BackgroundThis study focused on the unique aspect of investigating shoulder morphometric differences between 2 distinct populations.MethodsWe used 90 computed tomography images of cadaveric shoulders for this study; 45 scans belonged to the South African (SA) cohort (49.74 ± 15.4 years) and the rest were Swiss (CH; 53.8 ± 21 years). The articulating surfaces of the glenohumeral joint were extracted, and their morphometric features, such as head circular diameter, glenoid and humeral head radius of curvature, head height, and humeral height, were measured.ResultsThe mean interpopulation difference in the circular diameter of the humerus was 2.0 mm (P = .017) and 1.86 mm (P > .05) in the anterior-posterior and superior-inferior directions, respectively. The difference in the radius of curvature between the populations was 1.17 mm (P = .037). The SA shoulders were found to be longer than the CH shoulders by 8.4 mm (P > .05). There was no significant difference in the glenoid radius of curvature. The SA shoulders had higher glenohumeral mismatch (P = .005) and lower conformity index (P = .001) in comparison to the CH shoulders.ConclusionThis study presents anatomic differences between African and European glenohumeral articulating surfaces. The results suggest that the glenohumeral geometry is both gender and population specific, and future joint replacements may be designed to address these differences.
Purpose: The knowledge of the normal geometrical characteristics of the proximal humerus is crucial to the success of its arthroplasty. This important information, is however, limited for the South African population. Therefore, this study investigates the three-dimensional morphometric parameters, specifically examining the intra-ancestral differences within the South African population. Methods: With the aid of geometry extraction techniques, various morphometric characteristics were measured on South African cadaveric humeri originating from three ethnicities including whites, blacks, and mixed in the ratio 1:2:4. Results: There is a significant mean difference in humeral head diameter between blacks and whites and between mixed and whites with a mean difference of [Formula: see text]4.86, 95% CI ([Formula: see text], [Formula: see text]) and [Formula: see text], 95% CI ([Formula: see text], [Formula: see text]), respectively. Similarly, for articular surface diameter, a significant mean difference of [Formula: see text], 95% CI ([Formula: see text], [Formula: see text]) and [Formula: see text], 95% CI ([Formula: see text], [Formula: see text]) were recorded between blacks and whites and between mixed and whites, respectively. Conclusion: The outcome of our study showed that the shape of the South African proximal humerus varies distinctively within the different ethnicities that were measured. The findings from this study may provide the data required to design and develop a new shoulder implant appropriate for South African patients.
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