Acromiohumeral interval

Changed by Henry Knipe, 1 Mar 2020

Updates to Article Attributes

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Acromiohumeral interval is a useful and reliable measurement on AP shoulder radiographs and when narrowed is indicative of rotator cuff tear or tendinopathy. 

PathologyMeasurement

Measurements of the acromiohumeral interval in the following intervals are suggestive of pathology 1,2:

Radiographic features

The shortest distance is measured. 

Plain radiograph
  • true AP shoulder radiograph
  • measure from the cortical bone at the inferior aspect of the acromion to the humeral head 3
MRI
  • can also be performed on coronal and sagittal oblique T1 MR images
  • inferior aspect of the acromion (marked by black line directly above the humeral head) directly inferiorly to the centre of the subchondral cortex of the humeral head 3

Interpretation

Measurements of the acromiohumeral interval in the following intervals are suggestive of pathology 1,2:

See also

  • -<p><strong>Acromiohumeral interval</strong> is a useful and reliable measurement on AP shoulder radiographs and when narrowed is indicative of <a href="/articles/rotator-cuff-tear">rotator cuff tear</a> or tendinopathy. </p><h4>Pathology</h4><p>Measurements of the acromiohumeral interval in the following intervals are suggestive of pathology <sup>1,2</sup>:</p><ul>
  • -<li>&gt;12 mm: <a href="/articles/shoulder-dislocation">shoulder dislocation</a>; inferior subluxation (e.g. from <a href="/articles/joint-effusion">joint effusion</a>)</li>
  • -<li>9-10 mm (range 8-12 mm): normal</li>
  • -<li>6-7 mm: thinning of <a href="/articles/supraspinatus-muscle-and-tendon">supraspinatus tendon</a>
  • -</li>
  • -<li>&lt;6 mm: supraspinatus tear</li>
  • -</ul><h4>Radiographic features</h4><p>The shortest distance is measured. </p><h5>Plain radiograph</h5><ul>
  • +<p><strong>Acromiohumeral interval</strong> is a useful and reliable measurement on AP shoulder radiographs and when narrowed is indicative of <a href="/articles/rotator-cuff-tear">rotator cuff tear</a> or tendinopathy. </p><h4>Measurement</h4><p><span style="font-size:13px">The shortest distance is measured. </span></p><h5>Plain radiograph</h5><ul>
  • +</ul><h4>Interpretation</h4><p>Measurements of the acromiohumeral interval in the following intervals are suggestive of pathology <sup>1,2</sup>:</p><ul>
  • +<li>&gt;12 mm: <a href="/articles/shoulder-dislocation">shoulder dislocation</a>; inferior subluxation (e.g. from <a href="/articles/joint-effusion">joint effusion</a>)</li>
  • +<li>9-10 mm (range 8-12 mm): normal</li>
  • +<li>6-7 mm: thinning of <a href="/articles/supraspinatus-muscle-1">supraspinatus tendon</a>
  • +</li>
  • +<li>&lt;6 mm: supraspinatus tear</li>

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