Morphological analysis of the glenoid version in the axial plane according to age

Bouchaïb, Julia; Clavert, Philippe; Kempf, Jean-François; Kahn, J.-L.

doi:10.1007/s00276-013-1238-6

Cited by 16 publications

(14 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies also measure the relationship between the glenoid and proximal humerus [8], with the aim of improving the centering of the prosthetic implant. In concurrence with our observations, a number of studies note that in the superior-to-inferior direction, there is a decrease in native glenoid retroversion within the frame of its spiral torsion [9]. Glenoid version is thus a key factor in surgical procedures involving the glenoid, especially in the case of total anatomical replacement or reverse shoulder replacement.…”

Section: Introductionsupporting

confidence: 88%

“…Bouchaib [9] cites glenoid retroversion in the widest anterior-posterior dimension as being 4.04°. In the region of the notch of the anterior glenoid rim, this study reports an average retroversion of 6.85° and in the region of the coracoid process, retroversion of up to 11.9°.…”

Section: Resultsmentioning

confidence: 99%

“…We used the xVision – xViewer v.2.7.1 program (Vidis s.r.o., Prague, CZ) for our measurements. We used the Friedman method to measure retroversion [9, 13, 14]. The axis of the scapula passed through the centre of the glenoid and the medial border of the scapula vertex (Fig.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Study of the variability of scapular inclination and the glenoid version - considerations for preoperative planning: clinical-radiological study

Fulín

Kysilko

Pokorný

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundPreoperative planning with the aid of imaging methods is a principal factor in successful surgery on the shoulder. This work aims to evaluate the variability of glenoid version, spiralling twist and scapular inclination in relation to the frontal axis. Studies focusing on measuring the variability of scapular inclination in the standardised rest position are lacking in the literature.MethodsWe evaluated 104 CT scans of the shoulder. We measured the glenoid version with respect to the scapular axis at three levels. We measured the scapular inclination angle in relation to the sagittal plane and we determined scapular inclination in relation to the frontal axis. Statistical evaluation was performed using the marginal linear model and parameters were estimated using the generalised least squares method, which enables the dependency of measurements performed on the same subject to be taken into consideration.ResultsThe highest values of retroversion are attained by the glenoid in the cranial section (average -9.96°, range -29.7 to +13.2°). Proof of the spiralling twist is the decline in retroversion at the centre of the glenoid (average -2.09°, range -16.7 to +11.6°).Retroversion decreases further in the inferior direction (average -0.5°, range -20.9 to +17.5°). The average thoracoscapular angle is 45.46°, ranging from 13.1 to 69.0°. The average scapular inclination in relation to the frontal plane is 44.54°, ranging from 21.0 to76.9°.ConclusionsDuring preoperative planning, the surgeon should take into consideration not only the glenoid version in relation to the scapular axis, but also the value of the scapular inclination so as to eliminate possible surgical errors, optimise prosthesis implantation and thus decrease the risk of functional restrictions of the joint.Clinical trial registrationEthics Committee for Multi-Centric Clinical Trials (EK-554/14,29thApril 2014).

show abstract

Section: Introductionsupporting

confidence: 88%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Study of the variability of scapular inclination and the glenoid version - considerations for preoperative planning: clinical-radiological study

Fulín

Kysilko

Pokorný

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Indeed, the articular surface displays spiral torsion with reduced retroversion from top to bottom on the order of 8 • (Hill et al, 1989;Bouchaib et al, 2014). It seems that the anatomically most reliable reference point for locating our axis is neither the middle of the line between the highest and lowest points of the glenoid (Saller's axis), nor the intersection point of this line with the line from the most anterior point to the most posterior point of the glenoid, but the centre of the circle around the bony edge of the lower quadrant of the glenoid, which corresponds to the zone of the tubercle of Assaki (De Wilde et al, 2003).…”

Section: Measuring Glenoid Retroversionmentioning

confidence: 98%

“…The second (20 • ) corresponds to the upper part of the glenoid, the only intact portion of the articular surface, with 8 • more retroversion than the lower portion (seeHill et al, 1989;Bouchaib et al, 2014).…”

mentioning

confidence: 98%

Glenoid retroversion: The palaeopathological perspective

Darton

Gallien

Richard

et al. 2015

International Journal of Paleopathology

View full text Add to dashboard Cite

Computerized 3D morphological analysis of glenoid orientation

Ghafurian

Galdi

Bastian

et al. 2015

Journal Orthopaedic Research

View full text Add to dashboard Cite

An accurate preoperative measurement of glenoid orientation is crucial for evaluating pathologies and successful total shoulder arthroplasty. Existing methods may be labor-intensive, observer-dependent, and sensitive to the misalignment between the scapula plane and CT scanning direction. In this study, we proposed a computation framework and performed an automated analysis of the glenoid orientation based on 3D surface data. Three-dimensional models of 12 scapulae were analyzed. The glenoid cavity and external anatomical features were automatically extracted from these 3D models. Glenoid version was calculated using the scapula plane and the fulcrum axis alternatively. Glenoid inclination was measured both relative to transverse axis of the scapula and the medial pole-inferior tip axis. The mean (AESD) of the fulcrum-based glenoid version was À0.55˚(AE4.17˚), while the scapular-plane-based glenoid version was À5.05˚(AE3.50˚). The mean (AESD) of glenoid inclinations based on the medial pole and inferior tip was 12.75( AE5.03˚) while the mean (AESD) of the glenoid inclination based on the medial pole and glenoid center was 4.63˚(AE4.86˚). Our computational framework was able to extract the reproducible morphological measures free of inter-and intra-observer variability. For the first time in 3D, we showed that the fulcrum axis was practically perpendicular to the glenoid plane normal (radial line), and thus extended the fulcrum-based glenoid version for quantifying 3D glenoid orientation. Keywords: glenoid orientation; fulcrum axis; version; inclination; morphometry Assessment of glenoid orientation is essential in evaluating pathologies such as degenerative wear and shoulder instability, 1 and for planning shoulder surgeries.2,3 Glenoid orientation characterizes the geometrical relationship between the glenoid cavity and the scapular body. It could be used for differentiating normal and pathological shoulders since shoulder pathologies are likely to damage the glenoid rim and alter the orientation of the glenoid cavity with respect to the scapular body.4 It has been shown that endstage glenohumeral arthritis may increase wearing of the posterior part of glenoid, thus causing increased retroversion. 5,6 In total shoulder arthroplasty, restoration of glenoid orientation can improve the chances of longer-term implant survival by balancing the forces across prosthetic glenoid components, 7,8 while failure in restoring glenoid orientation accurately can cause posterior displacement and glenoid implant loosening.6,9,10 Restoration of glenoid orientation close to a patient's native glenoid orientation is a goal at the time of surgery. 9,11 Unfortunately this goal is difficult to attain due to the extremely diverse morphology of glenoid. 8,9,[12][13][14][15] An accurate and reliable preoperative assessment of glenoid orientation is therefore vital for a successful intra-operative restoration of the shoulder joint. 8Glenoid orientation is usually quantified by glenoid version and inclination. 16,17 These two an...

show abstract

Morphological analysis of the glenoid version in the axial plane according to age

Cited by 16 publications

References 19 publications

Study of the variability of scapular inclination and the glenoid version - considerations for preoperative planning: clinical-radiological study

Study of the variability of scapular inclination and the glenoid version - considerations for preoperative planning: clinical-radiological study

Glenoid retroversion: The palaeopathological perspective

Computerized 3D morphological analysis of glenoid orientation

Contact Info

Product

Resources

About