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Published in: International Orthopaedics 1/2018

01-01-2018 | Original Paper

Reproducibility of a new method for measuring lowering and medialisation of the humerus after reverse shoulder arthroplasty

Authors: Axel Marcoin, Antoine Ferrier, Laurent Blasco, Paul De Boissieu, Cécile Nerot, Xavier Ohl

Published in: International Orthopaedics | Issue 1/2018

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Abstract

Background

Reverse shoulder arthroplasty (RSA) requires lowering the humerus and medialisation of the centre of rotation. Several techniques based on standard X-rays are available in the literature. The aim of this study was to expose and validate a new technique for measuring these parameters.

Materials and methods

Radiographic data of 20 patients were included. Three observers examined each X-rays three times to establish the inter- and intra-reproducibility of each technique (Jobin, Renaud and our method).

Results

Intra-observer reproducibility was between 0.10 and 0.94. The best intra-observer intraclass correlation coefficient (ICC) was obtained using Renaud’s and our techniques. The inter-observer reproducibility was between 0.37 and 0.74. The best inter-observer ICC was obtained with our technique.

Discussion

We describe a reliable and reproducible method to evaluate lowering and medialisation of the humerus after RSA. This technique may allow determine the optimal threshold of lengthening after RSA.
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Metadata
Title
Reproducibility of a new method for measuring lowering and medialisation of the humerus after reverse shoulder arthroplasty
Authors
Axel Marcoin
Antoine Ferrier
Laurent Blasco
Paul De Boissieu
Cécile Nerot
Xavier Ohl
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 1/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3510-6

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