Radiologic assessment of glenohumeral relationship: reliability and reproducibility of lateral humeral offset

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• 作者：Bakir Kadum ; Arkan S. Sayed-Noor ; Nikolaos Perisynakis…
• 关键词：Shoulder radiology ; Shoulder arthroplasty ; Lateral humeral offset ; Shoulder reconstruction ; Osteoarthritis
• 刊名：Surgical and Radiologic Anatomy
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：37
• 期：4
• 页码：363-368
• 全文大小：674 KB
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• 作者单位：Bakir Kadum (1)
  Arkan S. Sayed-Noor (1)
  Nikolaos Perisynakis (1)
  Saida Baea (1)
  GO Sj枚d茅n (1)
  
  1. Department of Surgical and Perioperative Sciences (Orthopaedics-Sundsvall), Ume氓 University, Ume氓, Sweden
  
• 刊物主题：Imaging / Radiology; Orthopedics; Anatomy;
• 出版者：Springer Paris
• ISSN：1279-8517

文摘

Background It has been shown that anatomical reconstruction is an important step in achieving good function after shoulder arthroplasty. It is essential to reconstruct the distance between the coracoid process and greater tubercle as this relates to the moment arm of the deltoid and rotator cuff muscles. This study evaluated the reliability of measurement of the lateral humeral offset (LHO) on plain radiographs and on computed tomography (CT). Methods Four independent observers performed measurements of LHO on radiographs and CT from 26 patients awaiting shoulder reconstruction. The interobserver reliability and intraobserver reproducibility were assessed. Results Interobserver reliability and intraobserver reproducibility of LHO in axial CT scans were excellent. Plain radiography showed fair to excellent interobserver reliability and variable intraobserver reproducibility. Conclusion CT is a reliable tool to measure LHO supporting its use in preoperative planning. When AP radiography is used for preoperative planning the examiner should be aware of its limitations and standardisation protocols should be considered.