Glenoid morphology and the safe zone for protecting the suprascapular nerve during baseplate fixation in reverse shoulder arthroplasty

作者: Yuhui Yang , Jianlin Zuo , Tong Liu , Pu Shao , Haihe Wu

DOI: 10.1007/S00264-017-3646-4

关键词:

摘要: The purpose of this study was to investigate glenoid morphology and define the safe zone for protecting suprascapular nerve baseplate screw during fixation in reverse shoulder arthroplasty (RSA) a Chinese population. Shoulder computed tomography (CT) scans from 56 subjects were retrospectively reviewed. Three-dimensional (3D) reconstruction performed using Mimics software, corresponding bony references used evaluate morphology. To standardize evaluation, coronal scapular plane defined. Safe distances placements investigated by constructing simulated cutting RSA. Mean height 35.83 ± 2.95 mm, width 27.32 ± 2.78 mm, with significant sexual dimorphism (p < 0.01). According morphology, average radius 13.84 ± 1.34 mm. notch two reference points at base spine 30.27 ± 2.77 mm, 18.39 ± 1.67 mm 16.52 ± 1.52 mm, respectively, gender-related difference. Based on clock face indication system, danger caused projection oriented between o’clock eight positions right shoulder. Glenoid size RSA characterized Careful consideration avoidance injury are important improved clinical outcome.

参考文章(38)
Byron F. Stephens, Casey T. Hebert, Frederick M. Azar, William M. Mihalko, Thomas W. Throckmorton, Optimal baseplate rotational alignment for locking-screw fixation in reverse total shoulder arthroplasty: a three-dimensional computer-aided design study Journal of Shoulder and Elbow Surgery. ,vol. 24, pp. 1367- 1371 ,(2015) , 10.1016/J.JSE.2015.01.012
Jianlin Xiao, Chenyu Wang, Lanyu Zhu, Xuezhou Li, Tong Liu, Qingyu Wang, Yanguo Qin, Improved method for planning intramedullary guiding rod entry point in total knee arthroplasty. Archives of Orthopaedic and Trauma Surgery. ,vol. 134, pp. 693- 698 ,(2014) , 10.1007/S00402-014-1943-6
G. Moineau, C. Levigne, P. Boileau, A. Young, G. Walch, Three-dimensional measurement method of arthritic glenoid cavity morphology: Feasibility and reproducibility Orthopaedics & Traumatology: Surgery & Research. ,vol. 98, pp. S139- S145 ,(2012) , 10.1016/J.OTSR.2012.06.007
P. Trouilloud, , M. Gonzalvez, P. Martz, H. Charles, F. Handelberg, R. W. Nyffeler, E. Baulot, Duocentric® reversed shoulder prosthesis and Personal Fit® templates: innovative strategies to optimize prosthesis positioning and prevent scapular notching. European Journal of Orthopaedic Surgery and Traumatology. ,vol. 24, pp. 483- 495 ,(2014) , 10.1007/S00590-013-1213-2
B.W. Avery, F.M. Pilon, J.K. Barclay, Anterior coracoscapular ligament and suprascapular nerve entrapment. Clinical Anatomy. ,vol. 15, pp. 383- 386 ,(2002) , 10.1002/CA.10058
Laurence B. Kempton, Elizabeth Ankerson, J. Michael Wiater, A Complication-based Learning Curve From 200 Reverse Shoulder Arthroplasties Clinical Orthopaedics and Related Research. ,vol. 469, pp. 2496- 2504 ,(2011) , 10.1007/S11999-011-1811-4
Mark A. Frankle, Atsushi Teramoto, Zong-Ping Luo, Jonathan C. Levy, Derek Pupello, Glenoid morphology in reverse shoulder arthroplasty: Classification and surgical implications Journal of Shoulder and Elbow Surgery. ,vol. 18, pp. 874- 885 ,(2009) , 10.1016/J.JSE.2009.02.013
Umile Giuseppe Longo, Francisco Forriol, Mattia Loppini, Angela Lanotte, Giuseppe Salvatore, Nicola Maffulli, Vincenzo Denaro, The safe zone for avoiding suprascapular nerve injury in bone block procedures for shoulder instability. A cadaveric study Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 23, pp. 1506- 1510 ,(2015) , 10.1007/S00167-014-2900-1
Bart Middernacht, Pieter-Jan De Roo, Georges Van Maele, Lieven F. De Wilde, Consequences of scapular anatomy for reversed total shoulder arthroplasty. Clinical Orthopaedics and Related Research. ,vol. 466, pp. 1410- 1418 ,(2008) , 10.1007/S11999-008-0187-6
Nathan D. Hart, J.C. Clark, F.R. Wade Krause, Michael J. Kissenberth, William E. Bragg, Richard J. Hawkins, Glenoid screw position in the Encore Reverse Shoulder Prosthesis: an anatomic dissection study of screw relationship to surrounding structures Journal of Shoulder and Elbow Surgery. ,vol. 22, pp. 814- 820 ,(2013) , 10.1016/J.JSE.2012.08.013