Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean Sample

SUMMARY: Glenoid fossa bone loss has been associated with recurrence and failure after glenoid labrum repair for shoulder instability. Quantification of glenoid fossa bone loss is critical for the successful treatment of glenohumeral instability. The aim of this paper was to estimate a linear regres...

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Autores principales: Contreras,Julio, Ogrodnik,Claus, Khek,Pablo
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022021000501487
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spelling oai:scielo:S0717-950220210005014872021-10-19Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean SampleContreras,JulioOgrodnik,ClausKhek,Pablo Shoulder joint Glenoid fossa Anatomy Shoulder dislocation SUMMARY: Glenoid fossa bone loss has been associated with recurrence and failure after glenoid labrum repair for shoulder instability. Quantification of glenoid fossa bone loss is critical for the successful treatment of glenohumeral instability. The aim of this paper was to estimate a linear regression model based on glenoid height in CT scan adjusted for age and sex to calculate glenoid fossa width in a healthy Chilean sample. CT scans of 101 shoulders were reviewed. The mean age was 51.96 years (SD 19.16; range, 15-88 years) with 53 females and 48 male patients. Studies with signs of bone loss, instability, fracture, or arthritis were excluded. After 3D-CT reconstruction, the height and width of each glenoid fossa was measured using the Owens methodology. All landmarks for the 2 measurements were placed on the most lateral surface of the glenoid fossa margin. Measurements for all shoulders were recorded by 3 observers and repeated on a subset (n = 20) of shoulders, under blinded conditions, by the same observer, at least 2 weeks after the initial measurements. Descriptive statistics, intraclass correlation and regression coefficients were calculated with Stata BE 17® software. A p- value of 0.05 was considered significant. A linear regression model was estimated resulting in the formula &#8220;Width = 10.97 + 0.02 * Age + 0.41 * Height - 1.95 * Sex (1=Female, 0=Male)&#8221;. This model presented all coefficients with p <0.05 and an adjusted R2 of 0.73. Furthermore, it fulfilled the assumption of linearity, normal distribution of errors, independence of errors, and homoscedasticity. Regarding the intraobserver correlation, ICC was 0.76 for height and 0.91 for width; the interobserver ICC was 0.93 for height and 0.86 for width. A 3D-CT specific formula was developed to predict glenoid fossa width based on height with sufficient accuracy to be clinically valuable.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.39 n.5 20212021-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022021000501487en10.4067/S0717-95022021000501487
institution Scielo Chile
collection Scielo Chile
language English
topic Shoulder joint
Glenoid fossa
Anatomy
Shoulder dislocation
spellingShingle Shoulder joint
Glenoid fossa
Anatomy
Shoulder dislocation
Contreras,Julio
Ogrodnik,Claus
Khek,Pablo
Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean Sample
description SUMMARY: Glenoid fossa bone loss has been associated with recurrence and failure after glenoid labrum repair for shoulder instability. Quantification of glenoid fossa bone loss is critical for the successful treatment of glenohumeral instability. The aim of this paper was to estimate a linear regression model based on glenoid height in CT scan adjusted for age and sex to calculate glenoid fossa width in a healthy Chilean sample. CT scans of 101 shoulders were reviewed. The mean age was 51.96 years (SD 19.16; range, 15-88 years) with 53 females and 48 male patients. Studies with signs of bone loss, instability, fracture, or arthritis were excluded. After 3D-CT reconstruction, the height and width of each glenoid fossa was measured using the Owens methodology. All landmarks for the 2 measurements were placed on the most lateral surface of the glenoid fossa margin. Measurements for all shoulders were recorded by 3 observers and repeated on a subset (n = 20) of shoulders, under blinded conditions, by the same observer, at least 2 weeks after the initial measurements. Descriptive statistics, intraclass correlation and regression coefficients were calculated with Stata BE 17® software. A p- value of 0.05 was considered significant. A linear regression model was estimated resulting in the formula &#8220;Width = 10.97 + 0.02 * Age + 0.41 * Height - 1.95 * Sex (1=Female, 0=Male)&#8221;. This model presented all coefficients with p <0.05 and an adjusted R2 of 0.73. Furthermore, it fulfilled the assumption of linearity, normal distribution of errors, independence of errors, and homoscedasticity. Regarding the intraobserver correlation, ICC was 0.76 for height and 0.91 for width; the interobserver ICC was 0.93 for height and 0.86 for width. A 3D-CT specific formula was developed to predict glenoid fossa width based on height with sufficient accuracy to be clinically valuable.
author Contreras,Julio
Ogrodnik,Claus
Khek,Pablo
author_facet Contreras,Julio
Ogrodnik,Claus
Khek,Pablo
author_sort Contreras,Julio
title Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean Sample
title_short Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean Sample
title_full Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean Sample
title_fullStr Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean Sample
title_full_unstemmed Estimating Glenoid Fossa width for Instability - related Bone loss with CT Scan in a Chilean Sample
title_sort estimating glenoid fossa width for instability - related bone loss with ct scan in a chilean sample
publisher Sociedad Chilena de Anatomía
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022021000501487
work_keys_str_mv AT contrerasjulio estimatingglenoidfossawidthforinstabilityrelatedbonelosswithctscaninachileansample
AT ogrodnikclaus estimatingglenoidfossawidthforinstabilityrelatedbonelosswithctscaninachileansample
AT khekpablo estimatingglenoidfossawidthforinstabilityrelatedbonelosswithctscaninachileansample
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