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Three-Dimensional Scapular Border Method for Glenoid Version Measurements.

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Summary
This summary is machine-generated.

Glenoid version measurement methods vary, impacting surgical planning. Scapular plane-based methods offer consistent glenoid version measurements, even with increased deformity, unlike vault methods.

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Area of Science:

  • Orthopedic surgery
  • Radiology
  • Biomechanical engineering

Background:

  • Glenoid version measurement inconsistencies create uncertainty in surgical planning.
  • Shoulder arthroplasty outcomes can be influenced by accurate glenoid morphology assessment.
  • Increasing glenoid deformity complicates accurate native morphology depiction.

Purpose of the Study:

  • To compare measurement inconsistencies among four current glenoid version measurement methods and an experimental method.
  • To assess the impact of glenoid deformity on measured glenoid version across different methods.
  • To evaluate the agreement between glenoid version measurement techniques and reference systems.

Main Methods:

  • Three-dimensional scapulae from CT scans of 74 arthroplasty and 34 non-arthroplasty shoulders were analyzed.
  • Glenoid version was measured using Friedman, corrected Friedman, Ganapathi-Iannotti, Matsumura, and an experimental scapular border-derived coordinate system method.
  • Intraclass correlation coefficients (ICC) and concordance correlation coefficients (CCCs) were calculated to assess consistency and agreement.

Main Results:

  • Scapular plane-based methods (experimental, Friedman, corrected Friedman) showed high consistency (<2° difference).
  • Vault methods (Ganapathi-Iannotti, Matsumura) demonstrated significant inconsistencies (5°-7° and >12° differences).
  • Scapular plane-based methods maintained measurement consistency despite increasing glenoid deformity.

Conclusions:

  • Scapular plane-based methods are highly comparable and consistent for glenoid version measurement.
  • Glenoid vault-based methods yield inconsistent measurements due to differing reference systems.
  • The choice of coordinate system significantly impacts version measurements, especially with increased glenoid deformity, affecting surgical planning.