Quantification of a glenoid defect with three-dimensional computed tomography and magnetic resonance imaging: a cadaveric study

J Shoulder Elbow Surg. 2007 Nov-Dec;16(6):803-9. doi: 10.1016/j.jse.2007.02.115.

Abstract

Bone loss of the glenoid is a common finding in anterior glenohumeral instability. Several methods to measure the size of a glenoid defect have been described but have not been validated. In this study, 14 cadaver glenoids with a randomly created anteroinferior glenoid defect were used for validation of the so-called circle method. Measurements were done by 2 researchers on digital photographs, 3-dimensional (3D) computed tomography (CT) scans, and magnetic resonance images (MRI). The correlation coefficient (r(2)) for comparing measurements from the digital photographs with the CT scans was 0.97 for researcher 1 and 0.90 for researcher 2. When they compared digital images with MRI, the r(2) was 0.93 for researcher 1 and 0.92 for researcher 2. No statistical differences were found between the 2 researchers. The circle method is a simple method for preoperative quantification of a glenoid defect. Measurements can be done with 3D CT scans as well as MRI.

Publication types

  • Comparative Study
  • Validation Study

MeSH terms

  • Bone Diseases / diagnostic imaging
  • Bone Diseases / etiology
  • Bone Diseases / pathology
  • Cadaver
  • Humans
  • Imaging, Three-Dimensional
  • Joint Instability / complications*
  • Joint Instability / diagnostic imaging
  • Joint Instability / pathology
  • Magnetic Resonance Imaging*
  • Shoulder Joint / diagnostic imaging*
  • Shoulder Joint / pathology*
  • Tomography, X-Ray Computed*