøge, Annett</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-9afd8f038e52713128e0ad1dcdbf3897535e0f2d29bc877a845b643bc0aa1ec23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Calcification</topic><topic>Imaging</topic><topic>Impingement</topic><topic>Lesions</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Pathology</topic><topic>Radiology</topic><topic>Reliability</topic><topic>Scientific</topic><topic>Scientific Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andrea, Linda Christie</creatorcontrib><creatorcontrib>Svendsen, Susanne Wulff</creatorcontrib><creatorcontrib>Frost, Poul</creatorcontrib><creatorcontrib>Smidt, Kate</creatorcontrib><creatorcontrib>Gelineck, John</creatorcontrib><creatorcontrib>Christiansen, David Høyrup</creatorcontrib><creatorcontrib>Deutch, Søren Rasmussen</creatorcontrib><creatorcontrib>Hansen, Torben Bæk</creatorcontrib><creatorcontrib>Haahr, Jens Peder</creatorcontrib><creatorcontrib>Dalbøge, Annett</creatorcontrib><collection>Springer Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andrea, Linda Christie</au><au>Svendsen, Susanne Wulff</au><au>Frost, Poul</au><au>Smidt, Kate</au><au>Gelineck, John</au><au>Christiansen, David Høyrup</au><au>Deutch, Søren Rasmussen</au><au>Hansen, Torben Bæk</au><au>Haahr, Jens Peder</au><au>Dalbøge, Annett</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiographic findings in patients suspected of subacromial impingement syndrome: prevalence and reliability</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2024-04-23</date><risdate>2024</risdate><volume>53</volume><issue>11</issue><spage>2477</spage><epage>2490</epage><pages>2477-2490</pages><issn>0364-2348</issn><issn>1432-2161</issn><eissn>1432-2161</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective
Aims were to (i) report prevalence and (ii) evaluate reliability of the radiographic findings in examinations of patients suspected of subacromial impingement syndrome (SIS), performed before a patient’s first consultation at orthopaedic department.
Materials and methods
This cross-sectional study examined radiographs from 850 patients, age 18 to 63 years, referred to orthopaedic clinic on suspicion of SIS. Prevalence (%) of radiographic findings were registered. Inter- and intrarater reliability was analysed using expected and observed agreement (%), kappa coefficients, Bland–Altman plots, or intraclass coefficients.
Results
A total of 850 patients with a mean age of 48.2 years (SD = 8.8) were included. Prevalence of the radiographic findings was as follows: calcification 24.4%, Bigliani type III (hooked) acromion 15.8%, lateral/medial acromial spurs 11.1%/6.6%, acromioclavicular osteoarthritis 12.0%, and Bankart/Hill-Sachs lesions 7.1%. Inter- and intrarater Kappa values for most radiographic findings ranged between 0.40 and 0.89; highest values for the presence of calcification (0.85 and 0.89) and acromion type (0.63 and 0.66). The inter- and intrarater intraclass coefficients ranged between 0.41 and 0.83; highest values for acromial tilt (0.79 and 0.83) and calcification area (0.69 and 0.81).
Conclusion
Calcification, Bigliani type III (hooked) acromion, and acromioclavicular osteoarthritis were prevalent findings among patients seen in orthopaedic departments on suspicion of SIS. Spurs and Bankart/Hill-Sachs lesions were less common. Optimal reliabilities were found for the presence of calcification, calcification area, and acromial tilt. Calcification qualities, acromion type, lateral spur, and acromioclavicular osteoarthritis showed suboptimal reliabilities. Newer architectural measures (acromion index and lateral acromial angle) performed well with respect to reliability.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38652296</pmid><doi>10.1007/s00256-024-04675-7</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-0594-8688</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Calcification Imaging Impingement Lesions Medicine Medicine & Public Health Nuclear Medicine Orthopedics Osteoarthritis Pathology Radiology Reliability Scientific Scientific Article |
| title | Radiographic findings in patients suspected of subacromial impingement syndrome: prevalence and reliability |
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