Related Experiment Video
Updated: Jan 4, 2026
Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
Accuracy and precision of a CT method for assessing migration in shoulder arthroplasty: an experimental study
Cyrus Brodén1,2, Joshua W Giles3,4, Ravi Popat5
1Department of Surgery and Cancer, Imperial College London, St Mary's Hospital, London, UK.
Background:
Radiostereometric analysis (RSA) is the gold standard to measure early implant migration which is a predictive factor for implant survival.
Purpose:
To validate an alternative computed tomography (CT) technique to measure implant migration in shoulder arthroplasty.
Material And Methods:
A cadaver proximal humerus and a scapula, which had tantalum beads incorporated within them, were prepared to accept a short-stemmed humeral component and a two-pegged glenoid component of a commercial total shoulder arthroplasty (TSA) system. A five degree of freedom micrometer and goniometer equipped rig was used to translate and rotate the implant components relative to the respective bone to predetermined positions. Double CT examinations were performed for each position and CT motion analysis software (CTMA) was used to assess these movements. The accuracy and precision of the software was estimated using the rig's micrometers and goniometers as the gold standard. The technique's effective dose was also assessed.
Results:
The accuracy was in the range of 0.07-0.23 mm in translation and 0.22-0.71° in rotation. The precision was in the range of 0.08-0.15 mm in translation and 0.23-0.54° in rotation. The mean effective dose for the CT scans was calculated to be 0.27 mSv.
Conclusion:
In this experimental setting, accuracy, precision, and effective dose of the CTMA technique were found to be comparable to that of RSA. Therefore, we believe clinical studies are warranted to determine if CTMA is a suitable alternative to traditional RSA for migration measurements in TSA.
