Age- and sex-specific normative values of bone mineral density in the adult glenoid.


Journal

Journal of orthopaedic research : official publication of the Orthopaedic Research Society
ISSN: 1554-527X
Titre abrégé: J Orthop Res
Pays: United States
ID NLM: 8404726

Informations de publication

Date de publication:
02 2023
Historique:
revised: 19 04 2022
received: 17 12 2021
accepted: 14 05 2022
pubmed: 18 5 2022
medline: 13 1 2023
entrez: 17 5 2022
Statut: ppublish

Résumé

The objective of this study was to determine the normative bone mineral density (BMD) of cortical and trabecular bone regions in the adult glenoid and its dependence on the subject's age and sex. We analyzed computed tomography (CT) scans of 441 shoulders (310 males, 18-69 years) without any signs of glenohumeral joint pathology. Glenoid BMD was automatically quantified in six volumes of interest (VOIs): cortical bone (CO), subchondral cortical plate (SC), subchondral trabecular bone (ST), and three adjacent layers of trabecular bone (T1, T2, and T3). BMD was measured in Hounsfield unit (HU). We evaluated the association between glenoid BMD and sex and age with the Student's t test and Pearson's correlation coefficient (r), respectively. The lambda-mu-sigma method was used to determine age- and sex-specific normative values of glenoid BMD in cortical (CO and SC) and trabecular (ST, T1, T2, and T3) bone. Glenoid BMD was higher in males than females, in most age groups and most VOIs. Before 40 years old, the effect of age on BMD was very weak in both males and females. After 40 years old, BMD declined over time in all VOIs. This BMD decline with age was greater in females (cortical: r = -0.45, trabecular: r = -0.41) than in males (cortical: r = -0.30; trabecular: r = -0.32). These normative glenoid BMD values could prove clinically relevant in the diagnosis and management of patients with various shoulder disorders, in particular glenohumeral osteoarthritis and shoulder arthroplasty or shoulder instability, as well as in related research.

Identifiants

pubmed: 35578979
doi: 10.1002/jor.25379
pmc: PMC10083916
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

263-270

Subventions

Organisme : Swiss National Science Foundation
ID : 189972
Pays : Switzerland

Informations de copyright

© 2022 The Authors. Journal of Orthopaedic Research® published by Wiley Periodicals LLC on behalf of Orthopaedic Research Society.

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Auteurs

Pezhman Eghbali (P)

Laboratory of Biomechanical Orthopedics, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.

Fabio Becce (F)

Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Patrick Goetti (P)

Service of Orthopedics and Traumatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Frederic Vauclair (F)

Service of Orthopedics and Traumatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Alain Farron (A)

Service of Orthopedics and Traumatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Philippe Büchler (P)

ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland.

Dominique Pioletti (D)

Laboratory of Biomechanical Orthopedics, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.

Alexandre Terrier (A)

Laboratory of Biomechanical Orthopedics, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
Service of Orthopedics and Traumatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

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