Variability in the Contour of Cadaveric Anterior and Posterior Glenoids Based on Ipsilateral 3-Dimensional Computed Tomography Reconstructions: Implications for Clinical Estimation of Bone Loss

摘要

PurposeTo compare differences in the contour of the anterior and posterior glenoid in 3-dimensional computed tomography reconstructions as a reason for variability in estimating glenoid bone loss. MethodsThree reviewers digitally placed 11?points (1 at 6 o'clock, 5 from 3 to 6 o'clock, and 5 from 6 to 9 o'clock) along the inferior half of glenoid 3-dimensional computed tomography reconstructions of 32 cadaveric specimens. A best-fit circle for the whole glenoid was determined from all 11 points. The anterior 6 points determined an anterior-based circle, as for estimation of posterior bone loss. The posterior 6 points determined a posterior-based circle, as for estimation of anterior bone loss. The area and radii were determined for all circles. Individual intraclass correlations were used to evaluate reliability. Pairedt-tests and Wilcoxon signed rank tests were used to compare areas and radii of the anterior and posterior circles relative to the best-fit glenoid circle. Significance was defined asP?