Efficacy of the Rotational Traction Method in the Assessment of Glenohumeral Cartilage Surface Area in Computed Tomography Arthrography


POLAT G., OĞUL H., YALÇIN A., TUNCER K., Kaya S., Pirimoglu B., ...Daha Fazla

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, cilt.43, sa.2, ss.345-349, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 43 Sayı: 2
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1097/rct.0000000000000809
  • Dergi Adı: JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.345-349
  • Anahtar Kelimeler: arthrography, cartilage, computed tomography, glenohumeral joint, rotational traction, MAGNETIC-RESONANCE ARTHROGRAPHY, DIRECT MR ARTHROGRAPHY, CT-ARTHROGRAPHY, JOINT CARTILAGE, AXIAL TRACTION, LESIONS, SHOULDER, FEASIBILITY, INSTABILITY
  • Atatürk Üniversitesi Adresli: Evet

Özet

Objective We aimed to investigate the efficacy of the rotational traction method in expanding the joint space and enabling the assessment of an extended surface area. Methods Sixty patients who underwent computed tomography arthrography were evaluated in the study: 30 with and 30 without the help of rotational traction. The subgroups consisted of patients with adhesive capsulitis, habitual luxation, or labral tears. Areas of obscured joint surface by coalescent cartilages were calculated using computer software, and those belonging to the traction and nontraction groups along with subgroups were compared statistically. Results There was a significant difference between the traction and nontraction group regarding the contact surface area (P < 0.001 for both observers). In patients with adhesive capsulitis, the contact surface area was larger compared with the other subgroups (P = 0.002 for observer 1 and P = 0.002 for observer 2). In patients with habitual luxation, the contact surface area was smaller compared with the other subgroups (P = 0.002 for observer 1 and P = 0.001 for observer 2). Conclusions Expansion of joint distance is important for assessing the joint cartilage. The rotational traction method provides effective separation of the joint space. For this reason, rotational traction can be used effectively in patients in whom the joint cartilage is to be evaluated.