CT Compared with Arthroscopy in Quantifying Glenoid Bone Loss
James F. Griffith1,
Patrick S. H. Yung2,
Gregory E. Antonio1,
Polly H. Tsang1,
Anil T. Ahuja1 and
Kai Ming Chan2
1 Department of Diagnostic Radiology and Organ Imaging, The Chinese University
of Hong Kong, Prince of Wales Hospital, 30-32 Ngan Shing St., Shatin, Hong
Kong SAR, China.
2 Department of Orthopaedics and Traumatology, The Chinese University of Hong
Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China.

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Fig. 1A —45-year-old man with recurrent shoulder dislocation.
Calibration probe inserted through posterior arthroscopic portal with tip of
probe at posterior margin (A), bare spot (B), and anterior
margin (C). Distance from posterior margin to bare spot is longer than
from bare spot to anterior margin, thus indicating glenoid bone loss.
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Fig. 1B —45-year-old man with recurrent shoulder dislocation.
Calibration probe inserted through posterior arthroscopic portal with tip of
probe at posterior margin (A), bare spot (B), and anterior
margin (C). Distance from posterior margin to bare spot is longer than
from bare spot to anterior margin, thus indicating glenoid bone loss.
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Fig. 1C —45-year-old man with recurrent shoulder dislocation.
Calibration probe inserted through posterior arthroscopic portal with tip of
probe at posterior margin (A), bare spot (B), and anterior
margin (C). Distance from posterior margin to bare spot is longer than
from bare spot to anterior margin, thus indicating glenoid bone loss.
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Fig. 3A —CT images reconstructed en face to glenoid fossae in
37-year-old man with recurrent unilateral dislocation. Normal side shows
normal curved anterior glenoid rim (arrows). Glenoid width (solid
line), measured at right angles to long axis of glenoid (dashed
line), measures 28.4 mm.
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Fig. 3B —CT images reconstructed en face to glenoid fossae in
37-year-old man with recurrent unilateral dislocation. On dislocated side,
there is anterior straight line to anterior glenoid rim (arrows).
Glenoid width (solid line), measured at right angles to long axis of
glenoid (dashed line), measures 24.7 mm. Glenoid bone loss is
difference in glenoid width (3.7 mm) divided by normal width (28.4 mm) x
100 = 13% glenoid bone loss.
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Copyright © 2007 by the American Roentgen Ray Society.