Characteristics of acromial morphology in patients with painful shoulders from Indonesia
- 20.06.2025
- Research
Erschienen in:
- Verfasst von
- Xarisa Azalia
- Leonard Christianto Singjie
- Maria Anastasia
- Erica Kholinne
- Erschienen in
- International Orthopaedics | Ausgabe 8/2025
Abstract
Background
Shoulder pain is a common reason for patients to seek care from general practitioners or orthopaedic specialists. Prior studies suggest a correlation between acromial morphology and shoulder pathologies. This study aimed to determine acromion characteristics in the Indonesian population and evaluate associations between acromion type, radiographic parameters, sex, and shoulder disorders.
Methods
A cross-sectional study was conducted on 487 patients with shoulder disorders, using consecutive sampling and data from our institution’s radiology database (2020–2021). Acromion morphology was classified using the Bigliani system. Diagnoses were based on clinical and radiological records. Radiographic parameters assessed included critical shoulder angle (CSA), acromion index (AI), lateral acromial angle (LAA), acromioclavicular (AC) joint distance, acromiohumeral (AH) joint distance, and acromial tilt.
Results
Among 487 patients, type II acromion was most common (59.5%), followed by type I (33.3%), type IV (4.5%), and type III (2.7%). Mean CSA was 38.36 ± 5.13, AI 0.72 ± 0.09, LAA 72.52 ± 6.01, AC joint distance 3.18 ± 0.89, AH distance 8.61 ± 1.86, and acromial tilt 28.84 ± 4.52. No significant association was found between acromion type and shoulder disorders (p = 0.34), or between sex and acromion type (p = 0.516). Radiographic parameters also showed no significant correlation with shoulder disorders.
Conclusion
Type II acromion was the most prevalent in this Indonesian population. No significant associations were observed between acromion type, sex, or radiographic parameters and shoulder pathologies. Acromial morphology may represent normal anatomical variation rather than a pathological finding.
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- Titel
- Characteristics of acromial morphology in patients with painful shoulders from Indonesia
- Verfasst von
-
Xarisa Azalia
Leonard Christianto Singjie
Maria Anastasia
Erica Kholinne
- Publikationsdatum
- 20.06.2025
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
International Orthopaedics / Ausgabe 8/2025
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195 - DOI
- https://doi.org/10.1007/s00264-025-06585-2
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