Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome

Abstract Background Shoulder impingement syndrome is the painful entrapment of the soft tissues between the acromion and the humeral head. The severity of shoulder impingement could be graded according to the limitation of shoulder joint moment. The reliability of sonographic findings in the grading...

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Main Authors: Raham Bacha, Syed Amir Gilani, Asif Hanif, Iqra Manzoor
Format: Article
Language:English
Published: SpringerOpen 2022-06-01
Series:The Ultrasound Journal
Subjects:
Online Access:https://doi.org/10.1186/s13089-022-00272-8
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author Raham Bacha
Syed Amir Gilani
Asif Hanif
Iqra Manzoor
author_facet Raham Bacha
Syed Amir Gilani
Asif Hanif
Iqra Manzoor
author_sort Raham Bacha
collection DOAJ
description Abstract Background Shoulder impingement syndrome is the painful entrapment of the soft tissues between the acromion and the humeral head. The severity of shoulder impingement could be graded according to the limitation of shoulder joint moment. The reliability of sonographic findings in the grading of shoulder impingement severity grading is required to be evaluated by the consistency of findings between the observers. Purpose To assess the interobserver agreement in the sonographic severity grading of shoulder impingement syndrome with the help of a ratio between acromion-to-greater tuberosity distance in the abduction and neutral arm position. Material and methods Patients were examined by two independent observers in the coronal approach with neutral arm position. Acromion-to-greater tuberosity distance was measured in abduction and neutral shoulder position. The ratios of the distances in the abduction and neutral position were calculated to grade the severity of shoulder impingement syndrome. Results A total of 78 shoulders were included in this study. A strong agreement was found for the grading of shoulder impingement severity grading between the two independent observers with Kappa value of 0.94. And correlation between the results of the two observers for the severity grading of shoulder impingement syndrome was significant at 0.01 level. Conclusion Severity grading of the shoulder impingement syndrome was performed based on the ratio of acromion-to-greater tuberosity distance in abduction and neutral arm position. However, the sonographic findings were consistent and a strong interobserver agreement was seen in this sonographic severity grading.
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spelling doaj.art-d98cd6e9c8654e5ba17db068f7832d562022-12-22T03:22:22ZengSpringerOpenThe Ultrasound Journal2524-89872022-06-011411710.1186/s13089-022-00272-8Interobserver agreement on the sonographic severity grading of shoulder impingement syndromeRaham Bacha0Syed Amir Gilani1Asif Hanif2Iqra Manzoor3The University of LahoreThe University of LahoreThe University of LahoreThe University of LahoreAbstract Background Shoulder impingement syndrome is the painful entrapment of the soft tissues between the acromion and the humeral head. The severity of shoulder impingement could be graded according to the limitation of shoulder joint moment. The reliability of sonographic findings in the grading of shoulder impingement severity grading is required to be evaluated by the consistency of findings between the observers. Purpose To assess the interobserver agreement in the sonographic severity grading of shoulder impingement syndrome with the help of a ratio between acromion-to-greater tuberosity distance in the abduction and neutral arm position. Material and methods Patients were examined by two independent observers in the coronal approach with neutral arm position. Acromion-to-greater tuberosity distance was measured in abduction and neutral shoulder position. The ratios of the distances in the abduction and neutral position were calculated to grade the severity of shoulder impingement syndrome. Results A total of 78 shoulders were included in this study. A strong agreement was found for the grading of shoulder impingement severity grading between the two independent observers with Kappa value of 0.94. And correlation between the results of the two observers for the severity grading of shoulder impingement syndrome was significant at 0.01 level. Conclusion Severity grading of the shoulder impingement syndrome was performed based on the ratio of acromion-to-greater tuberosity distance in abduction and neutral arm position. However, the sonographic findings were consistent and a strong interobserver agreement was seen in this sonographic severity grading.https://doi.org/10.1186/s13089-022-00272-8Interobserver agreementShoulder impingement syndromeSeverity gradingRotator cuffAcromion-to-greater tuberosity distance
spellingShingle Raham Bacha
Syed Amir Gilani
Asif Hanif
Iqra Manzoor
Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome
The Ultrasound Journal
Interobserver agreement
Shoulder impingement syndrome
Severity grading
Rotator cuff
Acromion-to-greater tuberosity distance
title Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome
title_full Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome
title_fullStr Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome
title_full_unstemmed Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome
title_short Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome
title_sort interobserver agreement on the sonographic severity grading of shoulder impingement syndrome
topic Interobserver agreement
Shoulder impingement syndrome
Severity grading
Rotator cuff
Acromion-to-greater tuberosity distance
url https://doi.org/10.1186/s13089-022-00272-8
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AT asifhanif interobserveragreementonthesonographicseveritygradingofshoulderimpingementsyndrome
AT iqramanzoor interobserveragreementonthesonographicseveritygradingofshoulderimpingementsyndrome