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Robustness and Reproducibility of a Glenoid-Centered Scapular Coordinate System Derived From Low-Dose Stereoradiography Analysis

Article dans une revue avec comité de lecture
Author
OHL, Xavier
484605 LBM/institute de Biomécanique humaine Georges Charpak
170650 Arts et Métiers ParisTech
LAGACÉ, Pierre-Yves
170650 Arts et Métiers ParisTech
484605 LBM/institute de Biomécanique humaine Georges Charpak
BILLUART, Fabien
170650 Arts et Métiers ParisTech
484605 LBM/institute de Biomécanique humaine Georges Charpak
GAGEY, Olivier
170650 Arts et Métiers ParisTech
484605 LBM/institute de Biomécanique humaine Georges Charpak
ccSKALLI, Wafa
170650 Arts et Métiers ParisTech
484605 LBM/institute de Biomécanique humaine Georges Charpak
HAGEMEISTER, Nicola

URI
http://hdl.handle.net/10985/18055
DOI
10.1123/JAB.2013-0310
Date
2015
Journal
Journal of Applied Biomechanics

Abstract

A robust and reproducible scapular coordinate system is necessary to study scapulo-thoracic kinematics. The coordinate system recommended by the ISB (International Society of Biomechanics) is difficult to apply in studies using medical imaging, which mostly use a glenoid-centered coordinate system. The aim of this study was to assess the robustness of a glenoid-centered coordinate system compared to the ISB coordinate system, and to study the reproducibility of this coordinate system measure during abduction. A Monte-Carlo analysis was performed to test the robustness of the two coordinate systems. This method enabled the variability of the orientation of the coordinate system to be assessed in laboratory setting. A reproducibility study of the glenoid-centered coordinate system in the thorax reference frame was performed during abduction in the scapular plane using a low-dose stereoradiography system. We showed that the glenoid-centered coordinate system was slightly more robust than the ISB-recommended coordinate system. Most reproducible rotation was upward/downward rotation (x axis) and most reproducible translation was along the Y axis (superior-inferior translation). In conclusion, the glenoid-centered coordinate system can be used with confidence for scapular kinematics analysis. The uncertainty of the measures derived from our technique is acceptable compared to that reported in the literature. Functional quantitative analysis of the scapular-thoracic joint is possible with this method.

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