Hill-Sachs lesion measurement with tridimensional models in anterior shoulder instability.

Autor:	Miyazaki AN; Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil., Silva LA; Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil., Santos PD; Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil., Sella GDV; Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil., Nagaya LH; Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil., Checchia SL; Grupo de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop] 2018 Apr 04; Vol. 53 (3), pp. 357-363. Date of Electronic Publication: 2018 Apr 04 (Print Publication: 2018).
DOI:	10.1016/j.rboe.2018.03.008
Abstrakt:	Objective: To evaluate the reproducibility and repeatability of Hill-Sachs lesion measurement from computed tomography images, with computer software and tridimensional prototype. Methods: Three-dimensional models were made from computed tomography images from 14 patients with anterior shoulder instability, using InVesalius 3.0 ® software. Hill-Sachs lesions were measured with Rhinocerus 5.0 ® software with pre-determined position. Mid-lateral distance, perpendicular to humeral shaft, cranial-caudal distance, parallel to humeral shaft, and the longitudinal distance of the lesion were measured. Using the Printer-ZP 310 three-dimensional printer, plaster models were made. To measure the Hill-Sachs lesion, a calibrated universal digital caliper was used in the same way as the software. Results: There was intra-observer and inter-observer variability for measurement of the same model. Observers did not perform the measurements in a similar way, showing difficulty to use the method ( p  < 0.05). Using the software to measure the mid-lateral distance, as well as in the measurement with the caliper, the model type influenced the measurements for each of the observers, rendering the method invalid ( p  < 0.05). Conclusion: There was no reproducibility and repeatability for Hill-Sachs lesion measurement between plaster models and software models.
Databáze:	MEDLINE
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