Techniques to evaluate glenoid bone loss.
Assessing glenoid morphology as well as quantifying bone loss is critical when treating patients with recurrent anterior glenohumeral instability because this greatly affects surgeons surgical planning. Although many surgeons agree that 3-dimensionally reconstructed computed tomography (3DCT) images with humeral head digitally subtracted has been considered to be a gold standard when assessing glenoid morphology, there are some surgeons who are making an attempt to replace computed tomography with magnetic resonance imaging to reduce cost for imaging studies and avoid possible radiation exposure, and demonstrated that MRI was equally valuable as 3DCT to quantify glenoid bone loss. However, the role of preoperative imaging study is not only quantifying glenoid bone loss but to assess the glenoid shape and morphology to facilitate surgeons stabilizing the shoulder. In this view, 3DCT is the most recommended preoperative imaging study for bony tissue which provides critical and substantial information of the glenoid.
Shoulder & Elbow Center, Funabashi Orthopaedic Hospital, 1-833 Hasama, Funabashi, Chiba, 2740822, Japan, hsugaya@nifty.com.
Hiroyuki
H
Sugaya