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Comparison of the critical shoulder angle in radiographs and computed tomography

Bouaicha, Samy ; Ehrmann, Christine ; Slankamenac, Ksenija ; Regan, William ; Moor, Beat

In: Skeletal Radiology, 2014, vol. 43, no. 8, p. 1053-1056

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    Titre
    • Comparison of the critical shoulder angle in radiographs and computed tomography
    Auteur
    • Bouaicha, Samy. Divison of Arthroscopic, Reconstructive Surgery and Joint Preservation, Department of Orthopaedics, University of British Columbia, Vancouver, Canada
    • Ehrmann, Christine. Department of Radiology, University of British Columbia, Vancouver, Canada
    • Slankamenac, Ksenija. Division of Trauma, Zurich University Hospital, Raemistrasse 100, 8091, Zurich, Switzerland
    • Regan, William. Divison of Arthroscopic, Reconstructive Surgery and Joint Preservation, Department of Orthopaedics, University of British Columbia, Vancouver, Canada
    • Moor, Beat. Department of Orthopaedics, Insel University Hospital, Berne, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Skeletal Radiology, 2014, vol. 43, no. 8, p. 1053-1056. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:325170
    Summary
    Objective: The critical shoulder angle (CSA) is an indicator of degenerative shoulder pathologies. CSAs above 35° are associated with degenerative rotator cuff disease, whereas values below 30° are common in osteoarthritis of the glenohumeral joint. Measurements are usually performed on radiographs; however, no data have been reported regarding the reliability of CT scan measurements between different readers or the reproducibility of measurements from radiographs to CT scans. The purpose of our study was to clarify whether CSA measurements on radiographs and CT scans of the same patients show similar values. Materials and methods: CSA measurements of 60 shoulders (59 patients) were performed on radiographs and multiplanar reconstructions of corresponding CT scans. Inter-reader reliability and inter-method correlation were calculated. Results: The mean discrepancy between readers was only 0.2° (SD ±1.0°) on radiographs. CT scan measurements showed a mean discrepancy of 0.3° (SD ±1.2°). The inter-reader reliability was 0.993 for radiographs and 0.989 for CT scans. There was a very strong inter-method correlation between the CSA measured on radiographs and CT scans (Spearman's rho = 0.974). The mean differences between angles on radiographs and CT measurements were −0.05° (SD ±1.2°) and 0.1° (SD ±1.2°), respectively. Conclusion: Measurements of the CSA on anterior-posterior radiographs and CT scans are highly correlated, and inter-modality differences are negligible.