This study compared computed tomography (CT)-derived Hounsfield unit (HU) measurements and bone mineral density (BMD) in 230 patients who underwent total shoulder arthroplasty.
Significant correlations between HU and hip BMD and T score were identified (P < .001). HU value ranges were identified that may alert the surgeon of metabolic bone disease.
These authors found that, in their practice, age at time of surgery was a predictor of cemented stem fixation (P = .024) and that patients with a lower BMD were statistically more likely to receive a larger-diameter humeral stem (P = .016).
While we agree that it is important to diagnose and treat osteoporosis, we are reluctant to cement humeral prostheses in weak bone because of fear of periprosthetic fracture at the point of transition of structural property. Instead we use impaction grafting to help strengthen the bone.
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Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery.
See from which cities our patients come.
See the countries from which our readers come on this post.