Radiodiagnostics in Shoulder Joint Arthroplasty (Literature Review)

Abstract

Shoulder joint replacement is becoming an increasingly common procedure for severe injuries and diseases of the proximal humerus, which in turn requires a thorough and purposeful preoperative examination of patients, respectively, expansion and improvement of the diagnostic program used by them, one of the most important elements of which are radiation diagnostic methods, in particular standard radiography and multisection computed tomography.Analyzing the given literature data, it can be noted that the use of multisection computed tomography allows to ensure the most accurate position of the components of the endoprosthesis at the preoperative stage, allows the use of digital planning programs for a specific patient and significantly increases the reliability of the results of long-term follow-up of patients at the postoperative stage in the detection of signs of aseptic instability.However, despite the fact that multisection computed tomography is widely used in patients at the preoperative stage, a number of parameters for the placement of endoprosthesis components, in particular the glenoid component of the endoprosthesis, still do not have a single standard for planning, in addition, it requires refinement of the algorithm for the use of multisection computer tomography at the postoperative stage, due to artifacts that reduce the quality of images and preventing a reliable analysis of the fixation of the components of the endoprosthesis.