Nael Hawi, MD, Petra Magosch, MD, Mark Tauber, MD, Sven Lichtenberg, MD, Frank Martetschläger, MD, Peter Habermeyer, MD
Published online: October 06, 2016
DOI: http://dx.doi.org/10.1016/j.jse.2016.07.007
Abstract
Background
A variety of measurements can be used to assess radiographic osteoarthritic changes of the shoulder. This study aimed to analyze the correlation between the radiographic humeral-sided Samilson and Prieto classification system and 3 different radiographic classifications describing the changes of the glenoid in the coronal plane.
Methods
The study material included standardized radiographs of 50 patients with idiopathic osteoarthritis before anatomic shoulder replacement. On the basis of radiographic measurements, the cases were evaluated using the Samilson and Prieto grading system, angle β, inclination type, and critical shoulder angle by 2 independent observers.
Results
Classification measurements showed an excellent agreement between observers. Our results showed that the humeral-sided Samilson and Prieto grading system had a statistically significant good correlation with angle β (observer 1, r = 0.74; observer 2, r = 0.77; P < .05) and a statistically significant excellent correlation with the inclination type of the glenoid (observer 1, r = 0.86; observer 2, r = 0.8; P < .05). A poor correlation to the critical shoulder angle was observed (r = −0.14, r = 0.03; P > .05).
Conclusions
The grade of humeral-sided osteoarthritis according to Samilson and Prieto correlates with the glenoid-sided osteoarthritic changes of the glenoid in the coronal plane described by the angle β and by the inclination type of the glenoid. Higher glenoid-sided inclination is associated with higher grade of osteoarthritis in primary shoulder osteoarthritis.
Keywords
Glenohumeral osteoarthritis, radiographic classification, inclination type, angle β, critical shoulder angle, Samilson and Prieto, shoulder, osteoarthritis
