Document Detail


The fulcrum axis: a new method for determining glenoid version.
MedLine Citation:
PMID:  18619866     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previously applied methods for the evaluation of glenoid version did not use body-surface landmarks; therefore, it is not possible to get information about glenoid version from the outside. The tip of the coracoid and the posterolateral corner of the acromion can easily be found on the body surface. These 2 landmarks were connected by a line called the fulcrum axis. After using an experimental x-ray technique in 143 human cadaver scapulae, 5 independent observers identified the fulcrum axis and the glenoid fossa twice. The resulting overall angle between the fulcrum axis and the glenoid fossa was 1.8 degrees (SD 4.5). The fulcrum axis may be used for the preoperative planning and the intraoperative evaluation of glenoid version while performing total shoulder arthroplasties. As the fulcrum axis and the plane of the glenoid fossa are approximately parallel, the fulcrum axis can be used to position patients for performing a true antero-posterior x-ray.
Authors:
Volker Braunstein; Markus Korner; Ulrich Brunner; Wolf Mutschler; Peter Biberthaler; Ernst Wiedemann
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Publication Detail:
Type:  Journal Article     Date:  2008-07-10
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  17     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-09-15     Completed Date:  2009-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  819-24     Citation Subset:  IM    
Affiliation:
Department of Traumatology and Orthopedic Surgery, Ludwig-Maximilians-University, Muenchen, Germany. volker.braunstein@aofoundation.org
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Arthroplasty, Replacement
Cadaver
Female
Humans
Male
Posture
Scapula / anatomy & histology,  physiology,  radiography*
Shoulder Joint / anatomy & histology,  physiology,  radiography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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