Is conventional radiography still relevant for evaluating the acromioclavicular joint? - 19/11/20
and the
Francophone Arthroscopy Society (SFA)k
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Introduction |
Conventional radiography using an anteroposterior view of the acromioclavicular (AC) joint is the gold standard for evaluating arthritic degeneration.
Objective |
Based on a standardised AP view of the AC joint, the objective of this study was to determine whether this radiographic view is reliable and reproducible for evaluating the AC joint space.
Methods |
A cadaver scapula–clavicle unit, free of osteoarthritis, was used for this study. The scapula was positioned in a stand; and then with fluoroscopy guidance, a strict AP view of the AC joint was taken. Starting from this “0” position, a radiograph was taken by varying the angle by 5°, 10°, and 15° in every plane in space. All radiographs were taken during a single session to ensure the distance between the X-ray tube and scapula did not change. The images were then exported to OsiriX for processing; the superior and inferior AC distance and the joint area were measured.
Results |
There was no reproducibility in the AC joint measurements as a function of the incidence angle relative to a strict AP view.
Conclusion |
Conventional radiography using an AP view of the AC joint cannot be used to do a fine analysis of arthritic degeneration of this joint. It is likely that only CT scan or MRI is sufficient to analyse osteoarthritis in this joint.
Level of evidence |
IV, basic science study.
Le texte complet de cet article est disponible en PDF.Keywords : Acromioclavicular joint, Radiography, Reproducibility, Evaluation, Osteoarthritis
Plan
Vol 106 - N° 8S
P. S213-S216 - décembre 2020 Retour au numéro
Article précédent
- Benefits of distal clavicle resection during rotator cuff repair: Prospective randomized single-blind study
- David Gallinet, Johannes Barth, Ludovic Labattut, Philippe Collin, Pierre Metais, Nicolas Bonnevialle, Arnaud Godeneche, Jérôme Garret, Philippe Clavert, Francophone Arthroscopy Society (SFA)
- Increased T2 signal intensity in the distal clavicle does not justify acromioclavicular resection arthroplasty during rotator cuff repair
- Pierre Métais, David Gallinet, Ludovic Labattut, Arnaud Godenèche, Johannes Barth, Philippe Collin, Nicolas Bonnevialle, Jérôme Garret, Philippe Clavert, Francophone Arthroscopy Society (SFA)
Bienvenue sur EM-consulte, la référence des professionnels de santé.