SEARCH ARTICLES



LATEST ARTICLES

Table of Contents

2019 Month : December Volume : 8 Issue : 52 Page : 3997-4001

Role of Multi Detector Computed Tomography in the Evaluation of Glenoid Track in Patients with Anterior Instability and Its Correlation with Arthroscopy.

Prabhu Radhan1, Yoshitha Siripurapu2, Prakash Ayyadurai3, Bhaskar Raj4, Arumugam Sivaraman5, Rajoo Ramachandran6

Corresponding Author:
Yoshitha Siripurapu,
#54-20-9-7A, Thimmarasu Street,
Srinagar Colony, Ring Road,
Vijayawada-520008,
Andhra Pradesh, India.
E-mail: yoshitha.siripurapu16@gmail.com

ABSTRACT

BACKGROUND

Glenoid track is a new classification system developed to biomechanically quantify the effects of a combined glenoid and humeral head bony defects on instability that can be utilized to assess the risk of engagement of a Hill-Sachs lesion in a patient with anterior shoulder instability. The aim of the study is to evaluate the humeral head engagement on the glenoid by utilizing glenoid track method and to compare the results with the arthroscopic findings.

METHODS

We performed a prospective study of 31 patients with recurrent shoulder dislocation over a period of two years. A 64 slice CT scanner was used. Using post processing technique, the glenoid track was calculated to classify the shoulders as on-track or off-track.

RESULTS

The glenoid track and concurrent Hill Sachs interval were calculated into 4 entities- "Off-track" lesion with <25% glenoid bone loss [41. 94%], > 25% bone loss [6. 45%], "On-track" lesion with <25% glenoid bone loss [51. 61%] and >25% glenoid bone loss [0].

CONCLUSIONS

The glenoid track concept postulated that a Hill-Sachs lesion outside this track was at a high risk for engagement and thus recurrent instability. CT measurement as a predictor of off-track and on-track lesion, using the differences between Hill-Sachs and glenoid track had a p value of 0.0001. The glenoid track concept is important to assess the overall risk for engagement prior to surgery and help in guiding surgical decision making such as bony augmentation procedure.

KEY WORDS

Glenoid Track, Off Track Lesion, On Track Lesion, Glenoid Bone Loss, Arthroscopic Bankart Repair

Videos :

watch?v

Download Download [ PDF ] Article Article Email Send to a friend References References Page Views Page Views(446) Facebook ShareFacebook Share Twitter ShareTwitter Share