Density distribution of the type E2 glenoid in cuff tear arthropathy

Mahaffy, Matthew D.; Knowles, Nikolas K.; Berkmortel, Carolyn; Abdic, Sejla; Walch, Gilles; Johnson, James A.; Athwal, George S.

doi:10.1016/j.jse.2019.05.046

Cited by 9 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over the last decade, primary glenohumeral osteoarthritis, cuff tear arthropathy, and shoulder instability have all been reported to affect glenoid BMD distribution. 22 , 23 , 33 , 34 , 35 However, a thorough understanding of normal glenoid BMD and its distribution (in relation to age, sex, and anatomical location) are important because only comparison with normative data will allow to determine how BMD distribution increased (as suggested by Wolff's law) or conversely decreased secondary to cavitation or unloading. 36 Current recommendations regarding implant orientation preclude a uniform BMD distribution; corrective glenoid bone reaming, however, expose the implant to potentially lower BMD and therefore compromise initial fixation strength.…”

Section: Discussionmentioning

confidence: 99%

Age‐ and sex‐specific normative values of bone mineral density in the adult glenoid

PezhmanEghbali

Becce

Goetti

et al. 2022

Journal Orthopaedic Research

View full text Add to dashboard Cite

The objective of this study was to determine the normative bone mineral density (BMD) of cortical and trabecular bone regions in the adult glenoid and its dependence on the subject's age and sex. We analyzed computed tomography (CT) scans of 441 shoulders (310 males, 18–69 years) without any signs of glenohumeral joint pathology. Glenoid BMD was automatically quantified in six volumes of interest (VOIs): cortical bone (CO), subchondral cortical plate (SC), subchondral trabecular bone (ST), and three adjacent layers of trabecular bone (T1, T2, and T3). BMD was measured in Hounsfield unit (HU). We evaluated the association between glenoid BMD and sex and age with the Student's t test and Pearson's correlation coefficient (r), respectively. The lambda‐mu‐sigma method was used to determine age‐ and sex‐specific normative values of glenoid BMD in cortical (CO and SC) and trabecular (ST, T1, T2, and T3) bone. Glenoid BMD was higher in males than females, in most age groups and most VOIs. Before 40 years old, the effect of age on BMD was very weak in both males and females. After 40 years old, BMD declined over time in all VOIs. This BMD decline with age was greater in females (cortical: r = −0.45, trabecular: r = −0.41) than in males (cortical: r = −0.30; trabecular: r = −0.32). These normative glenoid BMD values could prove clinically relevant in the diagnosis and management of patients with various shoulder disorders, in particular glenohumeral osteoarthritis and shoulder arthroplasty or shoulder instability, as well as in related research.

show abstract

Section: Discussionmentioning

confidence: 99%

Age‐ and sex‐specific normative values of bone mineral density in the adult glenoid

PezhmanEghbali

Becce

Goetti

et al. 2022

Journal Orthopaedic Research

View full text Add to dashboard Cite

show abstract

“…Having more CTA subjects below 65 years old may change the age association with CTA-CTRL difference. Nonetheless, lower inferior glenoid BMD compared to superior for CTA subjects has been reported before [20]. For the effect of BMI increase from 17 to 32 on the CTA-CTRL ST BMD difference, the same argument applies as for the OA-CTRL, as the maximum change reaches a 45.5 [-3.9, 131.9] HU decrease in anterior-superior octant for male (Table A4).…”

Section: Discussionmentioning

confidence: 61%

A Bayesian causal inference model to evaluate shoulder pathology effect on glenoid bone mineral density

Terrier,

Eghbali,

Satir

et al. 2024

Preprint

View full text Add to dashboard Cite

The effect of shoulder pathologies on glenoid bone mineral density (BMD) remains unclear and can be critical in surgical treatments. It is thus useful to predict this effect and understand how it is influenced by sex, age, and body mass index (BMI), in various glenoid locations. To address this question, we developed a causal model and used do-calculus to identify the minimal adjustment set of covariate variables and developed a varying-intercept varying-slope Bayesian model. We considered two common shoulder pathologies, primary osteoarthritis (OA) and cuff tear arthropathy (CTA), and compared them with normal shoulders (CTRL). Glenoid BMD was automatically measured on computed tomography scans of 93 OA, 53 CTA, and 133 CTRL subjects. OA and CTA subjects had higher BMD than CTRL in subchondral trabecular bone. This difference was affected by sex, increased with age, and was stable with BMI. BMD was higher in OA than CTA, especially on the posterior side. This causal model could be used for surgery planning, outcome prediction, and understanding of the associated pathophysiology.

show abstract

“…While imaging methods, CT-scan and MRI provide useful information for the operational planning, there is still a need for better understanding the biochemical background of bone loos resulting primarily from degenerative diseases [4]. According to the literature, there is only a limited number of publications available investigating the bone density of humerus head and glenoid cavity in patients with shoulder arthroplasty, especially by using thermal analysis.…”

Section: Introductionmentioning

confidence: 99%

Thermogravimetric analysis of cancellous bone of humerus head in patients undergoing total shoulder arthroplasty

Bata

Nöt

Szabó³

et al. 2021

J Therm Anal Calorim

View full text Add to dashboard Cite

Prior to shoulder replacement, the quality of cancellous bone stock of humerus head should be evaluated. Thermogravimetric analysis (TGA) has already been utilized to assess thermal stability of cancellous bone mineral, collected from the femoral head of patients with osteoarthritis and osteoporosis. Our workgroup has recently examined the thermal parameters of rotator cuff of patients undergoing reversed shoulder replacement. We hypothesized that TGA of humerus head would indicate difference in the bone quality of orthopedic and trauma patients. We also hypothesized that the calorimetric data could correlate with the grade of degenerative changes. Cylindrical subchondral humeral head samples were collected from patients subjected to reversed shoulder replacement due to orthopedic or trauma indications. Then, calorimetric parameters were measured using DTA/TG analysis. Radiological evaluation was also performed to classify the grade of osteoarthritis. In case of orthopedic samples, the calorimetric parameters indicated a moderate to severe degree of bone damage and loss of mineralization, because of the progressed osteoarthritis. Meanwhile, the trauma samples exhibited only moderate or minimal subchondral bone degeneration. DTA curves showed different patterns and indicated shifts in transition temperatures, comparing control and pathologic samples. In addition, correlation was found between the degree of osteoarthritis and calorimetric enthalpy. DTA/TG analysis of humerus head samples indicated marked differences in bone quality of orthopedic and trauma patients. Further investigation is needed to differentiate the calorimetric parameters of different layers of subchondral bone.

show abstract

Density distribution of the type E2 glenoid in cuff tear arthropathy

Cited by 9 publications

References 23 publications

Age‐ and sex‐specific normative values of bone mineral density in the adult glenoid

Age‐ and sex‐specific normative values of bone mineral density in the adult glenoid

A Bayesian causal inference model to evaluate shoulder pathology effect on glenoid bone mineral density

Thermogravimetric analysis of cancellous bone of humerus head in patients undergoing total shoulder arthroplasty

Contact Info

Product

Resources

About