Evidence map›Paper›PMID 40182251›Full record

ArticleJSES international2025

Magnetic resonance imaging vs. two- and three-dimensional computed tomography scans for assessment of glenoid inclination and version.

Thomas Wittmann, Tim Rieger, Sandra Krawczyk, Tobias Helfen, Inês Santos, Patric Raiss

Abstract read
In one paragraph

Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas WittmannDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Munich, Germany.
Tim RiegerDepartment for Shoulder Surgery, OCM Clinic Munich, Munich, Germany.
Sandra KrawczykDepartment for Shoulder Surgery, OCM Clinic Munich, Munich, Germany.
Tobias HelfenDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Munich, Germany.
Inês SantosDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Munich, Germany.
Patric RaissDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Accurate glenoid component placement is crucial for anatomic (aTSA) or reverse (rTSA) total shoulder arthroplasty. Preoperative glenoid assessment in computed tomography (CT) scans with or without planning software seems to be the established method to plan implant positions. Magnetic resonance imaging (MRI) scans can also display the glenoid bone for preoperative assessment while reducing radiation exposure. Therefore, the objective of this study was to manually assess the glenoid version and inclination in 2D MRI and CT scans in cases with degenerative shoulder pathologies. The results were compared to those of an automated 3D planning software to validate the imaging modality for preoperative glenoid assessment. Methods: MRI and CT scans of 146 patients (n = 41 aTSA; n = 105 rTSA) were included in this retrospective, single-center study. Glenoid version and inclination were measured manually according to Friedman et al and Maurer et al on CT and MRI scans by two observers. Subsequently, the results were compared to the automated measurements performed by planning software. A repeated-measures analysis of variance was performed to compare the measured angles, and the interobserver and intraobserver reliability were calculated using the intraclass correlation coefficients. The level of significance was set at Results: The average glenoid inclination measured in CT scans was 7.94° ± 7.33°, in MRI scans it was 8.56° ± 7.34°, and in automated planning software it was 7.87° ± 7.60°. The analysis of variance revealed significant differences in mean inclination between 2D MRI and 2D CT ( Conclusion: Preoperative assessment of glenoid version and inclination is crucial in ensuring precise implant positioning and orientation in aTSA and rTSA. This study observed a significant level of concordance between manual and automated measuring techniques utilizing MRI and CT scans. The mean glenoid inclination exhibited a statistically significant difference of less than 1° across the assessment modalities, and no difference for glenoid version was noted. It seems to be questionable if this finding is clinically relevant. MRI may serve as a viable and safe option for assessing glenoid morphology, version, and inclination if CT scans are not available.

Indexed as

CTGlenoid assessmentGlenoid inclinationGlenoid versionMRIPreoperative planningShoulder arthroplasty

Identifiers

PMID40182251
PMCPMC11962557

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.