creators_name: Mamatha, T creators_name: Pai, SR creators_name: Murlimanju, BV creators_name: Kalthur, SG creators_name: Pai, MM creators_name: Kumar, B creators_id: flutesnowmm@gmail.com editors_name: Kakkilaya, Srinivas editors_id: BS Kakkilaya type: journale datestamp: 2012-11-09 17:37:19 lastmod: 2012-11-09 17:37:19 metadata_visibility: show title: Morphometry of Glenoid Cavity ispublished: pub subjects: OJHAS full_text_status: public keywords: Glenoid cavity; Total shoulder arthoplasty; Glenoid notch abstract: Objectives: Knowledge of the shape and dimensions of the glenoid are important in the design and fitting of glenoid components for total shoulder arthroplasty. An understanding of variations in normal anatomy of the glenoid is essential while evaluating pathological conditions like osseous Bankart lesions and osteochondral defects. Methods: This study was done on 202 dry, unpaired adult human scapulae of unknown sex belonging to the south Indian population. Three glenoid diameters were measured, the superior-inferior diameter, anterior-posterior diameter of the lower half and the anterior-posterior diameter of the upper half of the glenoid. Based on a notch present on the anterior glenoid rim, variations in the shape of the glenoid cavity were classified as inverted comma shaped, pear shaped and oval. Results: The average superior-inferior diameter on right and the left sides were 33.67±2.82mm and 33.92±2.87mm respectively. The average anterior-posterior diameter of the lower half of the right glenoid was 23.35±2.04mm and that of the left was 23.02±2.30mm. The mean diameter of the upper half of the right glenoid was 16.27±2.01mm and that of the left was 15.77±1.96mm. Conclusion: The dimensions of the glenoid observed in the present study were lesser than those recorded in the studies done on other populations. This fact may be taken into consideration while designing glenoid prostheses for the south Indian population. The current study recorded a higher percentage of glenoid cavities having the glenoid notch as compared to earlier studies. While evaluating defects/lesions of the glenoid, this fact could be useful. date: 2011-11-15 date_type: published publication: Online Journal of Health and Allied Sciences volume: 10 number: 3 publisher: BS Kakkilaya refereed: TRUE referencetext: 1. Sinnatamby CS. Last’s Anatomy, Regional and Applied. 11th ed. London: Churchill Livingstone; 2006. p. 50-52. 2. Karelse A, Kegels L, De Wilde L. The pillars of the scapula. Clin Anat. 2007;20:392-399. 3. Prescher A, Klumpen T. The glenoid notch and its relation to the shape of the glenoid cavity of the scapula. J Anat. 1997;190:457-460. 4. Breathnach AS. Frazer’s Anatomy of the Human Skeleton. 6th ed. London: J and A Churchill Ltd; 1965. p. 63-70. 5. Anetzberger H, Putz R. The scapula: principles of construction and stress. Acta Anat Basel 1996;156:70-80. 6. Yu JS, Greenway G, Resnick D. Osteochondral defect of the glenoid Fossa: Cross-sectional imaging features. Radiol 1998;206:35-40. 7. Pavlov H, Warren RF, Weiss CB Jr., Dines DM. The roentgenographic evaluation of anterior shoulder instability. Clin Orthop and Relat Res 1985;194:153-158. 8. Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 2000;16:677-694. 9. Itoi E, Lee SB, Amrami KK, Wenger DE, An KN. Quantitative assessment of classic bony Bankart lesions by radiography and computed tomography. Am J Sports Med 2003;31:112-118. 10. Edwards TB, Boulahia A, Walch G. Radiographic analysis of the bone defects in chronic anterior shoulder instability. Arthroscopy 2003;19:732-739. 11. Sugaya H, Morishi J, Dohi M, Kon Y, Tsuchiya A. Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg Am 2003;85:878-884. 12. Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S. The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am 1992;74:491-500. 13. Mallon WJ, Brown HR, Vogler JB 3rd, Martinez S. Radiographic and geometric anatomy of the scapula. Clin Orthop Relat Res 1992;277:142-154. 14. von Schroeder HP, Kuiper SD, Botte MJ. Osseous anatomy of the scapula. Clin Orthop Relat Res 2001;383:131-139. 15. Churchill RS, Brems JJ, Kotschi H. Glenoid size, inclination, and version: An anatomic study. J Shoulder Elbow Surg 2001;10:327-332. 16. Frutos LR. Determination of Sex from the clavicle and scapula in a Guatemalan contemporary rural indigenous population. Am J Forensic Med and Pathol 2002;23:284-288. 17. Özer I, Katayama K, Sagir M, Gulec E. Sex determination using the scapula in medieval skeletons from East Anatolia. Coll Antropol 2006;30:415-419. 18. Mathew AJ, Nair JB, Pillai SS. Rheumatic musculoskeletal manifestations in type 2 diabetes mellitus patients in south India. Int J Rheum Dis 2011;14:55-60. citation: Mamatha, T and Pai, SR and Murlimanju, BV and Kalthur, SG and Pai, MM and Kumar, B (2011) Morphometry of Glenoid Cavity. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/8004/1/2011-3-7.pdf