Correlation between degree of acromial inclination and subacromial impingement syndrome

BIAN Jin-song; WANG Yu-jie; WANG Sheng-jun; DING Wen-qian; ZHANG Cheng

doi:10.11659/jjssx.03E025091

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Correlation between degree of acromial inclination and subacromial impingement syndrome

Orthopaedics Column | 更新时间：2025-12-22

- Correlation between degree of acromial inclination and subacromial impingement syndrome
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 12, Pages: 1037-1039(2025)
- 作者机构：
  
  1.沧州市人民医院关节运医科，河北沧州 061000
  2.沧州市人民医院院感科，河北沧州 061000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.03E025091
  CLC： R684.7
- Received：17 March 2025，
  
  Published：25 December 2025
- 稿件说明：
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边劲松,王玉杰,王胜军等.肩峰倾斜程度与肩峰下撞击综合征的相关性研究[J].局解手术学杂志,2025,34(12):1037-1039.

BIAN Jin-song,WANG Yu-jie,WANG Sheng-jun,et al.Correlation between degree of acromial inclination and subacromial impingement syndrome[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(12):1037-1039.
边劲松,王玉杰,王胜军等.肩峰倾斜程度与肩峰下撞击综合征的相关性研究[J].局解手术学杂志,2025,34(12):1037-1039. DOI： 10.11659/jjssx.03E025091.

BIAN Jin-song,WANG Yu-jie,WANG Sheng-jun,et al.Correlation between degree of acromial inclination and subacromial impingement syndrome[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(12):1037-1039. DOI： 10.11659/jjssx.03E025091.

摘要

目的

通过测量外侧肩峰角和肩峰倾斜度分析肩峰倾斜程度与肩峰下撞击综合征（SIS）的相关性。

方法

回顾性分析沧州市人民医院收治的44例SIS患者（SIS组）以及40例正常成人（对照组）的肩关节正位和“Y”位X射线影像资料。分别测量2组患者的外侧肩峰角和肩峰倾斜度，并进行比较。利用受试者工作特征（

ROC

）曲线分析外侧肩峰角和肩峰倾斜度对SIS的诊断效能。

结果

SIS组患者外侧肩峰角、肩峰倾斜度均小于对照组，差异具有统计学意义（

0.05）。外侧肩峰角的

ROC

曲线下面积为0.796，敏感度为55.0%，特异度为95.5%；肩峰倾斜度的

ROC

曲线下面积为0.688，敏感度为42.5%，特异度为90.9%；两者联合诊断的敏感度为70.0%，特异度为97.7%，均高于单一指标的诊断效能。

结论

外侧肩峰角和肩峰倾斜度均与SIS相关，在手术治疗时需综合考虑二者的因素进行肩峰成形。另外，外侧肩峰角和肩峰倾斜度对于诊断SIS均有一定的价值，联合诊断性能更佳。

Abstract

Objective

To analyze the correlation between the degree of acromial inclination and subacromial impingement syndrome （SIS） by measuring the lateral acromial angle and acromial tilt.

Methods

The anteropos

terior and "Y" position X-ray imaging data of the shoulder joint of 44 SIS patients （the SIS group） and 40 normal adults （the control group） admitted to Cangzhou People's Hospital were retrospective analyzed. The lateral acromial angle and acromial tilt of patients in the two groups were measured and compared. The diagnostic efficacy of lateral acromial angle and acromial tilt for SIS was analyzed by

receiver operating characteristic

（

ROC

） curve.

Results

The lateral acromion angle and acromion tilt of patients in the SIS group were smaller than those in the control group， and the differences were statistically significant （

0.05）. The

area under the ROC

curve

of the lateral acromial angle was 0.796， with a sensitivity of 55.0% and a specificity of 95.5%； The

area under the ROC curve

of the acromial tilt was 0.688， with a sensitivity of 42.5% and a specificity of 90.9%； The sensitivity and specificity of the combined diagnosis of the two were 70.0% and 97.7%， respectively， both of which were higher than the diagnostic efficiency of single index.

Conclusion

The lateral acromion angle and acromion tilt are both associated with SIS， and both factors need to be considered comprehensively during surgical treatment for acromioplasty. In addition， the lateral acromion angle and acromion tilt have certain value for the diagnosis of SIS， and the combined diagnostic performance is better.

关键词

Keywords

references

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