The Reverse Shoulder Arthroplasty Angle in MRI: Impact of the Articular Cartilage in the Estimated Inclination of the Inferior Glenoid.

C-RSA angle MRI RSA angle Reverse shoulder arthroplasty glenoid inclination preoperative planning

Journal

Journal of shoulder and elbow arthroplasty
ISSN: 2471-5492
Titre abrégé: J Shoulder Elb Arthroplast
Pays: United States
ID NLM: 101763114

Informations de publication

Date de publication:
2023
Historique:
received: 21 10 2022
revised: 22 02 2023
accepted: 13 03 2023
medline: 4 4 2023
entrez: 3 4 2023
pubmed: 4 4 2023
Statut: epublish

Résumé

To describe the reverse shoulder arthroplasty angle (RSA angle) in magnetic resonance imaging (MRI) and compare the angle formed using bony landmarks (Bony RSA angle or B-RSA angle) with another angle formed using the cartilage margin as reference (Cartilage RSA angle or C-RSA angle). Adult patients with a shoulder MRI obtained in our hospital between July 2020 and July 2021 were included. The C-RSA angle and B-RSA angle were measured. All images were independently assessed by 4 evaluators. Intraclass correlation coefficient (ICC) was determined for the B-RSA and C-RSA to evaluate interobserver agreement. A total of 61 patients were included with a median age of 59 years (17-77). C-RSA angle was significantly higher than B-RSA (25.4° ± 0.7 vs 19.5° ± 0.7, respectively) with a C-RSA angle is significantly higher than B-RSA angle. In cases without significant glenoid wear neglecting to account for the remaining articular cartilage at the inferior glenoid margin may result in superior inclination of standard surgical guides.

Identifiants

pubmed: 37008200
doi: 10.1177/24715492231167110
pii: 10.1177_24715492231167110
pmc: PMC10064160
doi:

Types de publication

Journal Article

Langues

eng

Pagination

24715492231167110

Informations de copyright

© The Author(s) 2023.

Déclaration de conflit d'intérêts

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Rodrigo de Marinis (R)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Shoulder and Elbow Unit, Complejo Asistencial Dr. Sótero del Río, Santiago, Chile.

Julio J Contreras (JJ)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Catalina Vidal (C)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Cristóbal Palma (C)

Radiology Department, Complejo Asistencial Dr. Sótero del Río, Santiago, Chile.

Manuela Angulo (M)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Alfonso Valenzuela (A)

Shoulder and Elbow Unit, Complejo Asistencial Dr. Sótero del Río, Santiago, Chile.

Ricardo Jaña (R)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Claudio Calvo (C)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Rodrigo Liendo (R)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Francisco Soza (F)

Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Classifications MeSH