Bone density and its relation to the development of acromial stress fracture following reverse total shoulder arthroplasty.
Acromial stress fracture
acromial stress reaction
bone density
osteoporosis
reverse shoulder arthroplasty
volume
Journal
Shoulder & elbow
ISSN: 1758-5732
Titre abrégé: Shoulder Elbow
Pays: United States
ID NLM: 101506589
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
22
03
2020
revised:
14
05
2020
accepted:
12
07
2020
entrez:
10
3
2022
pubmed:
11
3
2022
medline:
11
3
2022
Statut:
ppublish
Résumé
Postoperative acromial stress fracture is a troublesome postoperative complication after reverse shoulder arthroplasty. Our study aims to utilize routinely performed preoperative computed tomography scans to identify differences in the material properties of the acromion in patients who did and did not develop a postoperative acromial stress fracture. Treatment records and computed tomography scans for 99 reverse shoulder arthroplasties were collected. Scans were calibrated using a phantom and transferred for post-processing where the acromion, full scapula, and humeral head were isolated. The final segmented model was used to assess acromial volume and volumetric bone mineral density for each region of interest. There was no association between age and volumetric bone mineral density in any region of interest (all Postoperative acromial fractures following reverse shoulder arthroplasty cannot be predicted by computed tomography-derived volumetric bone mineral density or volume. These mechanical characteristics also do not predictably decrease with age or osteoporosis diagnosis.
Sections du résumé
Background
UNASSIGNED
Postoperative acromial stress fracture is a troublesome postoperative complication after reverse shoulder arthroplasty. Our study aims to utilize routinely performed preoperative computed tomography scans to identify differences in the material properties of the acromion in patients who did and did not develop a postoperative acromial stress fracture.
Methods
UNASSIGNED
Treatment records and computed tomography scans for 99 reverse shoulder arthroplasties were collected. Scans were calibrated using a phantom and transferred for post-processing where the acromion, full scapula, and humeral head were isolated. The final segmented model was used to assess acromial volume and volumetric bone mineral density for each region of interest.
Results
UNASSIGNED
There was no association between age and volumetric bone mineral density in any region of interest (all
Conclusion
UNASSIGNED
Postoperative acromial fractures following reverse shoulder arthroplasty cannot be predicted by computed tomography-derived volumetric bone mineral density or volume. These mechanical characteristics also do not predictably decrease with age or osteoporosis diagnosis.
Identifiants
pubmed: 35265178
doi: 10.1177/1758573220949992
pii: 10.1177_1758573220949992
pmc: PMC8899318
doi:
Types de publication
Journal Article
Langues
eng
Pagination
135-141Informations de copyright
© 2020 The British Elbow & Shoulder Society.
Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
J Bone Joint Surg Am. 2006 Sep;88 Suppl 1 Pt 2:178-90
pubmed: 16951091
J Shoulder Elbow Surg. 2013 Nov;22(11):1514-21
pubmed: 23659805
Musculoskelet Surg. 2012 May;96 Suppl 1:S41-5
pubmed: 22528849
J Shoulder Elbow Surg. 2016 Nov;25(11):1889-1895
pubmed: 27374235
J Bone Joint Surg Br. 2007 Feb;89(2):189-95
pubmed: 17322433
J Am Acad Orthop Surg. 2009 May;17(5):284-95
pubmed: 19411640
J Shoulder Elbow Surg. 2001 Jan-Feb;10(1):17-22
pubmed: 11182731
Clin Orthop Relat Res. 2011 Sep;469(9):2544-9
pubmed: 21448773
Am J Orthop (Belle Mead NJ). 2011 Jul;40(7):E125-9
pubmed: 22013577
Knee Surg Sports Traumatol Arthrosc. 2017 Jul;25(7):2004-2012
pubmed: 28434036
Shoulder Elbow. 2016 Apr;8(2):90-100
pubmed: 27583005
J Bone Joint Surg Am. 2013 Aug 7;95(15):e104
pubmed: 23925750
J Orthop Res. 2003 May;21(3):393-8
pubmed: 12706010
Clin Biomech (Bristol, Avon). 2019 Jul;67:20-26
pubmed: 31059970
Clin Orthop Relat Res. 1990 May;(254):92-6
pubmed: 2323152
J Shoulder Elbow Surg. 2019 Apr;28(4):792-801
pubmed: 30497925
Bone Joint J. 2019 Jun;101-B(6):627-634
pubmed: 31154841
J Shoulder Elbow Surg. 2018 Dec;27(12):2183-2190
pubmed: 30098923
J Shoulder Elbow Surg. 1996 Jan-Feb;5(1):1-11
pubmed: 8919436
Clin Orthop Relat Res. 2009 Jan;467(1):225-34
pubmed: 18685908
Curr Rev Musculoskelet Med. 2015 Mar;8(1):92-97
pubmed: 25576072
Clin Orthop Relat Res. 2001 Feb;(383):131-9
pubmed: 11210947
Orthopedics. 2014 Dec;37(12):e1074-9
pubmed: 25437081
J Shoulder Elbow Surg. 2014 Jun;23(6):782-90
pubmed: 24325986
J Am Acad Orthop Surg. 2011 Jul;19(7):439-49
pubmed: 21724923
J Bone Joint Surg Am. 2007 Feb;89(2):292-300
pubmed: 17272443