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Shoulder Physiological Offset Parameters in Asian Populations-A Magnetic Resonance Imaging Study.

Hung-Yi Huang1, Meng-Hao Lin2, Chu-Hsiang Hsu3

  • 1Department of Education, Chang Gung Memorial Hospital, Chiayi 613016, Taiwan.

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Summary

This study established reference values for shoulder offset parameters (SOPs) in Asian adults, finding significant differences based on gender and age. These findings are crucial for accurate shoulder surgery planning.

Keywords:
AsianMRIglenoidal offsethumeral offsetshoulder morphology

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Area of Science:

  • Orthopedics and Sports Medicine
  • Radiology and Medical Imaging
  • Anatomy and Biomechanics

Background:

  • Shoulder offset parameters (SOPs) are vital for diagnosing and treating shoulder conditions.
  • Limited research exists on SOPs in healthy Asian shoulders using MRI.
  • Establishing population-specific reference values is essential for clinical application.

Purpose of the Study:

  • To determine physiological reference values for key shoulder offset parameters in an Asian population.
  • To investigate the influence of age, gender, side, and osteoarthritis on these parameters.

Main Methods:

  • Retrospective analysis of 500 shoulder MRI scans from adult patients.
  • Measurement of humeral offset (HO), glenoidal offset (GO), lateral glenoidal humeral offset (LGHO), humeral shaft axis offset (HAO), and cortical offset (CO).
  • Statistical examination of correlations between SOPs and demographic/clinical factors.

Main Results:

  • Established mean values for HO (22.9 mm), GO (62.3 mm), LGHO (48.9 mm), HAO (25.2 mm), and CO (15.7 mm).
  • Males showed significantly higher SOP values than females; age correlated negatively with all SOPs.
  • No significant differences in SOPs were found between osteoarthritic and non-osteoarthritic shoulders.

Conclusions:

  • Significant gender and age-specific variations exist for all measured SOPs in the Asian population.
  • The contralateral shoulder can serve as a reliable reference for surgical planning, with minor exceptions.
  • These reference values are critical for informed shoulder surgery planning and interpretation of imaging findings.