Multilevel glenoid morphology and retroversion assessment in Walch B2 and B3 types.
OBJECTIVE
A major factor that impacts the long-term outcome and complication rates of total shoulder arthroplasty is the preoperative posterior glenoid bone loss quantified by glenoid retroversion. The purpose of this study was to assess if glenoid retroversion varies significantly at different glenoid heights in Walch B2 and B3 glenoids.


MATERIALS AND METHODS
Patients with B2 and B3 glenoid types were included following retrospective review of 386 consecutive CT shoulder studies performed for arthroplasty preoperative planning. True axial CT reconstructions were created using a validated technique. Two readers independently measured the glenoid retroversion angles according to the Friedman method using the "intermediate" glenoid at three glenoid heights: 75% (upper), 50% (equator), and 25% (lower). The variances between the three levels for a given patient were calculated.


RESULTS
Twenty-nine B2 and 8 B3 glenoid types were included. There was no significant difference in variance of glenoid version among the three levels in B2 or B3 groups. The mean variance in retroversion degree between equator-lower, upper-equator, and upper-lower glenoid was - 0.4, 0.3, and - 0.2 for B2; and - 0.2, 1.9, and 1.9 for B3 glenoid, respectively. The level of inter-reader agreement was fair to good for variance at equator-lower, and good to excellent for upper-equator and upper-lower glenoid.


CONCLUSIONS
Glenoid version can be accurately measured at any level between 25 and 75% of glenoid height for Walch B2 and B3. We recommend that the glenoid equator be used as the reference to assure consistent and reliable version measurements in this group of patients.
['Samim|Mohammad|M|', 'Virk|Mandeep|M|', 'Mai|David|D|', 'Munawar|Kamran|K|', 'Zuckerman|Joseph|J|', 'Gyftopoulos|Soterios|S|']
D000368:Aged D000072228:Arthroplasty, Replacement, Shoulder D005260:Female D061165:Glenoid Cavity D006801:Humans D008297:Male D010003:Osteoarthritis D011857:Radiographic Image Interpretation, Computer-Assisted D012189:Retrospective Studies D014057:Tomography, X-Ray Computed
Walch B2 and B3 Total shoulder arthroplasty Glenoid retroversion Glenohumeral osteoarthritis