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Three-dimensional analysis of the orientation and the inclination of the rotator cuff footprint

Bart M Berghs, THIERRY DERVEAUX UGent, Wendy Speeckaert, Karen Vanslambrouck and Lieven De Wilde UGent (2011) JOURNAL OF SHOULDER AND ELBOW SURGERY. 20(4). p.637-645
abstract
Hypothesis: The tuberosities of the proximal humerus relate geometrically to the humeral head in an anteroposterior symmetry. Material and methods: Twenty-eight cadaveric shoulders were scanned with computed tomography and reconstructed digitally in 3 dimensions. On both tuberosities, 5 facets were identified. An orthogonal planar system using the center of the humeral head as its origin was created to calculate the coordinates of the centre of each facet. The angular position of the center of each facet was measured with reference to the sagittal plane. The inclination of each facet was measured to the axial plane. Results: The presence of 5 distinct facets with a different inclination was confirmed (lesser tuberosity: inferior facet: 77.8 degrees [sd 7.8 degrees]; superior facet: 50.3 degrees [sd 9.3 degrees] - greater tuberosity: superior facet: 20.4 degrees (sd 5.6 degrees); middle facet: 48.6 degrees (sd 5.2 degrees); inferior facet: 92.7 degrees [sd 7.7 degrees]). The angular position of the centers of the facets was less variable (lesser tuberosity: inferior facet: 22.6 degrees [sd 4.3 degrees]; superior facet: 39.2 degrees [sd 4.4 degrees] - greater tuberosity: superior facet: 89.9 degrees [sd 5.9 degrees]; middle facet: 131.6 degrees [sd 6.1 degrees]; inferior facet: 155.1 degrees [sd 6.8 degrees]). Conclusion: Our study contributes to the knowledge of the anatomy of the proximal humerus, more specifically of the position of the rotator cuff insertion in relation to the humeral head. These insights are useful in the development of shoulder trauma prostheses.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
inclination, facets of tuberosities, trauma prosthesis, PROXIMAL HUMERAL FRACTURES, GLENOHUMERAL JOINT, ARTICULAR GEOMETRY, PROSTHETIC DESIGN, MOMENT ARMS, TUBEROSITY, SHOULDER, HEMIARTHROPLASTY, INFRASPINATUS, SUPRASPINATUS, footprint rotator cuff, Anatomy proximal humerus
journal title
JOURNAL OF SHOULDER AND ELBOW SURGERY
J. Shoulder Elbow Surg.
volume
20
issue
4
pages
637 - 645
Web of Science type
Article
Web of Science id
000291646000026
JCR category
SPORT SCIENCES
JCR impact factor
2.747 (2011)
JCR rank
12/83 (2011)
JCR quartile
1 (2011)
ISSN
1058-2746
DOI
10.1016/j.jse.2010.09.013
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1851419
handle
http://hdl.handle.net/1854/LU-1851419
date created
2011-07-01 15:49:17
date last changed
2011-07-12 11:41:10
@article{1851419,
  abstract     = {Hypothesis: The tuberosities of the proximal humerus relate geometrically to the humeral head in an anteroposterior symmetry.
Material and methods: Twenty-eight cadaveric shoulders were scanned with computed tomography and reconstructed digitally in 3 dimensions. On both tuberosities, 5 facets were identified. An orthogonal planar system using the center of the humeral head as its origin was created to calculate the coordinates of the centre of each facet. The angular position of the center of each facet was measured with reference to the sagittal plane. The inclination of each facet was measured to the axial plane.
Results: The presence of 5 distinct facets with a different inclination was confirmed (lesser tuberosity: inferior facet: 77.8 degrees [sd 7.8 degrees]; superior facet: 50.3 degrees [sd 9.3 degrees] - greater tuberosity: superior facet: 20.4 degrees (sd 5.6 degrees); middle facet: 48.6 degrees (sd 5.2 degrees); inferior facet: 92.7 degrees [sd 7.7 degrees]). The angular position of the centers of the facets was less variable (lesser tuberosity: inferior facet: 22.6 degrees [sd 4.3 degrees]; superior facet: 39.2 degrees [sd 4.4 degrees] - greater tuberosity: superior facet: 89.9 degrees [sd 5.9 degrees]; middle facet: 131.6 degrees [sd 6.1 degrees]; inferior facet: 155.1 degrees [sd 6.8 degrees]).
Conclusion: Our study contributes to the knowledge of the anatomy of the proximal humerus, more specifically of the position of the rotator cuff insertion in relation to the humeral head. These insights are useful in the development of shoulder trauma prostheses.},
  author       = {Berghs, Bart M and DERVEAUX, THIERRY and Speeckaert, Wendy and Vanslambrouck, Karen and De Wilde, Lieven},
  issn         = {1058-2746},
  journal      = {JOURNAL OF SHOULDER AND ELBOW SURGERY},
  keyword      = {inclination,facets of tuberosities,trauma prosthesis,PROXIMAL HUMERAL FRACTURES,GLENOHUMERAL JOINT,ARTICULAR GEOMETRY,PROSTHETIC DESIGN,MOMENT ARMS,TUBEROSITY,SHOULDER,HEMIARTHROPLASTY,INFRASPINATUS,SUPRASPINATUS,footprint rotator cuff,Anatomy proximal humerus},
  language     = {eng},
  number       = {4},
  pages        = {637--645},
  title        = {Three-dimensional analysis of the orientation and the inclination of the rotator cuff footprint},
  url          = {http://dx.doi.org/10.1016/j.jse.2010.09.013},
  volume       = {20},
  year         = {2011},
}

Chicago
Berghs, Bart M, Thierry Derveaux, Wendy Speeckaert, Karen Vanslambrouck, and Lieven De Wilde. 2011. “Three-dimensional Analysis of the Orientation and the Inclination of the Rotator Cuff Footprint.” Journal of Shoulder and Elbow Surgery 20 (4): 637–645.
APA
Berghs, B. M., Derveaux, T., Speeckaert, W., Vanslambrouck, K., & De Wilde, L. (2011). Three-dimensional analysis of the orientation and the inclination of the rotator cuff footprint. JOURNAL OF SHOULDER AND ELBOW SURGERY, 20(4), 637–645.
Vancouver
1.
Berghs BM, Derveaux T, Speeckaert W, Vanslambrouck K, De Wilde L. Three-dimensional analysis of the orientation and the inclination of the rotator cuff footprint. JOURNAL OF SHOULDER AND ELBOW SURGERY. 2011;20(4):637–45.
MLA
Berghs, Bart M, Thierry Derveaux, Wendy Speeckaert, et al. “Three-dimensional Analysis of the Orientation and the Inclination of the Rotator Cuff Footprint.” JOURNAL OF SHOULDER AND ELBOW SURGERY 20.4 (2011): 637–645. Print.