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Reproducibility of a new method for measuring lowering and medialisation of the humerus after reverse shoulder arthroplasty

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BackgroundReverse shoulder arthroplasty (RSA) requires lowering the humerus and medialisation of the centre of rotation. Several techniques based on standard X-rays are available in the literature. The aim of this… Click to show full abstract

BackgroundReverse shoulder arthroplasty (RSA) requires lowering the humerus and medialisation of the centre of rotation. Several techniques based on standard X-rays are available in the literature. The aim of this study was to expose and validate a new technique for measuring these parameters.Materials and methodsRadiographic data of 20 patients were included. Three observers examined each X-rays three times to establish the inter- and intra-reproducibility of each technique (Jobin, Renaud and our method).ResultsIntra-observer reproducibility was between 0.10 and 0.94. The best intra-observer intraclass correlation coefficient (ICC) was obtained using Renaud’s and our techniques. The inter-observer reproducibility was between 0.37 and 0.74. The best inter-observer ICC was obtained with our technique.DiscussionWe describe a reliable and reproducible method to evaluate lowering and medialisation of the humerus after RSA. This technique may allow determine the optimal threshold of lengthening after RSA.

Keywords: medialisation humerus; shoulder arthroplasty; lowering medialisation; reproducibility; method; medialisation

Journal Title: International Orthopaedics
Year Published: 2017

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