Can we improve radiological analysis of osseous lesions in chronic anterior shoulder instability?

被引:27
作者
Charousset, C. [2 ]
Beauthier, V. [3 ]
Bellaiche, L. [4 ]
Guillin, R. [5 ]
Brassart, N. [6 ]
Thomazeau, H. [1 ]
机构
[1] CHU Rennes, Hop Pontchaillou, F-35033 Rennes, France
[2] IOAPC, F-75008 Paris, France
[3] CHU Paris Ouest, Hop Ambroise Pare, F-92100 Boulogne, France
[4] Clin Bachaumont, F-75002 Paris, France
[5] CHU Rennes, Hop Sud, F-35056 Rennes, France
[6] CHU Nice, Hop Archet, F-06202 Nice, France
关键词
Anterior shoulder instability; Osseous lesions; Reproducibility; GLENOID BONE LOSS; DISLOCATION; STABILITY; DEFECTS;
D O I
10.1016/j.otsr.2010.09.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Osseous lesions of the glenoid cavity and humeral head are predictive of recurrence after Bankart arthroscopic procedures. The objective of this study was to analyze, for each glenoid and humeral defect plain x-ray criteria of the Instability Severity Index Score ( ISIS), two aspects: inter-and intraobserver reliability of their qualitative and quantitative assessment and correlations between positive criteria and their quantitative measurement. Thirty-one medical files were retained for evaluation of the glenoid and 26 for humeral notch assessment. The yes or no response for the ISIS criterion was completed by its quantitative measurement using the Griffiths and Sugaya CT methods for the glenoid and the P/R index calculation on plain x-rays with internal rotation for the Hill-Sachs lesion. Three observers provided two consecutive readings for each criterion. The analysis of the glenoid radiological criterion of the ISIS seems sufficiently reproducible for daily practice. When the evaluation is positive, bone loss is greater than 15%, without a maximum value established. In this study, the analysis of the ISIS humeral notch criterion was not reproducible. It can be improved using the P/R index and should be completed by CT imaging. Level of evidence: Level IV: retrospective diagnostic study. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:S88 / S93
页数:6
相关论文
共 28 条
[1]   DISLOCATION OF SHOULDER WITH SIGNIFICANT FRACTURE OF GLENOID [J].
ASTON, JW ;
GREGORY, CF .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (07) :1531-1533
[2]   The instability severity index score [J].
Balg, F. ;
Boileau, P. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2007, 89B (11) :1470-1477
[3]   Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder [J].
Bigliani, LU ;
Newton, PM ;
Steinmann, SP ;
Conner, PM ;
McIlveen, SJ .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1998, 26 (01) :41-45
[4]  
Boileau P, 2010, SHOULDER CONCEPTS 20, P65
[5]   Risk factors for recurrence of shoulder instability after arthroscopic bankart repair [J].
Boileau, Pascal ;
Villalba, Matias ;
Hery, Jean-Yves ;
Balg, Frederic ;
Ahrens, Philip ;
Neyton, Lionel .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (08) :1755-1763
[6]   Articular arc length mismatch as a cause of failed Bankart repair [J].
Burkhart, SS ;
Danaceau, SM .
ARTHROSCOPY, 2000, 16 (07) :740-744
[7]   Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion [J].
Burkhart, SS ;
De Beer, JF .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2000, 16 (07) :677-694
[8]   Criteria for arthroscopic treatment of anterior instability of the shoulder [J].
Calvo, E ;
Granizo, JJ ;
Fernández-Yruegas, D .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (05) :677-683
[9]  
Cetik O, 2007, ACTA ORTHOP BELG, V73, P175
[10]   Use of preoperative three-dimensional computed tomography to quantify glenoid bone loss in shoulder instability [J].
Chuang, Tai-Yuan ;
Adams, Christopher R. ;
Burkhart, Stephen S. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2008, 24 (04) :376-382