Journal of Shoulder and Elbow Surgery
Volume 19, Issue 8 , Pages 1145-1149 , December 2010

Metaversion can reliably predict humeral head version: A computed tomography-based validation study

  • George S. Athwal, MS, FRCSC

      Affiliations

    • Division of Orthopedic Surgery, University of Western Ontario, Hand and Upper Limb Centre, London, Ontario, Canada
    • Corresponding Author InformationReprint requests: George S. Athwal, MD, FRCSC, HULC, St. Joseph's Health Care, 268 Grosvenor St, London, ON, N6A 4L6 Canada.
  • ,
  • Joy C. MacDermid, PhD

      Affiliations

    • Division of Orthopedic Surgery and Epidemiology, University of Western Ontario, Hand and Upper Limb Centre, London, Ontario, Canada
  • ,
  • Danny P. Goel, MD, FRCSC

      Affiliations

    • Division of Orthopedic Surgery, University of Western Ontario, Hand and Upper Limb Centre, London, Ontario, Canada

References 

  1. Angibaud L, Zuckerman JD, Flurin PH, Roche C, Wright T. Reconstructing proximal humeral fractures using the bicipital groove as a landmark. Clin Orthop Relat Res. 2007;458:168–174
  2. Antuna SA, Sperling JW, Cofield RH. Shoulder hemiarthroplasty for acute fractures of the proximal humerus: a minimum five-year follow-up. J Shoulder Elbow Surg. 2008;17:202–209
  3. Aroonjarattham P, Jiamwatthanachai P, Mahaisavariya B, Kiatiwat T, Aroonjaratthammd K, Sitthiseripratip K. Three-dimensional morphometric study of the Thai proximal humerus: cadaveric study. J Med Assoc Thai. 2009;92:1191–1197
  4. Balg F, Boulianne M, Boileau P. Bicipital groove orientation: considerations for the retroversion of a prosthesis in fractures of the proximal humerus. J Shoulder Elbow Surg. 2006;15:195–198
  5. Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Mole D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elbow Surg. 2002;11:401–412
  6. Chant CB, Litchfield R, Griffin S, Thain LM. Humeral head retroversion in competitive baseball players and its relationship to glenohumeral rotation range of motion. J Orthop Sports Phys Ther. 2007;37:514–520
  7. Christoforakis J, Kontakis GM, Maris T, Damilakis J, Katonis P, Prassopoulos P, et al. An individualized approach for the implantation of a humeral prosthesis with the proper retroversion in fractures. Arch Orthop Trauma Surg. 2001;121:227–229
  8. Doyle AJ, Burks RT. Comparison of humeral head retroversion with the humeral axis/biceps groove relationship: a study in live subjects and cadavers. J Shoulder Elbow Surg. 1998;7:453–457
  9. Edelson G. The development of humeral head retroversion. J Shoulder Elbow Surg. 2000;9:316–318
  10. Edelson G. Variations in the retroversion of the humeral head. J Shoulder Elbow Surg. 1999;8:142–145PII: S1058-2746(99)90007-1
  11. Greiner SH, Diederichs G, Kroning I, Scheibel M, Perka C. Tuberosity position correlates with fatty infiltration of the rotator cuff after hemiarthroplasty for proximal humeral fractures. J Shoulder Elbow Surg. 2009;18:431–436
  12. Greiner SH, Kaab MJ, Kroning I, Scheibel M, Perka C. Reconstruction of humeral length and centering of the prosthetic head in hemiarthroplasty for proximal humeral fractures. J Shoulder Elbow Surg. 2008;17:709–714
  13. Gronhagen CM, Abbaszadegan H, Revay SA, Adolphson PY. Medium-term results after primary hemiarthroplasty for comminute proximal humerus fractures: a study of 46 patients followed up for an average of 4.4 years. J Shoulder Elbow Surg. 2007;16:766–773
  14. Hempfing A, Leunig M, Ballmer FT, Hertel R. Surgical landmarks to determine humeral head retrotorsion for hemiarthroplasty in fractures. J Shoulder Elbow Surg. 2001;10:460–463
  15. Hromadka R, Kubena AA, Pokorny D, Popelka S, Jahoda D, Sosna A. Lesser tuberosity is more reliable than bicipital groove when determining orientation of humeral head in primary shoulder arthroplasty. Surg Radiol Anat. 2010;32:31–37
  16. Itamura J, Dietrick T, Roidis N, Shean C, Chen F, Tibone J. Analysis of the bicipital groove as a landmark for humeral head replacement. J Shoulder Elbow Surg. 2002;11:322–326
  17. Kontakis GM, Damilakis J, Christoforakis J, Papadakis A, Katonis P, Prassopoulos P. The bicipital groove as a landmark for orientation of the humeral prosthesis in cases of fracture. J Shoulder Elbow Surg. 2001;10:136–139
  18. Krishnan SG, Bennion PW, Reineck JR, Burkhead WZ. Hemiarthroplasty for proximal humeral fracture: restoration of the Gothic arch. Orthop Clin North Am. 2008;39:441–450vi
  19. Kummer FJ, Perkins R, Zuckerman JD. The use of the bicipital groove for alignment of the humeral stem in shoulder arthroplasty. J Shoulder Elbow Surg. 1998;7:144–146
  20. Murachovsky J, Ikemoto RY, Nascimento LG, Fujiki EN, Milani C, Warner JJ. Pectoralis major tendon reference (PMT): a new method for accurate restoration of humeral length with hemiarthroplasty for fracture. J Shoulder Elbow Surg. 2006;15:675–678
  21. Nijs S, Broos P. Outcome of shoulder hemiarthroplasty in acute proximal humeral fractures: a frustrating meta-analysis experience. Acta Orthop Belg. 2009;75:445–451
  22. Reagan KM, Meister K, Horodyski MB, Werner DW, Carruthers C, Wilk K. Humeral retroversion and its relationship to glenohumeral rotation in the shoulder of college baseball players. Am J Sports Med. 2002;30:354–360
  23. Torrens C, Corrales M, Melendo E, Solano A, Rodriguez-Baeza A, Caceres E. The pectoralis major tendon as a reference for restoring humeral length and retroversion with hemiarthroplasty for fracture. J Shoulder Elbow Surg. 2008;17:947–950
  24. van der Sluijs JA, van Ouwerkerk WJ, de Gast A, Wuisman P, Nollet F, Manoliu RA. Retroversion of the humeral head in children with an obstetric brachial plexus lesion. J Bone Joint Surg Br. 2002;84:583–587
  25. Yamamoto N, Itoi E, Minagawa H, et al. Why is the humeral retroversion of throwing athletes greater in dominant shoulders than in nondominant shoulders?. J Shoulder Elbow Surg. 2006;15:571–575

PII: S1058-2746(10)00193-X

doi: 10.1016/j.jse.2010.04.047

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 8 , Pages 1145-1149 , December 2010