Correlation between scapular morphology and injuries to the biceps pulley and the long head of the biceps tendon
Objective This article aims to investigate the correlation between the morphological parameters of scapula and the injury of pulley and long head of the biceps tendon(LHBT).Methods The clinical data of 99 patients undergoing rotator cuff repair due to arthroscopic rotator cuff tear in the Department of Orthopedics of Sichuan Provincial People's Hospital from January 2022 to June 2023 were retrospectively analyzed.Acromion index,critical shoulder angle,acromion inclination angle,lateral shoulder angle,and acromion type were measured.The type of pulley damage and the degree of LHBT damage were evaluated during operation.They were divided into LHBT injury group(71 cases,71 shoulders)and LHBT non-injury group(28 cases,28 shoulders)according to whether LHBT was injured or not.According to whether the pulley structure was damaged or not,the pulley structure was divided into a damaged pulley group(79 cases,79 shoulders)and a non-damaged pulley group(20 cases,20 shoulders).The correlation between in-jury and morphological parameters of scapula was analyzed.Results There was no significant correlation between acromion index,critical shoulder angle,acromion inclination angle,lateral shoulder angle,acromion type and pulley structure and LHBT injury(P>0.05).The damage of pulley structure was positively correlated with the damage of LHBT(rs=0.687,P<0.05).Conclusion Pulley structure injury is a risk indicator of LHBT lesions,and there is a posi-tive correlation between them.No correlation between pulley structure injury or LHBT injury and scapular morphology was found.
rotator cuff injurybiceps pulley injurylesions of LHBTscapular morphology