Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging Study

<b>Background/Objectives</b>: Physical shoulder offset parameters (SOPs) play important roles in the diagnosis and treatment of shoulder diseases. However, there is little research analyzing SOPs in healthy shoulders using cross-sectional MRI images, especially in Asians. Therefore, this...

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Main Authors: Hung-Yi Huang, Meng-Hao Lin, Chu-Hsiang Hsu, Liang-Tseng Kuo
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/2/146
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author Hung-Yi Huang
Meng-Hao Lin
Chu-Hsiang Hsu
Liang-Tseng Kuo
author_facet Hung-Yi Huang
Meng-Hao Lin
Chu-Hsiang Hsu
Liang-Tseng Kuo
author_sort Hung-Yi Huang
collection DOAJ
description <b>Background/Objectives</b>: Physical shoulder offset parameters (SOPs) play important roles in the diagnosis and treatment of shoulder diseases. However, there is little research analyzing SOPs in healthy shoulders using cross-sectional MRI images, especially in Asians. Therefore, this study aimed to establish physiological reference values of shoulder parameters for Asian populations. <b>Methods</b>: This was a retrospective imaging study using MRI images of the shoulder joints of 500 patients (mean age: 55.9 ± 14.0 years). We measured the following SOPs of the normal joint: HO, GO, lateral glenoidal humeral offset (LGHO), humeral shaft axis offset (HAO), and cortical offset (CO). In addition, the offset parameters were examined for associations with age, gender, side, and osteoarthritis. <b>Results</b>: The mean HO was 22.9 (±2.4) mm, the mean GO was 62.3 (±6.6) mm, the mean LGHO was 48.9 (±4.2) mm, the mean HAO was 25.2 (±2.8) mm, and the mean CO was 15.7 (±2.7) mm. Male patients exhibited significantly higher values across all SOPs compared to female patients. In addition, there was a significantly lower mean value for HAO in left shoulders (HAO: 24.7± 2.8 mm vs. 25.5 ± 2.8 mm, <i>p</i> = 0.011). There was a negatively significant correlation between age and all SOPs. No significant difference in mean values was noted between shoulders with osteoarthritis and non-osteoarthritis in any SOPs. <b>Conclusions</b>: Significant gender- and age-specific differences were noted for all measured SOPs. In addition, right shoulders did not show higher mean SOP values than left shoulders, except for HAO, suggesting that the contralateral joint is a reliable reference for surgical planning. These findings should be considered in shoulder surgery planning.
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spelling doaj-art-9c33fe13244942358c6d09bd76d02c712025-01-24T13:28:53ZengMDPI AGDiagnostics2075-44182025-01-0115214610.3390/diagnostics15020146Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging StudyHung-Yi Huang0Meng-Hao Lin1Chu-Hsiang Hsu2Liang-Tseng Kuo3Department of Education, Chang Gung Memorial Hospital, Chiayi 613016, TaiwanDepartment of Orthopaedic Surgery, Chang Gung Memorial Hospital, Yunlin 638502, TaiwanDepartment of Radiology, Chang Gung Memorial Hospital, Chiayi 613016, TaiwanDepartment of Sports Medicine, Landseed International Hospital, Taoyuan 324609, Taiwan<b>Background/Objectives</b>: Physical shoulder offset parameters (SOPs) play important roles in the diagnosis and treatment of shoulder diseases. However, there is little research analyzing SOPs in healthy shoulders using cross-sectional MRI images, especially in Asians. Therefore, this study aimed to establish physiological reference values of shoulder parameters for Asian populations. <b>Methods</b>: This was a retrospective imaging study using MRI images of the shoulder joints of 500 patients (mean age: 55.9 ± 14.0 years). We measured the following SOPs of the normal joint: HO, GO, lateral glenoidal humeral offset (LGHO), humeral shaft axis offset (HAO), and cortical offset (CO). In addition, the offset parameters were examined for associations with age, gender, side, and osteoarthritis. <b>Results</b>: The mean HO was 22.9 (±2.4) mm, the mean GO was 62.3 (±6.6) mm, the mean LGHO was 48.9 (±4.2) mm, the mean HAO was 25.2 (±2.8) mm, and the mean CO was 15.7 (±2.7) mm. Male patients exhibited significantly higher values across all SOPs compared to female patients. In addition, there was a significantly lower mean value for HAO in left shoulders (HAO: 24.7± 2.8 mm vs. 25.5 ± 2.8 mm, <i>p</i> = 0.011). There was a negatively significant correlation between age and all SOPs. No significant difference in mean values was noted between shoulders with osteoarthritis and non-osteoarthritis in any SOPs. <b>Conclusions</b>: Significant gender- and age-specific differences were noted for all measured SOPs. In addition, right shoulders did not show higher mean SOP values than left shoulders, except for HAO, suggesting that the contralateral joint is a reliable reference for surgical planning. These findings should be considered in shoulder surgery planning.https://www.mdpi.com/2075-4418/15/2/146humeral offsetglenoidal offsetMRIshoulder morphologyAsian
spellingShingle Hung-Yi Huang
Meng-Hao Lin
Chu-Hsiang Hsu
Liang-Tseng Kuo
Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging Study
Diagnostics
humeral offset
glenoidal offset
MRI
shoulder morphology
Asian
title Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging Study
title_full Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging Study
title_fullStr Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging Study
title_full_unstemmed Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging Study
title_short Shoulder Physiological Offset Parameters in Asian Populations—A Magnetic Resonance Imaging Study
title_sort shoulder physiological offset parameters in asian populations a magnetic resonance imaging study
topic humeral offset
glenoidal offset
MRI
shoulder morphology
Asian
url https://www.mdpi.com/2075-4418/15/2/146
work_keys_str_mv AT hungyihuang shoulderphysiologicaloffsetparametersinasianpopulationsamagneticresonanceimagingstudy
AT menghaolin shoulderphysiologicaloffsetparametersinasianpopulationsamagneticresonanceimagingstudy
AT chuhsianghsu shoulderphysiologicaloffsetparametersinasianpopulationsamagneticresonanceimagingstudy
AT liangtsengkuo shoulderphysiologicaloffsetparametersinasianpopulationsamagneticresonanceimagingstudy