Measurements of three-dimensional glenoid erosion when planning the prosthetic replacement of osteoarthritic shoulders.

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2014

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info:eu-repo/semantics/altIdentifier/doi/10.1302/0301-620X.96B4.32641

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info:eu-repo/semantics/altIdentifier/pmid/24692620

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info:eu-repo/semantics/altIdentifier/eissn/2049-4408

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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_6A12768194C68

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A. Terrier et al., « Measurements of three-dimensional glenoid erosion when planning the prosthetic replacement of osteoarthritic shoulders. », Serveur académique Lausannois, ID : 10.1302/0301-620X.96B4.32641


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The three-dimensional (3D) correction of glenoid erosion is critical to the long-term success of total shoulder replacement (TSR). In order to characterise the 3D morphology of eroded glenoid surfaces, we looked for a set of morphological parameters useful for TSR planning. We defined a scapular coordinates system based on non-eroded bony landmarks. The maximum glenoid version was measured and specified in 3D by its orientation angle. Medialisation was considered relative to the spino-glenoid notch. We analysed regular CT scans of 19 normal (N) and 86 osteoarthritic (OA) scapulae. When the maximum version of OA shoulders was higher than 10°, the orientation was not only posterior, but extended in postero-superior (35%), postero-inferior (6%) and anterior sectors (4%). The medialisation of the glenoid was higher in OA than normal shoulders. The orientation angle of maximum version appeared as a critical parameter to specify the glenoid shape in 3D. It will be very useful in planning the best position for the glenoid in TSR.

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