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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2008

Open Access 01-12-2008 | Research article

Cadaveric and three-dimensional computed tomography study of the morphology of the scapula with reference to reversed shoulder prosthesis

Authors: Carlos Torrens, Monica Corrales, Gemma Gonzalez, Alberto Solano, Enrique Cáceres

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2008

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Abstract

Purpose

The purpose of this study is to analyze the morphology of the scapula with reference to the glenoid component implantation in reversed shoulder prosthesis, in order to improve primary fixation of the component.

Methods

Seventy-three 3-dimensional computed tomography of the scapula and 108 scapular dry specimens were analyzed to determine the anterior and posterior length of the glenoid neck, the angle between the glenoid surface and the upper posterior column of the scapula and the angle between the major craneo-caudal glenoid axis and the base of the coracoid process and the upper posterior column.

Results

The anterior and posterior length of glenoid neck was classified into two groups named "short-neck" and "long-neck" with significant differences between them. The angle between the glenoid surface and the upper posterior column of the scapula was also classified into two different types: type I (mean 50°–52°) and type II (mean 62,50°–64°), with significant differences between them (p < 0,001). The angle between the major craneo-caudal glenoid axis and the base of the coracoid process averaged 18,25° while the angle with the upper posterior column of the scapula averaged 8°.

Conclusion

Scapular morphological variability advices for individual adjustments of glenoid component implantation in reversed total shoulder prosthesis. Three-dimensional computed tomography of the scapula constitutes an important tool when planning reversed prostheses implantation.
Appendix
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Metadata
Title
Cadaveric and three-dimensional computed tomography study of the morphology of the scapula with reference to reversed shoulder prosthesis
Authors
Carlos Torrens
Monica Corrales
Gemma Gonzalez
Alberto Solano
Enrique Cáceres
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2008
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/1749-799X-3-49

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