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HSS Journal ®
Published in: HSS Journal ® 3/2018

01-10-2018 | Original Article

Differences in Coracoid and Glenoid Dimensions Based on Sex, Race, and Age: Implications for Use of the Latarjet Technique in Glenoid Reconstruction

Authors: Derrick M. Knapik, MD, Jameson Cumsky, BA, Joseph E. Tanenbaum, BA, James E. Voos, MD, Robert J. Gillespie, MD

Published in: HSS Journal ® | Issue 3/2018

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Abstract

Background

The Latarjet procedure restores shoulder stability through reconstruction of the glenoid arc. Prior investigations of glenoid and coracoid dimensions have been underpowered to detect differences based on sex and race.

Questions/Purposes

We sought to establish normative values for glenoid width and coracoid dimensions based on sex, race, and age. In addition, we assessed the restoration of glenoid dimensions using the classic and modified Latarjet techniques (classic technique: placing lateral surface of the coracoid to the glenoid; modified technique: placing inferior surface of the coracoid to the glenoid).

Methods

A total of 993 cadaveric specimens (n = 1986 scapulae) from people over 18 years of age at the time of death were analyzed. Measurements of maximal glenoid width, coracoid width, thickness, and length were recorded. Statistical analysis was performed to detect differences based on sex and race, while univariable linear regression was used to determine the association of increasing age on measured dimensions.

Results

All dimensions of specimens were significantly larger in males than in females. Caucasians possessed larger mean glenoid width, coracoid width, and coracoid length, while coracoid thickness was significantly larger in African Americans. Linear regression analysis found that increasing age was associated with increased glenoid width and coracoid dimensions. Coracoid positioning restored glenoid width in defects measuring 20% of glenoid width using both classic and modified Latarjet techniques, while defects measuring up to 25% were more accurately reproduced using the modified technique.

Conclusion

Dimensions were significantly larger in males and in Caucasians, aside from coracoid thickness. Mean dimensions increased with advancing age. Coracoid positioning using classic or modified Latarjet techniques restored glenoid width defects measuring 20% of the glenoid width, while the modified technique allowed for restoration of larger defects.
Appendix
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Literature
1.
Allain J, Goutallier D, Glorion C. Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am. 1998;80:841–852.CrossRefPubMed
2.
Arciero RA, Spang JT. Complications in arthroscopic anterior shoulder stabilization: pearls and pitfalls. Instr Course Lect. 2008;57:113–124.PubMed
3.
Armitage MS, Elkinson I, Giles JW, Athwal GS. An anatomic, computed tomographic assessment of the coracoid process with special reference to the congruent-arc Latarjet procedure. Arthroscopy. 2011;27:1485–1489.CrossRefPubMed
4.
Bachy M, Lapner PL, Goutallier D, et al. Coracoid process X-ray investigation before Latarjet procedure: a radioanatomic study. J Shoulder Elbow Surg. 2013;22:e10–4.CrossRefPubMed
5.
Bollier MJ, Arciero R. Management of glenoid and humeral bone loss. Sports Med Arthrosc. 2010;18:140–148.CrossRefPubMed
6.
Boone JL, Arciero RA. Management of failed instability surgery: how to get it right the next time. Orthop Clin North Am. 2010;41:367–379.CrossRefPubMed
7.
Boons HW, Giles JW, Elkinson I, Johnson JA, Athwal GS. Classic versus congruent coracoid positioning during the Latarjet procedure: an in vitro biomechanical comparison. Arthroscopy. 2013;29:309–316.CrossRefPubMed
8.
Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill–Sachs lesion. Arthroscopy. 2000;16:677–694.
9.
Burkhart SS, Debeer JF, Tehrany AM, Parten PM. Quantifying glenoid bone loss arthroscopically in shoulder instability. Arthroscopy. 2002;18:488–491.CrossRefPubMed
10.
Burkhart SS, De Beer JF, Barth JR, Cresswell T, Roberts C, Richards DP. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy. 2007;23:1033–1041.CrossRefPubMed
11.
Bushnell BD, Creighton RA, Herring MM. Bony instability of the shoulder. Arthroscopy. 2008;24:1061–1073.CrossRefPubMed
12.
Chuang TY, Adams CR, Burkhart SS. Use of preoperative three-dimensional computed tomography to quantify glenoid bone loss in shoulder instability. Arthroscopy. 2008;24:376–382.CrossRefPubMed
13.
Churchill RS, Brems JJ, Kotschi H. Glenoid size, inclination, and version: an anatomic study. J Shoulder Elbow Surg. 2001;10:327–332.CrossRefPubMed
14.
de Beer JF, Roberts C. Glenoid bone defects—open Latarjet with congruent arc modification. Orthop Clin North Am. 2010;41:407–415.CrossRefPubMed
15.
Dolan CM, Hariri S, Hart ND, McAdams TR. An anatomic study of the coracoid process as it relates to bone transfer procedures. J Shoulder Elbow Surg. 2011;20:497–501.CrossRefPubMed
16.
Fleiss J. The design and analysis of clinical experiments. New York: Wiley & Sons, Inc. 1986.
17.
Ghodadra N, Gupta A, Romeo AA, et al. Normalization of glenohumeral articular contact pressures after Latarjet or iliac crest bone grafting. J Bone Joint Surg Am. 2010;92:1478–1489.CrossRefPubMed
18.
Hovelius L, Korner L, Lundberg B, et al. The coracoid transfer for recurrent dislocation of the shoulder. technical aspects of the Bristow–Latarjet procedure. J Bone Joint Surg Am. 1983;65:926–934.CrossRefPubMed
19.
Hutchinson JW, Neumann L, Wallace WA. Bone buttress operation for recurrent anterior shoulder dislocation in epilepsy. J Bone Joint Surg Br. 1995;77:928–932.CrossRefPubMed
20.
Itoi E, Lee SB, Berglund LJ, Berge LL, An KN. The effect of a glenoid defect on anteroinferior stability of the shoulder after bankart repair: a cadaveric study. J Bone Joint Surg Am. 2000;82:35–46.CrossRefPubMed
21.
Kwon YW, Powell KA, Yum JK, Brems JJ, Iannotti JP. Use of three-dimensional computed tomography for the analysis of the glenoid anatomy. J Shoulder Elbow Surg. 2005;14:85–90.CrossRefPubMed
22.
Latarjet M. Treatment of recurrent dislocation of the shoulder. Lyon Chir. 1954;49:994–997.PubMed
23.
Levigne C. Long-term results of anterior coracoid abutments: apropos of 52 cases with homogenous 12-year follow-up. Rev Chir Orthop Reparatrice Appar Mot. 2000;86(Suppl 1):114–121.PubMed
24.
Ljungquist KL, Butler RB, Griesser MJ, Bishop JY. Prediction of coracoid thickness using a glenoid width-based model: implications for bone reconstruction procedures in chronic anterior shoulder instability. J Shoulder Elbow Surg. 2012;21:815–821.CrossRefPubMed
25.
Lynch JR, Clinton JM, Dewing CB, Warme WJ, Matsen FA, 3rd. Treatment of osseous defects associated with anterior shoulder instability. J Shoulder Elbow Surg. 2009;18:317–328.CrossRefPubMed
26.
Merrill A, Guzman K, Miller SL. Gender differences in glenoid anatomy: an anatomic study. Surg Radiol Anat. 2009;31:183–189.CrossRefPubMed
27.
Piasecki DP, Verma NN, Romeo AA, Levine WN, Bach BR Jr, Provencher MT. Glenoid bone deficiency in recurrent anterior shoulder instability: diagnosis and management. J Am Acad Orthop Surg. 2009;17:482–493.
28.
Provencher MT, Ghodadra N, LeClere L, Solomon DJ, Romeo AA. Anatomic osteochondral glenoid reconstruction for recurrent glenohumeral instability with glenoid deficiency using a distal tibia allograft. Arthroscopy. 2009;25:446–452.CrossRefPubMed
29.
Provencher MT, Bhatia S, Ghodadra NS, et al. Recurrent shoulder instability: current concepts for evaluation and management of glenoid bone loss. J Bone Joint Surg Am. 2010;92(Suppl 2):133–151.CrossRefPubMed
30.
Rios CG, Arciero RA, Mazzocca AD. Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med. 2007;35:811–817.CrossRefPubMed
31.
Roy EA, Cheyne I, Andrews GT, Forster BB. Beyond the cuff: MR imaging of labroligamentous injuries in the athletic shoulder. Radiology. 2016;278:316–332.CrossRefPubMed
32.
Salzmann GM, Paul J, Sandmann GH, Imhoff AB, Schottle PB. The coracoidal insertion of the coracoclavicular ligaments: an anatomic study. Am J Sports Med. 2008;36:2392–2397.CrossRefPubMed
33.
Sanders T. Glenohumeral instabilities. In: Miller M, Thompson, SR, DeLee, J, Drez D, editors. DeLee and Drez’s Orthopaedic Sports Medicine, 4th ed. Philadelphia, PA: Elsevier Health Sciences; 2014. pp. 947–985.
34.
Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86:420–428.CrossRefPubMed
35.
Smith TO. Immobilisation following traumatic anterior glenohumeral joint dislocation: a literature review. Injury. 2006;37:228–237.CrossRefPubMed
36.
Tauber M, Resch H, Forstner R, Raffl M, Schauer J. Reasons for failure after surgical repair of anterior shoulder instability. J Shoulder Elbow Surg 2004;13:279–285.CrossRefPubMed
37.
von Schroeder HP, Kuiper SD, Botte MJ. Osseous anatomy of the scapula. Clin Orthop Relat Res. 2001;383:131–139.CrossRef
38.
Wredmark T, Tornkvist H, Johansson C, Brobert B. Long-term functional results of the modified Bristow procedure for recurrent dislocations of the shoulder. Am J Sports Med. 1992;20:157–161.CrossRefPubMed
39.
Young DC, Rockwood CA, Jr. Complications of a failed Bristow procedure and their management. J Bone Joint Surg Am. 1991;73:969–981.CrossRefPubMed
Metadata
Title
Differences in Coracoid and Glenoid Dimensions Based on Sex, Race, and Age: Implications for Use of the Latarjet Technique in Glenoid Reconstruction
Authors
Derrick M. Knapik, MD
Jameson Cumsky, BA
Joseph E. Tanenbaum, BA
James E. Voos, MD
Robert J. Gillespie, MD
Publication date
01-10-2018
Publisher
Springer US
Published in
HSS Journal ® / Issue 3/2018
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-018-9618-4

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