Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
International Journal of Computer Assisted Radiology and Surgery
Published in: International Journal of Computer Assisted Radiology and Surgery 12/2018

01-12-2018 | Original Article

ArthroPlanner: a surgical planning solution for acromioplasty

Authors: Caecilia Charbonnier, Sylvain Chagué, Bart Kevelham, Delphine Preissmann, Frank C. Kolo, Olivier Rime, Alexandre Lädermann

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 12/2018

Login to get access

Abstract

Purpose

We present a computer-assisted planning solution “ArthroPlanner” for acromioplasty based on 3D anatomical models, computed tomography and joint kinematic simulations.

Methods

In addition to a standard static clinical evaluation (anamnesis, radiological examination), the software provides a dynamic assessment of the shoulder joint by computing in real time the joint kinematics from a database of activities of daily living. During motion, the precise bone resection (location and amount) is computed based on detected subacromial impingements, providing surgeons with precise information about the surgical procedure. Moreover, to improve the subjective reading of medical images, the software provides 3D measurement tools based on anatomical models assisting in the analysis of shoulder morphological features.

Results

We performed an in vivo assessment of the software in a prospective randomized clinical study conducted with 27 patients beneficiating from the planning solution and a control group of 31 patients without planning. Postoperatively, patient’s pain decreased, and the shoulder range of motion and the functional outcomes improved significantly and the rotator cuff healing rate was good for both groups without intergroup differences. The amount of bone resected at surgery was comparable between the groups. The percentage of remaining impingement after surgery was in average reduced to 51% without groups difference.

Conclusions

ArthroPlanner software includes all required materials (images data, 3D models, motion, morphological measurements, etc.) to improve orthopedists’ performance in the surgical planning of acromioplasty. The solution offers a perfect analysis of the patient’s anatomy and the ability to precisely analyze a dynamic mechanism to fully apprehend the patient’s condition and to fulfill his/her expectations. The study however failed to detect any statistically significant difference in clinical outcomes and bone resection between the groups. Short-term clinical and radiological results were excellent in both groups.
Footnotes
1
The incidence of acromioplasty has increased dramatically in recent decades. According to the American Board of Orthopaedic Surgery database, the mean number of arthroscopic acromioplasties reported per candidate increased from 2.6 to 6.3 between 1999 and 2008, a 142.3% increase, compared to 13.0% increase in the mean number of all orthopedic procedures [38, 43].
 
Literature
1.
Barth J, Andrieu K, Fotiadis E, Hannink G, Barthelemy R, Saffarini M (2016) Critical period and risk factors for retear following arthroscopic repair of the rotator cuff. Knee Surg Sports Traumatol Arthrosc 25(7):2196–2204CrossRef
2.
Besl P, MacKay N (1992) A method for registration of 3-D shapes. IEEE Trans Pattern Anal Mach Intell 14(2):239–256CrossRef
3.
Bigliani L, Morrison D, April E (1986) The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans 10:228
4.
Chahal J, Mall N, MacDonald P, Van Thiel G, Cole B, Romeo A, Verma N (2012) The role of subacromial decompression in patients undergoing arthroscopic repair of full-thickness tears of the rotator cuff: a systematic review and meta-analysis. Arthroscopy 28(5):720–727CrossRef
5.
Charbonnier C, Chagué S, Kolo FC, Chow JCK, Lädermann A (2014) A patient-specific measurement technique to model the kinematics of the glenohumeral joint. Orthop Traumatol Surg Res 100(7):715–719CrossRef
6.
Charbonnier C, Chagué S, Kolo FC, Lädermann A (2015) Shoulder motion during tennis serve: dynamic and radiological evaluation based on motion capture and magnetic resonance imaging. Int J Comput Assit Radiol Surg 10(8):1289–1297CrossRef
7.
Charbonnier C, Lädermann A, Kevelham B, Chagué S, Hoffmeyer P, Holzer N (2018) Shoulder strengthening exercises adapted to specific shoulder pathologies can be selected using new simulation techniques: a pilot study. Int J Comput Assit Radiol Surg 13(2):321–330CrossRef
8.
Chopp J, Dickerson C (2012) Resolving the contributions of fatigue-induced migration and scapular reorientation on the subacromial space: an orthopaedic geometric simulation analysis. Hum Mov Sci 31:448–460CrossRef
9.
Collin P, Matsumura N, Lädermann A, Denard P, Walch G (2014) Relationship between massive chronic rotator cuff tear pattern and loss of active shoulder range of motion. J Shoulder Elb Surg 23(8):1195–1202CrossRef
10.
Collin P, Yoshida M, Delarue A, Lucas C, Jossaume T, Lädermann A (2015) Evaluating postoperative rotator cuff healing: prospective comparison of MRI and ultrasound. Orthop Traumatol Surg Res 101(6):S265–S268CrossRef
11.
Constant C, Murley A (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164
12.
Cunningham G, Lädermann A, Denard P, Kherad O, Burkhart S (2015) Correlation between American shoulder and elbow surgeons and single assessment numerical evaluation score after rotator cuff or SLAP repair. Arthroscopy 31(9):1688–1692CrossRef
13.
Denard P, Lädermann A, Burkhart S (2011) Prevention and management of stiffness after arthroscopic rotator cuff repair: systematic review and implications for rotator cuff healing. Arthroscopy 27(6):842–848CrossRef
14.
Fagelman M, Sartori M, Freedman K, Patwardhan A, Carandang G, Marra G (2007) Biomechanics of coracoacromial arch modification. J Shoulder Elb Surg 16(1):101–106CrossRef
15.
Familiari F, Gonzalez-Zapata A, Ianno B, Galasso O, Gasparini G, McFarland E (2014) Is acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review. J Orthop Traumatol 16(3):167–174CrossRef
16.
Frank J, Chahal J, Frank R, Cole B, Verma N, Romeo A (2014) The role of acromioplasty for rotator cuff problems. Orthop Clin N Am 45(2):219–224CrossRef
17.
18.
Goutallier D, Postel J, Bernageau J, Lavau L, Voisin M (2016) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 304:78–83
19.
Graichen H, Hinterwimmer S, Eisenhart-Rothe R, Vogl T, Englmeier KH, Eckstein F (2005) Effect of abducting and adducting muscle activity on glenohumeral translation, scapular kinematics and subacromial space width in vivo. J Biomech 38(4):755–760CrossRef
20.
Katthagen J, Marchetti D, Tahal D, Turnbull T, Millett P (2016) The effects of arthroscopic lateral acromioplasty on the critical shoulder angle and the anterolateral deltoid origin: an anatomic cadaveric study. Arthroscopy 32(4):569–575CrossRef
21.
Koester M, George M, Kuhn J (2005) Shoulder impingement syndrome. Am J Med 118(5):452–455CrossRef
22.
Krekel P, de Bruin P, Valstar E, Post F, Rozing P, Botha C (2009) Evaluation of bone impingement prediction in pre-operative planning for shoulder arthroplasty. J Eng Med 223(7):813–822CrossRef
23.
Lädermann A, Denard P, Collin P (2015) Massive rotator cuff tears: definition and treatment. Int Orthop 39(12):2403–2414CrossRef
24.
Lee T, Black A, Tibone J, McMahon P (2001) Release of the coracoacromial ligament can lead to glenohumeral laxity: a biomechanical study. J Shoulder Elb Surg 10(1):68–72CrossRef
25.
Lippitt S, Harryman D, Matsen F (1993) A practical tool for function evaluation: the simple shoulder test. In: Matsen FAI, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability. American Academy of Orthopaedic Surgeons, Rosemont, pp 501–518
26.
Maeseneer MD, Roy PV, Shahabpour M (2006) Normal MR imaging anatomy of the rotator cuff tendons, glenoid fossa, labrum, and ligaments of the shoulder. Radiol Clin N Am 44:479–487CrossRef
27.
Maurer A, Fucentese SF, Pfirrmann CWA, Wirth SH, Djahangiri A, Jost B, Gerber C (2012) Assessment of glenoid inclination on routine clinical radiographs and computed tomography examinations of the shoulder. J Shoulder Elb Surg 21(8):1096–1103CrossRef
28.
Michener L, McClure P, Karduna A (2003) Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech 18(5):369–379CrossRef
29.
Moor B, Bouaicha S, Rothenfluh D, Sukthankar A, Gerber C (2013) Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint? A radiological study of the critical shoulder angle. Bone Joint J 95B(7):935–941CrossRef
30.
Neer C (1972) Anterior acromioplasty for chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 54:41–50CrossRef
31.
Nyffeler R, Werner C, Sukthankar A, Schmid M, Gerber C (2006) Association of a large lateral extension of the acromion with rotator cuff tears. J Bone Joint Surg Am 88(4):800–805PubMed
32.
Patte D (1990) Classification of rotator cuff lesions. Clin Orthop Relat Res 254:81–86
33.
Richards R, An K, Bigliani L, Friedman R, Gartsman G, Gristina A, Iannotti J, Mow V, Sidles J, Zuckerman J (1994) A standardized method for the assessment of shoulder function. J Shoulder Elb Surg 3(6):347–352CrossRef
34.
Röling M, Visser M, Oei E, Pilot P, Kleinrensink G, Bloem R (2015) A quantitative non-invasive assessment of femoroacetabular impingement with CT-based dynamic simulation—cadaveric validation study. BMC Musculoskelet Disord 16(1):50CrossRef
35.
Romeo A, Loutzenheiser T, Rhee Y, Sidles J, Harryman D, Matsen F (1998) The humeroscapular motion interface. Clin Orthop Relat Res 350:120–127CrossRef
36.
Schmid J, Chênes C, Chagué S, Hoffmeyer P, Christofilopoulos P, Bernardoni M, Charbonnier C (2015) MyHip: supporting planning and surgical guidance for a better total hip arthroplasty: a pilot study. Int J Comput Assit Radiol Surg 10(10):1547–1556CrossRef
37.
Schneider P, Eberly D (2003) Geometric tools for computer graphics. The Morgan Kaufmann Series in Computer Graphics and Geometric Modeling. Morgan Kaufmann, San Francisco
38.
Shi L, Edwards T (2012) The role of acromioplasty for management of rotator Cuff problems: where is the evidence? Adv Orthop 2012:467571PubMedPubMedCentral
39.
Song L, Miao L, Zhang P, Wang W (2016) Does concomitant acromioplasty facilitate arthroscopic repair of full-thickness rotator cuff tears? A meta-analysis with trial sequential analysis of randomized controlled trials. Springerplus 5(1):685CrossRef
40.
Spiegl U, Horan M, Smith S, Ho C, Millett P (2016) The critical shoulder angle is associated with rotator cuff tears and shoulder osteoarthritis and is better assessed with radiographs over MRI. Knee Surg Sports Traumatol Arthrosc 24(7):2244–2251CrossRef
41.
Su W, Budoff J, Luo Z (2009) The effect of coracoacromial ligament excision and acromioplasty on superior and anterosuperior glenohumeral stability. Arthroscopy 25(1):13–18CrossRef
42.
Timmons M, Lopes-Albers AD, Borgsmiller L, Zirker C, Ericksen J, Michener L (2013) Differences in scapular orientation, subacromial space and shoulder pain between the full can and empty can tests. Clin Biomech 28:395–401CrossRef
43.
Vitale M, Arons R, Hurwitz S, Ahmad C, Levine W (2010) The rising incidence of acromioplasty. J Bone Joint Surg 92(9):1842–1850CrossRef
44.
Voisin J, Ropars M, Thomazeau H (2014) The human acromion viewed from an evolutionary perspective. Orthop Traumatol Surg Res 100(8):S355–S360CrossRef
45.
Walch G, Vezeridis P, Boileau P, Deransart P, Chaoui J (2015) Three-dimensional planning and use of patient-specific guides improve glenoid component position: an in vitro study. J Shoulder Elbo Surg 24(2):302–309CrossRef
46.
47.
48.
49.
Wiley A (1991) Superior humeral dislocation. A complication following decompression and debridement for rotator cuff tears. Clin Orthop Relat Res 263:135–141
50.
Wu G, van der Helm F, Veegerc H, Makhsouse M, Royf PV, Angling C, Nagelsh J, Kardunai A, McQuadej K, Wangk X, Wernerl F, Buchholzm B (2005) ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—part II: shoulder, elbow, wrist and hand. J Biomech 38:981–992CrossRef
Metadata
Title
ArthroPlanner: a surgical planning solution for acromioplasty
Authors
Caecilia Charbonnier
Sylvain Chagué
Bart Kevelham
Delphine Preissmann
Frank C. Kolo
Olivier Rime
Alexandre Lädermann
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 12/2018
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-018-1707-9

Other articles of this Issue 12/2018

International Journal of Computer Assisted Radiology and Surgery 12/2018 Go to the issue

Original Article

Accuracy assessment of wireless transponder tracking in the operating room environment

Review Article

A mixed-reality surgical trainer with comprehensive sensing for fetal laser minimally invasive surgery

Original Article

Can tumor coverage evaluated 24 h post-radiofrequency ablation predict local tumor progression of liver metastases?

Original Article

Using the variogram for vector outlier screening: application to feature-based image registration

Original Article

Transfer learning with deep convolutional neural network for liver steatosis assessment in ultrasound images

Original Article

ImFEATbox: a toolbox for extraction and analysis of medical image features