سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Kane, Liam, Vaughan, Alayna, Namdari, Surena, Kohan, Eitan. (1403). Effect of Axillary Radiograph Rotation and Medial Scapular Visualization on Glenoid Retroversion Measurement. , 12(8), 597-602. doi: 10.22038/abjs.2024.73142.3388
Liam T. Kane; Alayna Vaughan; Surena Namdari; Eitan Kohan. "Effect of Axillary Radiograph Rotation and Medial Scapular Visualization on Glenoid Retroversion Measurement". , 12, 8, 1403, 597-602. doi: 10.22038/abjs.2024.73142.3388
Kane, Liam, Vaughan, Alayna, Namdari, Surena, Kohan, Eitan. (1403). 'Effect of Axillary Radiograph Rotation and Medial Scapular Visualization on Glenoid Retroversion Measurement', , 12(8), pp. 597-602. doi: 10.22038/abjs.2024.73142.3388
Kane, Liam, Vaughan, Alayna, Namdari, Surena, Kohan, Eitan. Effect of Axillary Radiograph Rotation and Medial Scapular Visualization on Glenoid Retroversion Measurement. , 1403; 12(8): 597-602. doi: 10.22038/abjs.2024.73142.3388

Effect of Axillary Radiograph Rotation and Medial Scapular Visualization on Glenoid Retroversion Measurement

The Archives of Bone and Joint Surgery
مقاله 8، دوره 12، شماره 8، آبان 2024، صفحه 597-602    اصل مقاله (698.99 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.73142.3388
نویسندگان
Liam T. Kane* ؛ Alayna Vaughan؛ Surena Namdari؛ Eitan Kohan
Rothman Orthopaedic Institute, Thomas Jefferson University Hospitals, Philadelphia, PA, USA
چکیده
Objectives: Axillary radiographs enable the measurement of glenoid retroversion, which is associated with worsened clinical outcomes and glenoid loosening following total shoulder arthroplasty. Due to the variability in radiographic technique, this study aims to determine if the accuracy of retroversion measured by axillary radiograph is affected by 1) scapular rotation and/or 2) proper visualization of the medial scapula.
Methods: Using five cadaveric scapulae, investigators obtained axillary radiographs in true neutral position as well as in 10° and 20° of anterior and posterior rotation. For each radiograph, two fellowship trained shoulder surgeons measured glenoid retroversion with complete visualization of the scapula (Technique 1) and with visualization limited to the lateral half of scapula (Technique 2). The observers also measured glenoid retroversion by CT scan to use as a gold standard technique. Spearman’s Rho was used to assess agreement between measurements.
Results: Average glenoid retroversion of the five scapulae assessed by CT scan was 3.8° (R: 1.5-6.9). Measurements obtained using Technique 1 demonstrated improved levels of interobserver agreement (ICC: 0.412) compared to measurements obtained with Technique 2, which demonstrated no agreement (ICC: 0.103). Scapular rotation was inconsistently associated with agreement using both techniques.
Conclusion: The reliability of glenoid retroversion measurements was limited by incomplete visualization of the medial scapular spine. When measuring retroversion to the base of the scapular spine, improved agreement and accuracy were seen with various degrees of scapular rotation.
        Level of evidence: IV
کلیدواژه‌ها
Axillary؛ Glenoid retroversion؛ Radiograph؛ Scapula
مراجع
  1. Bitzer A, Rojas J, Patten IS, Joseph J, McFarland EG. Incidence and risk factors for aseptic baseplate loosening of reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2018; 27(12):2145-2152. doi:10.1016/j.jse.2018.05.034.
  2. Farron A, Terrier A, Büchler P. Risks of loosening of a prosthetic glenoid implanted in retroversion. J Shoulder Elbow Surg. 2006; 15(4):521-526. doi:10.1016/j.jse.2005.10.003.
  3. Gallusser N, Farron A. Complications of shoulder arthroplasty for osteoarthritis with posterior glenoid wear. Orthop Traumatol Surg Res. 2014; 100(5):503-508. doi:10.1016/j.otsr.2014.06.002.
  4. Gerber C, Costouros JG, Sukthankar A, Fucentese SF. Static posterior humeral head subluxation and total shoulder arthroplasty. J Shoulder Elbow Surg. 2009; 18(4):505-510. doi:10.1016/j.jse.2009.03.003.
  5. Habermeyer P, Magosch P, Luz V, Lichtenberg S. Three-Dimensional Glenoid Deformity in Patients with Osteoarthritis: A Radiographic Analysis. J Bone Joint Surg Am. 2006; 88(6):1301-1307. doi:10.2106/JBJS.E.00622.
  6. Boileau P, Morin-Salvo N, Gauci MO, et al. Angled BIO-RSA (bony-increased offset-reverse shoulder arthroplasty): a solution for the management of glenoid bone loss and erosion. J Shoulder Elbow Surg. 2017; 26(12):2133-2142. doi:10.1016/j.jse.2017.05.024.
  7. Friedman RJ, Sun S, She X, Esposito J, Eichinger J, Yao H. Effects of Increased Retroversion Angle on Glenoid Baseplate Fixation in Reverse Total Shoulder Arthroplasty: A Finite Element Analysis. Semin Arthroplasty. 2021; 31(2):209-216. doi:10.1053/j.sart.2020.11.014.
  8. Hsu JE, Ricchetti ET, Huffman GR, Iannotti JP, Glaser DL. Addressing glenoid bone deficiency and asymmetric posterior erosion in shoulder arthroplasty. J Shoulder Elbow Surg. 2013; 22(9):1298-1308. doi:10.1016/j.jse.2013.04.014.
  9. Nowak DD, Bahu MJ, Gardner TR, et al. Simulation of surgical glenoid resurfacing using three-dimensional computed tomography of the arthritic glenohumeral joint: The amount of glenoid retroversion that can be corrected. J Shoulder Elbow Surg. 2009; 18(5):680-688. doi:10.1016/j.jse.2009.03.019.
  10. Sandow M, Schutz C. Total shoulder arthroplasty using trabecular metal augments to address glenoid retroversion: the preliminary result of 10 patients with minimum 2-year follow-up. J Shoulder Elbow Surg. 2016; 25(4):598-607. doi:10.1016/j.jse.2016.01.001.
  11. Sandow MJ, Tu CG. Porous metal wedge augments to address glenoid retroversion in anatomic shoulder arthroplasty: midterm update. J Shoulder Elbow Surg. 2020; 29(9):1821-1830. doi:10.1016/j.jse.2020.01.101.
  12. Sears BW, Johnston PS, Ramsey ML, Williams GR. Glenoid Bone Loss in Primary Total Shoulder Arthroplasty: Evaluation and Management. J Am Acad Orthop Surg. 2012; 20(9):604-613. doi:10.5435/JAAOS-20-09-604.
  13. Friedman RJ, Hawthorne KB, Genez BM. The use of computerized tomography in the measurement of glenoid version. J Bone Joint Surg Am. 1992; 74(7):1032-1037.
  14. Bokor DJ, O’Sullivan MD, Hazan GJ. Variability of measurement of glenoid version on computed tomography scan. J Shoulder Elbow Surg. 1999; 8(6):595-598. doi:10.1016/S1058-2746(99)90096-4.
  15. Hoenecke HR, Hermida JC, Flores-Hernandez C, D’Lima DD. Accuracy of CT-based measurements of glenoid version for total shoulder arthroplasty. J Shoulder Elbow Surg. 2010; 19(2):166-171. doi:10.1016/j.jse.2009.08.009.
  16. Nycz BT, Dominguez SR, Friedman D, et al. Evaluation of bloodstream infections, Clostridium difficile infections, and gut microbiota in pediatric oncology patients. PLoS One. 2018; 13(1):e0191232. doi:10.1371/journal.pone.0191232.
  17. Nyffeler RW, Jost B, Pfirrmann CWA, Gerber C. Measurement of glenoid version: conventional radiographs versus computed tomography scans. J Shoulder Elbow Surg. 2003; 12(5):493-496. doi:10.1016/S1058-2746(03)00181-2.
  18. Matsen FA, Gupta A. Axillary View: Arthritic Glenohumeral Anatomy and Changes after Ream and Run. Clin Orthop Relat Res. 2014; 472(3):894-902. doi:10.1007/s11999-013-3327-6.
  19. Bicknell RT, Patterson SD, King GJW, Chess DG, Johnson JA. Glenoid vault endosteal dimensions: An anthropometric study with special interest in implant design. J Shoulder Elbow Surg. 2007; 16(3):S96-S101. doi:10.1016/j.jse.2006.03.008.
  20. Codsi MJ, Bennetts C, Gordiev K, et al. Normal glenoid vault anatomy and validation of a novel glenoid implant shape. J Shoulder Elbow Surg. 2008; 17(3):471-478. doi:10.1016/j.jse.2007.08.010.
  21. Codsi MJ, Bennetts C, Powell K, Iannotti JP. Locations for
 

screw fixation beyond the glenoid vault for fixation of glenoid implants into the scapula: An anatomic study. J Shoulder Elbow Surg. 2007; 16(3):S84-S89. doi:10.1016/j.jse.2006.07.009.

  1. Strauss EJ, Roche C, Flurin PH, Wright T, Zuckerman JD. The glenoid in shoulder arthroplasty. J Shoulder Elbow Surg. 2009; 18(5):819-833. doi:10.1016/j.jse.2009.05.008.
  2. Boileau P, Cheval D, Gauci MO, Holzer N, Chaoui J, Walch G. Automated Three-Dimensional Measurement of Glenoid Version and Inclination in Arthritic Shoulders. J Bone Joint Surg Am. 2018; 100(1):57-65. doi:10.2106/JBJS.16.01122.
  3. Moineau G, Levigne C, Boileau P, Young A, Walch G, French Society for Shoulder & Elbow (SOFEC). Three-dimensional measurement method of arthritic glenoid cavity morphology: feasibility and reproducibility. Orthop Traumatol Surg Res. 2012; 98(6 Suppl):S139-145. doi:10.1016/j.otsr.2012.06.007.
  4. Werner BS, Hudek R, Burkhart KJ, Gohlke F. The influence of three-dimensional planning on decision-making in total shoulder arthroplasty. J Shoulder Elbow Surg. 2017; 26(8):1477-1483. doi:10.1016/j.jse.2017.01.006.
  5. Reid JJ, Kunkle BF, Greene AT, Eichinger JK, Friedman RJ. Variability and reliability of 2-dimensional vs. 3-dimensional glenoid version measurements with 3-dimensional preoperative planning software. J Shoulder Elbow Surg. 2022; 31(2):302-309. doi:10.1016/j.jse.2021.07.011.
  6. Kevin Ko JW, Syed UA, Barlow JD, et al. Comparison of Asymmetric Reaming versus a Posteriorly Augmented Component for Posterior Glenoid Wear and Retroversion: A Radiographic Study. Arch Bone Jt Surg. 2019; 7(4):307-313.
28.              Ho JC, Youderian A, Davidson IU, Bryan J, Iannotti JP. Accuracy and reliability of postoperative radiographic measurements of glenoid anatomy and relationships in patients with total shoulder arthroplasty. J Shoulder Elbow Surg. 2013; 22(8):1068-1077. doi:10.1016/j.jse.2012.11.015.

آمار
تعداد مشاهده مقاله: 192
تعداد دریافت فایل اصل مقاله: 162