Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population

Abstract Background Due to the difference in size between the humeral head and the glenoid, the shoulder joint is prone to instability. Therefore, the reconstruction of the physiological joint morphology is of great importance in shoulder joint preservation and replacement surgery. The aim of this s...

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Main Authors: Marc-Pascal Meier, Lars Erik Brandt, Mark-Tilmann Seitz, Paul Jonathan Roch, Katharina Jäckle, Ali Seif Amir Hosseini, Wolfgang Lehmann, Thelonius Hawellek
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Imaging
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Online Access:https://doi.org/10.1186/s12880-025-01568-6
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author Marc-Pascal Meier
Lars Erik Brandt
Mark-Tilmann Seitz
Paul Jonathan Roch
Katharina Jäckle
Ali Seif Amir Hosseini
Wolfgang Lehmann
Thelonius Hawellek
author_facet Marc-Pascal Meier
Lars Erik Brandt
Mark-Tilmann Seitz
Paul Jonathan Roch
Katharina Jäckle
Ali Seif Amir Hosseini
Wolfgang Lehmann
Thelonius Hawellek
author_sort Marc-Pascal Meier
collection DOAJ
description Abstract Background Due to the difference in size between the humeral head and the glenoid, the shoulder joint is prone to instability. Therefore, the reconstruction of the physiological joint morphology is of great importance in shoulder joint preservation and replacement surgery. The aim of this study was to describe physiological reference parameters for the morphology of the glenoid for the first time. Material and methods MRI images of the shoulder joints of 418 patients (mean age: 50.6 years [± 16.3]) were retrospectively analysed in a low-grade osteoarthritic population. The glenoid distance in coronal (GDc) and axial view (GDa), glenoid inclination (GI) and version (GV) as well as scapula neck length (SNL) were measured. Parameters were studied in association for age, gender, side and degeneration grade. Results Mean GDc was 33.4 mm (± 3.6), mean GDa 26.8 mm (± 3.2), mean GI 10.5° (± 6.4), mean GV -0.4 mm (± 5.4) and mean SNL was 33.4 mm (± 4.7). GDa was significant higher in right shoulders (p < 0.001). GDc and GDa showed significant higher mean values in older patients (p < 0.001) and in shoulders with more severe degenerative changes (p < 0.05). While GDc, GDa and SNL were significant larger in male patients (p < 0.001), GI had a higher mean value in female shoulders (p = 0.021). Conclusion Age, gender and shoulder joint degeneration influence changes in the morphological parameters of the glenoid. These findings have to be considered in shoulder diagnostics and surgery. Clinical trial number Not applicable.
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spelling doaj-art-b74ab8ad8eb347c4852556558ce46c422025-02-02T12:47:55ZengBMCBMC Medical Imaging1471-23422025-01-0125111310.1186/s12880-025-01568-6Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic populationMarc-Pascal Meier0Lars Erik Brandt1Mark-Tilmann Seitz2Paul Jonathan Roch3Katharina Jäckle4Ali Seif Amir Hosseini5Wolfgang Lehmann6Thelonius Hawellek7Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center GoettingenDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center GoettingenDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center GoettingenDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center GoettingenDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center GoettingenDepartment of Clinical and Interventional Radiology, University Medical Center GoettingenDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center GoettingenDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center GoettingenAbstract Background Due to the difference in size between the humeral head and the glenoid, the shoulder joint is prone to instability. Therefore, the reconstruction of the physiological joint morphology is of great importance in shoulder joint preservation and replacement surgery. The aim of this study was to describe physiological reference parameters for the morphology of the glenoid for the first time. Material and methods MRI images of the shoulder joints of 418 patients (mean age: 50.6 years [± 16.3]) were retrospectively analysed in a low-grade osteoarthritic population. The glenoid distance in coronal (GDc) and axial view (GDa), glenoid inclination (GI) and version (GV) as well as scapula neck length (SNL) were measured. Parameters were studied in association for age, gender, side and degeneration grade. Results Mean GDc was 33.4 mm (± 3.6), mean GDa 26.8 mm (± 3.2), mean GI 10.5° (± 6.4), mean GV -0.4 mm (± 5.4) and mean SNL was 33.4 mm (± 4.7). GDa was significant higher in right shoulders (p < 0.001). GDc and GDa showed significant higher mean values in older patients (p < 0.001) and in shoulders with more severe degenerative changes (p < 0.05). While GDc, GDa and SNL were significant larger in male patients (p < 0.001), GI had a higher mean value in female shoulders (p = 0.021). Conclusion Age, gender and shoulder joint degeneration influence changes in the morphological parameters of the glenoid. These findings have to be considered in shoulder diagnostics and surgery. Clinical trial number Not applicable.https://doi.org/10.1186/s12880-025-01568-6Glenoidal morphologyGlenoidal referenceMRIShoulder morphologyShoulder arthroplasty
spellingShingle Marc-Pascal Meier
Lars Erik Brandt
Mark-Tilmann Seitz
Paul Jonathan Roch
Katharina Jäckle
Ali Seif Amir Hosseini
Wolfgang Lehmann
Thelonius Hawellek
Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population
BMC Medical Imaging
Glenoidal morphology
Glenoidal reference
MRI
Shoulder morphology
Shoulder arthroplasty
title Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population
title_full Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population
title_fullStr Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population
title_full_unstemmed Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population
title_short Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population
title_sort retrospective mri analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low grade osteoarthritic population
topic Glenoidal morphology
Glenoidal reference
MRI
Shoulder morphology
Shoulder arthroplasty
url https://doi.org/10.1186/s12880-025-01568-6
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