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01-09-2015 | Original Article

Quantitative analysis of attachment of the labrum to the glenoid fossa: a cadaveric study

Authors: Masahito Yoshida, Hideyuki Goto, Masahiro Nozaki, Yasuhiro Nishimori, Tetsuya Takenaga, Atsunori Murase, Yuko Nagaya, Hirotaka Iguchi, Masaaki Kobayashi, Katsumasa Sugimoto, Takeshi Nishiyama, Takanobu Otsuka

Published in: Journal of Orthopaedic Science | Issue 5/2015

Abstract

Purpose

This study investigated the direct and continuous attachment of the labrum to the glenoid fossa, including the fibrocartilaginous tissue, using image-analysis software and histology.

Methods

Twenty-six cadaveric shoulders (11 male, 15 female; mean age 80.1 years; age range 36–103 years) were used. The glenoid of each specimen was divided into six pie-slice-shaped pieces from the center perpendicular to the articular surface by radial incisions at the 2, 4, 6, 8, 10, and 12 o’clock positions. The general distribution of the labrum, including the fibrocartilage, was assessed in hematoxylin and eosin-, Safranin O- and Azan-Mallory-stained sections. The continuous length of attachment of the labrum to the glenoid was measured using image-analysis software. The width of attachment to the articular surface of the glenoid was assessed in each position.

Results

The labrum attached to both the articular surface and the neck of the glenoid in all shoulders (100 %) in the 4 and 6 o’clock positions. The mean length of the entire attachment to the glenoid was 4.6 mm (range 3.2–6.1 mm). The width of attachment from the bony edge of the glenoid to the edge of the labrum on the articular surface ranged from 0 to 4.3 mm. The length of the entire attachment of the labrum was shortest in the 2 o’clock position (p = 0.229). Additionally, the length of the entire attachment of the labrum was longest in the 4 o’clock position. The width of attachment to the articular surface of the glenoid was greatest in the 4 o’clock position (p < 0.01).

Conclusion

In the 4 and 6 o’clock positions, the labrum attached to both the articular surface and neck of the glenoid in all of the shoulders (100 %). The length of the entire attachment to the labrum, including the fibrocartilage, was shortest in the 2 o’clock position. The width of attachment to the articular surface of the glenoid was greatest in the 4 o’clock position (p < 0.01).

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Title: Quantitative analysis of attachment of the labrum to the glenoid fossa: a cadaveric study
Authors: Masahito Yoshida
Hideyuki Goto
Masahiro Nozaki
Yasuhiro Nishimori
Tetsuya Takenaga
Atsunori Murase
Yuko Nagaya
Hirotaka Iguchi
Masaaki Kobayashi
Katsumasa Sugimoto
Takeshi Nishiyama
Takanobu Otsuka
Publication date: 01-09-2015
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 5/2015
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-015-0742-4

At a glance: The STEP trials

Springer Medicine

Quantitative analysis of attachment of the labrum to the glenoid fossa: a cadaveric study

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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