Faculty of Engineering, School of Biomedical Engineering, Western University, London, Canada.
Department of Mechanical and Materials Engineering, The University of Western Ontario, Thompson Engineering Building, Room 353, London, ON, N6A 5B9, Canada.
Med Biol Eng Comput. 2023 May;61(5):967-989. doi: 10.1007/s11517-022-02755-1. Epub 2023 Jan 24.
The objective of this structured review was to review how computed tomography (CT) scanning has been used to measure the kinematics of the shoulder. A literature search was conducted using Evidence-based Medicine Reviews (Embase) and PubMed. In total, 29 articles were included in the data extraction process. Forty percent of the studies evaluated healthy participants' shoulder kinematics. The glenohumeral joint was the most studied, followed by the scapulothoracic, acromioclavicular, and sternoclavicular joints. Three-dimensional computed tomography (3DCT) and 3DCT with biplane fluoroscopy are the two primary imaging techniques that have been used to measure shoulder joints' motion under different conditions. Finally, many discrepancies in the reporting of the examined motions were found. Different authors used different perspectives and planes to report similar motions, which results in confusion and misunderstanding of the actual examined motion. The use of 3DCT has been widely used in the examination of shoulder kinematics in a variety of populations with varying methods employed. Future work is needed to extend these methodologies to include more diverse populations, to examine the shoulder complex as a whole, and to standardize their reporting of motion examined to make study to study comparisons possible.
本次结构化综述的目的是回顾计算机断层扫描（CT）在测量肩部运动学中的应用。使用循证医学综述（Embase）和 PubMed 进行文献检索。共纳入 29 篇文章进行数据提取。40%的研究评估了健康参与者的肩部运动学。肩胛胸关节是研究最多的关节，其次是盂肱关节、肩锁关节和胸锁关节。三维 CT（3DCT）和双平面透视 3DCT 是两种主要的成像技术，已被用于在不同条件下测量肩关节的运动。最后，在报告所检查的运动时发现了许多差异。不同的作者使用不同的视角和平面来报告类似的运动，这导致对实际检查运动的混淆和误解。3DCT 的使用已广泛应用于各种人群的肩部运动学检查，采用了不同的方法。需要进一步的研究来扩展这些方法，包括更广泛的人群，全面检查肩部复合体，并标准化他们对所检查运动的报告，以便进行研究间的比较。
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