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Is conventional radiography still relevant for evaluating the acromioclavicular joint?

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.

journal_name

Orthop Traumatol Surg Res

journal_title

Orthopaedics & traumatology, surgery & research : OTSR

authors

Guillotin C,Koch G,Metais P,Gallinet D,Godeneche A,Labattut L,Collin P,Bonnevialle N,Barth J,Garret J,Clavert P,Francophone Arthroscopy Society (SFA).

doi

10.1016/j.otsr.2020.08.008

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

S213-S216

issue

8S

issn

1877-0568

pii

S1877-0568(20)30234-6

journal_volume

106

pub_type

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