A quantitative method for determining medial migration of the humeral head after shoulder arthroplasty: preliminary results in assessing glenoid wear at a minimum of two years after hemiarthroplasty with concentric glenoid reaming
Hypothesis Glenoid erosion and medial migration of the humeral head prosthesis have been observed after most types of shoulder arthroplasty. A method of measuring the change in humeral head position with time after shoulder prosthetic arthroplasty was applied it to 14 shoulders that underwent humera...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2011-03, Vol.20 (2), p.301-307 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Mercer, Deana M., MD Gilmer, Brian B., MD Saltzman, Matthew D., MD Bertelsen, Alexander, PA-C Warme, Winston J., MD Matsen, Frederick A., MD |
| description | Hypothesis Glenoid erosion and medial migration of the humeral head prosthesis have been observed after most types of shoulder arthroplasty. A method of measuring the change in humeral head position with time after shoulder prosthetic arthroplasty was applied it to 14 shoulders that underwent humeral hemiarthroplasty with concentric glenoid reaming. We hypothesized that the measurement technique would be reproducible and that the rate of wear would be small in the series of shoulders studied. Materials and methods Standardized anteroposterior and axillary radiographs were obtained after surgery. Two examiners measured the position of the humeral head center in relation to scapular reference coordinates for the anteroposterior and axillary projections and plotted these values against time after surgery. The change in position was characterized as the slope of this plot. Shoulders were included if there were at least 3 sets of postoperative films, the last being at least 2 years after surgery. Results The slopes measured by the 2 examiners agreed within 0.5 mm/y for the anteroposterior and the axillary projections. For the series of shoulder arthroplasties, the rate of movement of the head center toward the scapula was less than 0.4 mm/y for either examiner in either projection. Discussion Medial migration is a concern after any type of shoulder arthroplasty, whether a hemiarthroplasty, a biological interpositional arthroplasty, or a total shoulder arthroplasty. Quantifying the rate of medial migration over time after shoulder arthroplasty is an important element of clinical follow-up. Conclusions This is an inexpensive, practical, and reproducible method that can be used to determine the rate of medial migration of the humeral head on plain radiographs after shoulder arthroplasty. The average rate of medial migration in the shoulders in this study was small. |
| doi_str_mv | 10.1016/j.jse.2010.03.010 |
| format | Article |
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A method of measuring the change in humeral head position with time after shoulder prosthetic arthroplasty was applied it to 14 shoulders that underwent humeral hemiarthroplasty with concentric glenoid reaming. We hypothesized that the measurement technique would be reproducible and that the rate of wear would be small in the series of shoulders studied. Materials and methods Standardized anteroposterior and axillary radiographs were obtained after surgery. Two examiners measured the position of the humeral head center in relation to scapular reference coordinates for the anteroposterior and axillary projections and plotted these values against time after surgery. The change in position was characterized as the slope of this plot. Shoulders were included if there were at least 3 sets of postoperative films, the last being at least 2 years after surgery. Results The slopes measured by the 2 examiners agreed within 0.5 mm/y for the anteroposterior and the axillary projections. For the series of shoulder arthroplasties, the rate of movement of the head center toward the scapula was less than 0.4 mm/y for either examiner in either projection. Discussion Medial migration is a concern after any type of shoulder arthroplasty, whether a hemiarthroplasty, a biological interpositional arthroplasty, or a total shoulder arthroplasty. Quantifying the rate of medial migration over time after shoulder arthroplasty is an important element of clinical follow-up. Conclusions This is an inexpensive, practical, and reproducible method that can be used to determine the rate of medial migration of the humeral head on plain radiographs after shoulder arthroplasty. The average rate of medial migration in the shoulders in this study was small.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2010.03.010</identifier><identifier>PMID: 20655765</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Arthroplasty, Replacement - adverse effects ; Biological and medical sciences ; concentric glenoid reaming ; Diseases of the osteoarticular system ; Female ; Foreign-Body Migration - diagnostic imaging ; glenoid erosion ; Humans ; Humeral Head ; Joint Prosthesis - adverse effects ; Male ; medial wear ; Medical sciences ; Middle Aged ; nonprosthetic glenoid arthroplasty ; Orthopedic surgery ; Orthopedics ; Osteoarthritis - surgery ; Prosthesis Failure ; Radiography ; Shoulder arthroplasty ; Shoulder Joint - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Journal of shoulder and elbow surgery, 2011-03, Vol.20 (2), p.301-307</ispartof><rights>2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011. Published by Mosby, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-7a328e2d23ebee3dfe4ef0b8ec722bec5eb06e323e739a3171aad0f38723fefc3</citedby><cites>FETCH-LOGICAL-c437t-7a328e2d23ebee3dfe4ef0b8ec722bec5eb06e323e739a3171aad0f38723fefc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1058274610001229$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24042879$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20655765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mercer, Deana M., MD</creatorcontrib><creatorcontrib>Gilmer, Brian B., MD</creatorcontrib><creatorcontrib>Saltzman, Matthew D., MD</creatorcontrib><creatorcontrib>Bertelsen, Alexander, PA-C</creatorcontrib><creatorcontrib>Warme, Winston J., MD</creatorcontrib><creatorcontrib>Matsen, Frederick A., MD</creatorcontrib><title>A quantitative method for determining medial migration of the humeral head after shoulder arthroplasty: preliminary results in assessing glenoid wear at a minimum of two years after hemiarthroplasty with concentric glenoid reaming</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Hypothesis Glenoid erosion and medial migration of the humeral head prosthesis have been observed after most types of shoulder arthroplasty. A method of measuring the change in humeral head position with time after shoulder prosthetic arthroplasty was applied it to 14 shoulders that underwent humeral hemiarthroplasty with concentric glenoid reaming. We hypothesized that the measurement technique would be reproducible and that the rate of wear would be small in the series of shoulders studied. Materials and methods Standardized anteroposterior and axillary radiographs were obtained after surgery. Two examiners measured the position of the humeral head center in relation to scapular reference coordinates for the anteroposterior and axillary projections and plotted these values against time after surgery. The change in position was characterized as the slope of this plot. Shoulders were included if there were at least 3 sets of postoperative films, the last being at least 2 years after surgery. Results The slopes measured by the 2 examiners agreed within 0.5 mm/y for the anteroposterior and the axillary projections. For the series of shoulder arthroplasties, the rate of movement of the head center toward the scapula was less than 0.4 mm/y for either examiner in either projection. Discussion Medial migration is a concern after any type of shoulder arthroplasty, whether a hemiarthroplasty, a biological interpositional arthroplasty, or a total shoulder arthroplasty. Quantifying the rate of medial migration over time after shoulder arthroplasty is an important element of clinical follow-up. Conclusions This is an inexpensive, practical, and reproducible method that can be used to determine the rate of medial migration of the humeral head on plain radiographs after shoulder arthroplasty. The average rate of medial migration in the shoulders in this study was small.</description><subject>Aged</subject><subject>Arthroplasty, Replacement - adverse effects</subject><subject>Biological and medical sciences</subject><subject>concentric glenoid reaming</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Foreign-Body Migration - diagnostic imaging</subject><subject>glenoid erosion</subject><subject>Humans</subject><subject>Humeral Head</subject><subject>Joint Prosthesis - adverse effects</subject><subject>Male</subject><subject>medial wear</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nonprosthetic glenoid arthroplasty</subject><subject>Orthopedic surgery</subject><subject>Orthopedics</subject><subject>Osteoarthritis - surgery</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Shoulder arthroplasty</subject><subject>Shoulder Joint - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UktvEzEQXiEQLYUfwAX5gjgleO19BaRKVcVLqsQBOFuOd5x18Nqpx9sof5jfwSwJBXHgNLbne1jzTVE8L_my5GXzervcIiwFpzuXSyoPivOylmLR1Jw_pDOvu4Voq-aseIK45ZyvKi4eF2eCN3XdNvV58eOK3U46ZJd1dnfARshD7JmNifWQIY0uuLCh595pz0a3SYSLgUXL8gBsmEZI1BhA90xbIjAc4uR7OuiUhxR3XmM-vGG7BN6Rmk4HlgAnn5G5wDQiIM4WGw8hup7tQRM3M81m73Eaf3ntIztQA08mA4zub322d3lgJgYDISdn7tUSaJLZPC0eWe0Rnp3qRfHt_buv1x8XN58_fLq-ulmYSrZ50WopOhC9kLAGkL2FCixfd2BaIdZgaljzBiS1W7nSsmxLrXtuZdcKacEaeVG8OuruUrydALMaHRrwXgeIE6qu6pquXXFJyPKINCkiJrBql9xI01ElV3O6aqsoXTWnq7hUVIjz4qQ-rSmRe8bvOAnw8gTQaLS3SQfj8A-u4pUge8K9PeKAZnHnICk0Dmh4vUtgsuqj--83Lv9hG09RkeF3OABu45QCDVmVCoXi6su8hvMWlrSApRAr-RMOmN-u</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Mercer, Deana M., MD</creator><creator>Gilmer, Brian B., MD</creator><creator>Saltzman, Matthew D., MD</creator><creator>Bertelsen, Alexander, PA-C</creator><creator>Warme, Winston J., MD</creator><creator>Matsen, Frederick A., MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110301</creationdate><title>A quantitative method for determining medial migration of the humeral head after shoulder arthroplasty: preliminary results in assessing glenoid wear at a minimum of two years after hemiarthroplasty with concentric glenoid reaming</title><author>Mercer, Deana M., MD ; Gilmer, Brian B., MD ; Saltzman, Matthew D., MD ; Bertelsen, Alexander, PA-C ; Warme, Winston J., MD ; Matsen, Frederick A., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-7a328e2d23ebee3dfe4ef0b8ec722bec5eb06e323e739a3171aad0f38723fefc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement - adverse effects</topic><topic>Biological and medical sciences</topic><topic>concentric glenoid reaming</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Foreign-Body Migration - diagnostic imaging</topic><topic>glenoid erosion</topic><topic>Humans</topic><topic>Humeral Head</topic><topic>Joint Prosthesis - adverse effects</topic><topic>Male</topic><topic>medial wear</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>nonprosthetic glenoid arthroplasty</topic><topic>Orthopedic surgery</topic><topic>Orthopedics</topic><topic>Osteoarthritis - surgery</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Shoulder arthroplasty</topic><topic>Shoulder Joint - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mercer, Deana M., MD</creatorcontrib><creatorcontrib>Gilmer, Brian B., MD</creatorcontrib><creatorcontrib>Saltzman, Matthew D., MD</creatorcontrib><creatorcontrib>Bertelsen, Alexander, PA-C</creatorcontrib><creatorcontrib>Warme, Winston J., MD</creatorcontrib><creatorcontrib>Matsen, Frederick A., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mercer, Deana M., MD</au><au>Gilmer, Brian B., MD</au><au>Saltzman, Matthew D., MD</au><au>Bertelsen, Alexander, PA-C</au><au>Warme, Winston J., MD</au><au>Matsen, Frederick A., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A quantitative method for determining medial migration of the humeral head after shoulder arthroplasty: preliminary results in assessing glenoid wear at a minimum of two years after hemiarthroplasty with concentric glenoid reaming</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>20</volume><issue>2</issue><spage>301</spage><epage>307</epage><pages>301-307</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Hypothesis Glenoid erosion and medial migration of the humeral head prosthesis have been observed after most types of shoulder arthroplasty. A method of measuring the change in humeral head position with time after shoulder prosthetic arthroplasty was applied it to 14 shoulders that underwent humeral hemiarthroplasty with concentric glenoid reaming. We hypothesized that the measurement technique would be reproducible and that the rate of wear would be small in the series of shoulders studied. Materials and methods Standardized anteroposterior and axillary radiographs were obtained after surgery. Two examiners measured the position of the humeral head center in relation to scapular reference coordinates for the anteroposterior and axillary projections and plotted these values against time after surgery. The change in position was characterized as the slope of this plot. Shoulders were included if there were at least 3 sets of postoperative films, the last being at least 2 years after surgery. Results The slopes measured by the 2 examiners agreed within 0.5 mm/y for the anteroposterior and the axillary projections. For the series of shoulder arthroplasties, the rate of movement of the head center toward the scapula was less than 0.4 mm/y for either examiner in either projection. Discussion Medial migration is a concern after any type of shoulder arthroplasty, whether a hemiarthroplasty, a biological interpositional arthroplasty, or a total shoulder arthroplasty. Quantifying the rate of medial migration over time after shoulder arthroplasty is an important element of clinical follow-up. Conclusions This is an inexpensive, practical, and reproducible method that can be used to determine the rate of medial migration of the humeral head on plain radiographs after shoulder arthroplasty. The average rate of medial migration in the shoulders in this study was small.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>20655765</pmid><doi>10.1016/j.jse.2010.03.010</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Arthroplasty, Replacement - adverse effects Biological and medical sciences concentric glenoid reaming Diseases of the osteoarticular system Female Foreign-Body Migration - diagnostic imaging glenoid erosion Humans Humeral Head Joint Prosthesis - adverse effects Male medial wear Medical sciences Middle Aged nonprosthetic glenoid arthroplasty Orthopedic surgery Orthopedics Osteoarthritis - surgery Prosthesis Failure Radiography Shoulder arthroplasty Shoulder Joint - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | A quantitative method for determining medial migration of the humeral head after shoulder arthroplasty: preliminary results in assessing glenoid wear at a minimum of two years after hemiarthroplasty with concentric glenoid reaming |
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