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. 2024 May 13:59:30-35.
doi: 10.1016/j.jor.2024.05.007. eCollection 2025 Jan.

Use of computed tomography for shoulder arthroplasty: A systematic review

Joshua Rainey  1 , Daniel Hameed  2 , Nipun Sodhi  3 , Arthur L Malkani  4 , Michael A Mont  5
Affiliations

Use of computed tomography for shoulder arthroplasty: A systematic review

Joshua Rainey et al. J Orthop. .

Abstract

Introduction: The prevalence of total shoulder arthroplasties is on the rise annually. Improvements in implant quality, construct stability, and surgical techniques have notably enhanced post-operative results, prompting an expansion of indications for shoulder arthroplasty. Despite its high success rate, opportunities for enhancement remain, especially in preoperative planning and intraoperative execution. Advanced imaging technologies offer significant potential in optimizing implant placement, thus improving the longevity of the procedure. To our knowledge, a comprehensive review examining the impact of advanced imaging on shoulder arthroplasty has yet to be conducted. This systematic review aims to investigate the benefits of advanced imaging technologies in this context, focusing on their application in preoperative planning, osteoarthritis assessment, intraoperative adjustments, patient-specific instrumentation, and navigational aids.

Methods: This review utilized a comprehensive search of PubMed to identify relevant studies published from 2000 to 2024, focusing on the application of various imaging techniques in shoulder arthroplasty. The search was conducted by two authors and centered on plain radiography, CT scans, and MRI. The selection criteria included availability of full-text articles, English language, direct comparison of imaging techniques, and a focus on patient outcomes, including discussions on broader applications such as intraoperative navigation and patient-specific instrumentation development.

Results: Enhanced imaging techniques, particularly CT scans and MRIs, have been shown to significantly improve outcomes in shoulder arthroplasty. While plain radiographs remain standard, CT scans provide superior bony detail, crucial for evaluating glenoid wear and determining augmentation needs. Preoperative CT imaging has been demonstrated to enhance implant placement accuracy. Moreover, intraoperative technologies based on CT imaging, such as patient-specific instrumentation and navigation systems, contribute to better surgical results.

Conclusion: The benefits of CT imaging in shoulder arthroplasty significantly outweigh the associated costs. Current literature strongly supports the adoption of CT imaging in these procedures, particularly when used alongside modern operative technologies.

Keywords: Computed tomography; Preoperative planning; Reverse shoulder arthroplasty; Systematic review; Total shoulder arthroplasty.

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Conflict of interest statement

JR- None. NS- None. DH-None. AM- Parvizi Surgical Innovation: Stock or stock Options. Stryker: IP royalties; Paid consultant; Paid presenter or speaker; Research support MM-receives consultant fees from Stryker 3MCentrexion CERAS Health Johnson & Johnson Kolon Tissuegene Mirror-AR NXSCI Pacira Peerwell Pfizer Lily Skye Biologics SOLVD Health Smith & Nephew, payments for lectures from Stryker, leadership role for The Knee Society The Hip Society Journal of Arthroplasty Journal of Knee Surgery Surgical Technology International Orthopedics and stock options from CERAS Health MirrorAR Peerwell USMI.

References

    1. Kim S.H., Wise B.L., Zhang Y., Szabo R.M. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011;93(24):2249–2254. - PubMed
    1. Jain N.B., Yamaguchi K. The contribution of reverse shoulder arthroplasty to utilization of primary shoulder arthroplasty. J Shoulder Elbow Surg. 2014;23(12):1905–1912. - PMC - PubMed
    1. Hasan S.S., Leith J.M., Campbell B., Kapil R., Smith K.L., Matsen F.A., 3rd Characteristics of unsatisfactory shoulder arthroplasties. J Shoulder Elbow Surg. 2002;11(5):431–441. - PubMed
    1. Hampp E.L., Chughtai M., Scholl L.Y., et al. Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy and precision to plan compared with manual techniques. J Knee Surg. 2019;32(3):239–250. - PubMed
    1. Pietrzak J.R.T., Rowan F.E., Kayani B., Donaldson M.J., Huq S.S., Haddad F.S. Preoperative CT-based three-dimensional templating in robot-assisted total knee arthroplasty more accurately predicts implant sizes than two-dimensional templating. J Knee Surg. 2019;32(7):642–648. - PubMed

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