Karademir Gökhan, Aslan Ömer
Department of Orthopedics and Traumatology, Acibadem University, Istanbul, TUR.
Department of Orthopedics and Traumatology, Avcılar Murat Kölük State Hospital, Istanbul, TUR.
Cureus. 2022 Aug 13;14(8):e27959. doi: 10.7759/cureus.27959. eCollection 2022 Aug.
Introduction Glenoid morphology may vary in different ethnic groups. Detection of these differences may be important in preoperative planning, especially in reverse shoulder arthroplasty. In this study, we investigated the mean glenoid size and retroversion in Turkish society and their relationship with the dominant side, gender, height, weight, and body mass index (BMI). Materials and methods Between 2019 and 2021, 102 shoulders of 51 patients (24 females/27 males, 51 left/51 right) who were included in shoulder joint imaging during thorax CT scanning were examined. Those with glenoid fracture, arthrosis, shoulder surgery or deformity, or younger than 18 years of age were not included in the study. The mean age was 41.69 (range: 18-73) years. Glenoid anterior-posterior diameter (D) and glenoid version (GV) were measured in axial slices, and glenoid height (H) was measured in coronal slices. The correlation of these parameters with gender, height, weight, and dominant side was examined. Results Mean D was 25.79±4.44 mm, mean H was 29.08±4.08 mm, and mean GV was -0.99°±0.92°. The mean height of the patients was 162±16.23 cm and the mean weight was 71.9±15.36 kg. The glenoid diameter and height were smaller in females, however, no statistically significant difference was found in the glenoid version (p<0.01, p<0.01, and p=0.92). The glenoid on the dominant side was statistically significantly more retroverted, whereas D and H were not associated with dominance (p<0.01, p=0.9, and p=0.98). It was found that the glenoid sizes were very highly correlated with the patient's height, and it was highly correlated with the patient's weight (p<0.01 and p<0.01). On the other hand, height and weight were not correlated with the glenoid version (p=0.47 and p=0.81, respectively). There was no statistically significant relationship between BMI and glenoid sizes and glenoid version (p=0.14 and p=0.46, respectively). Conclusions Females in Turkish society had small glenoid sizes. Male gender, height, and weight were positively correlated with large glenoids. The glenoid was more retroverted on the dominant side. These findings should be considered in preoperative planning in Turkish society.
引言
盂肱关节形态在不同种族群体中可能存在差异。术前规划时,发现这些差异可能很重要,尤其是在反肩关节置换术中。在本研究中,我们调查了土耳其人群的平均盂肱关节大小和后倾角度,以及它们与优势侧、性别、身高、体重和体重指数(BMI)的关系。
材料与方法
2019年至2021年期间,对51例患者(24例女性/27例男性,51例左侧/51例右侧)的102个肩关节进行了检查,这些患者在胸部CT扫描时接受了肩关节成像。患有盂肱关节骨折、关节炎、肩部手术或畸形,或年龄小于18岁的患者未纳入本研究。平均年龄为41.69岁(范围:18 - 73岁)。在轴位片上测量盂肱关节前后径(D)和盂肱关节后倾角度(GV),在冠状位片上测量盂肱关节高度(H)。检查了这些参数与性别、身高、体重和优势侧的相关性。
结果
平均D为25.79±4.44mm,平均H为29.08±4.08mm,平均GV为 - 0.99°±0.92°。患者的平均身高为162±16.23cm,平均体重为71.9±15.36kg。女性的盂肱关节直径和高度较小,然而,盂肱关节后倾角度差异无统计学意义(p<0.01,p<0.01,p = 0.92)。优势侧的盂肱关节后倾角度在统计学上显著更大,而D和H与优势侧无关(p<0.01,p = 0.9,p = 0.98)。发现盂肱关节大小与患者身高高度相关,与患者体重高度相关(p<0.01和p<0.01)。另一方面,身高和体重与盂肱关节后倾角度无关(分别为p = 0.47和p = 0.81)。BMI与盂肱关节大小和盂肱关节后倾角度之间无统计学显著关系(分别为p = 0.14和p = 0.46)。
结论
土耳其人群中女性的盂肱关节尺寸较小。男性、身高和体重与较大的盂肱关节呈正相关。优势侧的盂肱关节后倾角度更大。在土耳其人群的术前规划中应考虑这些发现。