A study of the correlation between glenohumeral joint congruence and stability in recurrent shoulder dislocations_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XU Zheng , DAI Fei , YANG Jinsong , ZHANG Qing ,  XIANG Ming

Department of Upper Limb, Sichuan Provincial Orthopedic Hospital, Chengdu Sichuan, 610041, P. R. China;

Corresponding author：

XIANG Ming, Email: josceph_xm@sina.com

Keywords：

Recurrent shoulder dislocation; glenohumeral joint; joint stability; three-dimensional reconstruction

DOI：

10.7507/1002-1892.202302082

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the correlation between glenohumeral joint congruence and stability in recurrent shoulder dislocations. Methods Eighty-nine patients (89 sides) with recurrent shoulder dislocation admitted between June 2022 and June 2023 and met the selection criteria were included as study subjects. There were 36 males and 53 females with an average age of 44 years (range, 20-79 years). There were 40 cases of left shoulder and 49 cases of right shoulder. The shoulder joints dislocated 2-6 times, with an average of 3 times. The three-dimensional models of the humeral head and scapular glenoid were reconstructed using Mimics 20.0 software based on CT scanning images. The glenoid track (GT), inclusion index, chimerism index, fit index, and Hill-Sachs interval (HSI) were measured, and the degree of on/off track was judged (K value, the difference between HSI and GT). Multiple linear regression was used to analyze the correlation between the degree of on/off track (K value) and inclusion index, chimerism index, and fit index. Results Multiple linear regression analysis showed that the K value had no correlation with the inclusion index (P>0.05), and was positively correlated with the chimerism index and the fit index (P<0.05). Regression equation was K=–24.898+35.982×inclusion index+8.280×fit index, R²=0.084. Conclusion Humeral head and scapular glenoid bony area and curvature are associated with shoulder joint stability in recurrent shoulder dislocations. Increased humeral head bony area, decreased scapular glenoid bony area, increased humeral head curvature, and decreased scapular glenoid curvature are risk factors for glenohumeral joint stability.

Citation： XU Zheng, DAI Fei, YANG Jinsong, ZHANG Qing, XIANG Ming. A study of the correlation between glenohumeral joint congruence and stability in recurrent shoulder dislocations. Chinese Journal of Reparative and Reconstructive Surgery, 2023, 37(9): 1094-1097. doi: 10.7507/1002-1892.202302082 Copy

1.	Hertz H. Significance of the limbus glenoidalis for the stability of the shoulder joint. Wien Klin Wochenschr Suppl, 1984, 152: 1-23.
2.	Liavaag S, Svenningsen S, Reikerås O, et al. The epidemiology of shoulder dislocations in Oslo. Scand J Med Sci Sports, 2011, 21(6): e334-e340.
3.	Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg (Am), 2010, 92(3): 542-549.
4.	Hayes K, Callanan M, Walton J, et al. Shoulder instability: management and rehabilitation. J Orthop Sports Phys Ther, 2002, 32(10): 497-509.
5.	Griffith JF. Measuring glenoid and humeral bone loss in shoulder dislocation. Quant Imaging Med Surg, 2019, 9(2): 134-143.
6.	Soslowsky LJ, Flatow EL, Bigliani LU, et al. Articular geometry of the glenohumeral joint. Clin Orthop Relat Res, 1992, (285): 181-190.
7.	Itoi E, Lee SB, Berglund LJ, et al. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg (Am), 2000, 82(1): 35-46.
8.	潘正烽, 黄富国, 李箭, 等. 肩关节前向不稳中骨缺损诊断技术及评估方法的研究进展. 中国修复重建外科杂志, 2019, 33(6): 762-767.
9.	Hamamoto JT, Leroux T, Chahla J, et al. Assessment and evaluation of glenoid bone loss. Arthrosc Tech, 2016, 5(4): e947-e951.
10.	Bakshi NK, Cibulas GA, Sekiya JK, et al. A clinical comparison of linear- and surface area-based methods of measuring glenoid bone loss. Am J Sports Med, 2018, 46(10): 2472-2477.
11.	Di Giacomo G, Itoi E, Burkhart SS. Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from “engaging/non-engaging” lesion to “on-track/off-track” lesion. Arthroscopy, 2014, 30(1): 90-98.
12.	Lewis GS, Armstrong AD. Glenoid spherical orientation and version. J Shoulder Elbow Surg, 2011, 20(1): 3-11.
13.	Jacxsens M, Elhabian SY, Brady SE, et al. Coracoacromial morphology: a contributor to recurrent traumatic anterior glenohumeral instability? J Shoulder Elbow Surg, 2019, 28(7): 1316-1325.
14.	Peltz CD, Zauel R, Ramo N, et al. Differences in glenohumeral joint morphology between patients with anterior shoulder instability and healthy, uninjured volunteers. J Shoulder Elbow Surg, 2015, 24(7): 1014-1020.
15.	Bigliani LU, Kelkar R, Flatow EL, et al. Glenohumeral stability. Biomechanical properties of passive and active stabilizers. Clin Orthop Relat Res, 1996, (330): 13-30.
16.	Bergmann G, Graichen F, Bender A, et al. In vivo glenohumeral contact forces—measurements in the first patient 7 months postoperatively. J Biomech, 2007, 40(10): 2139-2149.
17.	Metcalf MH, Pon JD, Harryman DT, et al. Capsulolabral augmentation increases glenohumeral stability in the cadaver shoulder. J Shoulder Elbow Surg, 2001, 10(6): 532-538.
18.	Lusardi DA, Wirth MA, Wurtz D, et al. Loss of external rotation following anterior capsulorrhaphy of the shoulder. J Bone Joint Surg (Am), 1993, 75(8): 1185-1192.
19.	Yamamoto N, Itoi E, Abe H, et al. Effect of an anterior glenoid defect on anterior shoulder stability: a cadaveric study. Am J Sports Med, 2009, 37(5): 949-954.
20.	何耀华. 肩胛盂植骨术在创伤性肩关节前向不稳定中的应用. 中华肩肘外科电子杂志, 2021, 9(4): 298-304.

1. Hertz H. Significance of the limbus glenoidalis for the stability of the shoulder joint. Wien Klin Wochenschr Suppl, 1984, 152: 1-23.
2. Liavaag S, Svenningsen S, Reikerås O, et al. The epidemiology of shoulder dislocations in Oslo. Scand J Med Sci Sports, 2011, 21(6): e334-e340.
3. Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg (Am), 2010, 92(3): 542-549.
4. Hayes K, Callanan M, Walton J, et al. Shoulder instability: management and rehabilitation. J Orthop Sports Phys Ther, 2002, 32(10): 497-509.
5. Griffith JF. Measuring glenoid and humeral bone loss in shoulder dislocation. Quant Imaging Med Surg, 2019, 9(2): 134-143.
6. Soslowsky LJ, Flatow EL, Bigliani LU, et al. Articular geometry of the glenohumeral joint. Clin Orthop Relat Res, 1992, (285): 181-190.
7. Itoi E, Lee SB, Berglund LJ, et al. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg (Am), 2000, 82(1): 35-46.
8. 潘正烽, 黄富国, 李箭, 等. 肩关节前向不稳中骨缺损诊断技术及评估方法的研究进展. 中国修复重建外科杂志, 2019, 33(6): 762-767.
9. Hamamoto JT, Leroux T, Chahla J, et al. Assessment and evaluation of glenoid bone loss. Arthrosc Tech, 2016, 5(4): e947-e951.
10. Bakshi NK, Cibulas GA, Sekiya JK, et al. A clinical comparison of linear- and surface area-based methods of measuring glenoid bone loss. Am J Sports Med, 2018, 46(10): 2472-2477.
11. Di Giacomo G, Itoi E, Burkhart SS. Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from “engaging/non-engaging” lesion to “on-track/off-track” lesion. Arthroscopy, 2014, 30(1): 90-98.
12. Lewis GS, Armstrong AD. Glenoid spherical orientation and version. J Shoulder Elbow Surg, 2011, 20(1): 3-11.
13. Jacxsens M, Elhabian SY, Brady SE, et al. Coracoacromial morphology: a contributor to recurrent traumatic anterior glenohumeral instability? J Shoulder Elbow Surg, 2019, 28(7): 1316-1325.
14. Peltz CD, Zauel R, Ramo N, et al. Differences in glenohumeral joint morphology between patients with anterior shoulder instability and healthy, uninjured volunteers. J Shoulder Elbow Surg, 2015, 24(7): 1014-1020.
15. Bigliani LU, Kelkar R, Flatow EL, et al. Glenohumeral stability. Biomechanical properties of passive and active stabilizers. Clin Orthop Relat Res, 1996, (330): 13-30.
16. Bergmann G, Graichen F, Bender A, et al. In vivo glenohumeral contact forces—measurements in the first patient 7 months postoperatively. J Biomech, 2007, 40(10): 2139-2149.
17. Metcalf MH, Pon JD, Harryman DT, et al. Capsulolabral augmentation increases glenohumeral stability in the cadaver shoulder. J Shoulder Elbow Surg, 2001, 10(6): 532-538.
18. Lusardi DA, Wirth MA, Wurtz D, et al. Loss of external rotation following anterior capsulorrhaphy of the shoulder. J Bone Joint Surg (Am), 1993, 75(8): 1185-1192.
19. Yamamoto N, Itoi E, Abe H, et al. Effect of an anterior glenoid defect on anterior shoulder stability: a cadaveric study. Am J Sports Med, 2009, 37(5): 949-954.
20. 何耀华. 肩胛盂植骨术在创伤性肩关节前向不稳定中的应用. 中华肩肘外科电子杂志, 2021, 9(4): 298-304.

Chinese Journal of Reparative and Reconstructive Surgery

A study of the correlation between glenohumeral joint congruence and stability in recurrent shoulder dislocations

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content