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Shoulder Impingement SyndromeACROMIALNCT07889583

Acromial Morphology: Reliability of CT-based Assessment and Relationship With Age in a Series of 420 Patients

An observational study of Shoulder Impingement Syndrome and Acromial Morphology, run by University Hospital, Strasbourg, France at 1 site in France.

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Sites and contacts
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Trial summary

This study evaluates the reliability of CT-based assessment of acromial morphology and its relationship with age, in order to improve understanding of shoulder pathologies such as subacromial impingement and rotator cuff tears. Read more about this study

Who is it for?
Ages 20 to 98 years
How many people
420 participants
Where
1 siteFrance
Study dates
22 Jan 2026to 22 Jan 2027
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 98 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who underwent shoulder CT or arthro-CT at Strasbourg University Hospitals between 2009 and 2023, stratified by age groups, and included for analysis of acromial morphology.

Who may be able to join

  • Subjects aged 20 to 89 years
  • Shoulder CT or arthro-CT performed at Strasbourg University Hospitals
  • Examination performed between 02/01/2009 and 11/12/2023
  • Independent indication for imaging
  • No documented opposition to reuse of medical data for research

Who cannot join

  • Imaging not performed
  • Poor image quality
  • Inability to perform 3D reconstruction
  • Duplicate examination within the same age group
  • History of acromial fracture
  • Previous surgery interfering with acromial analysis (arthroplasty, acromioplasty, osteosynthesis, arthrodesis)
  • Shoulder pathology interfering with acromial analysis (severe acromioclavicular arthropathy, humeral head osteonecrosis, glenohumeral dysplasia)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • Service de Chirurgie Orthopédique du Membre Supérieur - CHU de Strasbourg - France

    Strasbourg, 67091

    Philippe CLAVERT, MD, PhD, 33 3 88 11 67 68, philippe.clavert@chru-strasbourg.fr

    Philippe CLAVERT, CLAVERT

    Recruiting

Other trials in France

About this study

This study evaluates the reliability of CT-based assessment of acromial morphology and its relationship with age, in order to improve understanding of shoulder pathologies such as subacromial impingement and rotator cuff tears.

Read the detailed description

This is a retrospective monocentric observational study conducted at Strasbourg University Hospitals including 420 patients who underwent shoulder CT or arthro-CT between 2009 and 2023. Acromial morphology is assessed using the Bigliani classification on 3D reconstructions. The study evaluates intra- and inter-observer reliability using kappa coefficients and explores the relationship between acromial shape and patient age. Data are collected retrospectively from medical records and imaging software, with repeated assessments performed at 3 and 6 months to evaluate reproducibility.

Keywords
Acromion, Shoulder impingement, Computed tomography
Medical subject headings
Shoulder Impingement Syndrome

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Intra-Rater and Inter-Rater Reliability of the Bigliani Classification of Acromial Morphology

    Acromial morphology will be classified as Type I (flat), Type II (curved), or Type III (hooked) according to the Bigliani classification, using 3D-reconstructed shoulder CT scans or CT arthrography images. Intra-rater and inter-rater reliability will be assessed using kappa agreement coefficients (Cohen's kappa and Fleiss' kappa). Five evaluators will assess the images, with repeat evaluations at 3 and 6 months after the initial assessment.

    Measured: Initial assessment, with repeat assessments at 3 and 6 months after the initial assessment.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Oct 2026
  2. Study start22 Jan 2026
  3. Primary completion22 Nov 2026 (estimated)
  4. Study completion22 Jan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Retrospective
Enrolment
420 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07889583
Sponsor's protocol ID
RC25_0071
Acronym
ACROMIAL
Status last verified
Oct 2026
First submitted
2 Oct 2026
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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