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Calculating anterior glenoid bone loss using the Bernageau profile view.
Murachovsky, Joel; Bueno, Rogerio S; Nascimento, Luis Gustavo P; Almeida, Luiz Henrique Oliveira; Strose, Eric; Castiglia, Marcello T; de Oliveira, Heverton C; Ikemoto, Roberto Y.
Afiliação
  • Murachovsky J; The Shoulder and Elbow Group, Department of Orthopaedics, Faculdade de Medicina do ABC, Santo Andre, SP, Brazil.
Skeletal Radiol ; 41(10): 1231-7, 2012 Sep.
Article em En | MEDLINE | ID: mdl-22639204
OBJECTIVE: To determine if it is possible to measure glenoid bone loss by using the Bernageau view and to compare it to a 3D CT scan. MATERIALS AND METHODS: Fifty healthy subjects with a mean age of 34 ± 8 years old and 31 (62 %) male were submitted to the Bernageau view X-ray of both shoulders. Three blinded evaluators measured the distance between the posterior and anterior glenoid rim. Ten patients with multiple episodes of unilateral traumatic anterior shoulder dislocation with a mean age of 34 ± 9.1 years old and 90 % male were submitted to the same X-ray technique to determine the percentage of glenoid bone loss. They were also submitted to a bilateral 3D CT scan to be compared to the radiographs. RESULTS: In the 50 asymptomatic subjects, the AP distance was 24.48 mm ± 3.32 mm in the left shoulder and 24.82 mm ± 3.16 mm in the right shoulder. Comparing the X-ray study and the 3D CT scan of the ten patients with multiple episodes, there was no significant statistical difference of the AP normal distance in both methods (p = 0.646), the AP erosion distance (p = 0.386), as well as the percentage of bone loss (p = 0.513). Moreover, the differences between the percentages of bone loss in the X-ray, compared with the 3D CT scan were, on average 2.28 % (range 0 to 6.05 %). CONCLUSIONS: The Bernageau radiographic view is an accurate and reproducible technique for measuring the presence of glenoid erosion, with similar results when compared to the 3D CT scan.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Escápula / Luxação do Ombro / Reabsorção Óssea / Interpretação de Imagem Radiográfica Assistida por Computador / Tomografia Computadorizada por Raios X / Imageamento Tridimensional Tipo de estudo: Diagnostic_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Skeletal Radiol Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Escápula / Luxação do Ombro / Reabsorção Óssea / Interpretação de Imagem Radiográfica Assistida por Computador / Tomografia Computadorizada por Raios X / Imageamento Tridimensional Tipo de estudo: Diagnostic_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Skeletal Radiol Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha