Preliminary evaluation of a robotic apparatus for the analysis of passive glenohumeral joint kinematics

Journal of Orthopaedic Surgery and Research

Ugo Della Croce¹  Ara Nazarian²  Joseph P DeAngelis³  Arun J Ramappa³  Andrea Cereatti⁴  Daniel Li²  Stacey K Stanton²  Brett McKenzie²  William A Dow²  Vahid Entezari²  Andreas M Müller⁴  Claudio Rosso⁴ 

[1] Department of Information Engineering, Political Sciences and Communication Sciences, University of Sassari, Sassari 07100, Italy;Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, RN115, Boston, MA 02215, USA;Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA;Orthopaedic Department, University Hospital Basel, University of Basel, Basel, Switzerland

关键词: Glenohumeral joint;    Motion analysis;    Shoulder range of motion;    Shoulder biomechanics;   

Others  :  817684
DOI  :  10.1186/1749-799X-8-24

 received in 2013-03-25, accepted in 2013-07-15,  发布年份 2013

【 摘 要 】

Background

The shoulder has the greatest range of motion of any joint in the human body. This is due, in part, to the complex interplay between the glenohumeral (GH) joint and the scapulothoracic (ST) articulation. Currently, our ability to study shoulder kinematics is limited, because existing models isolate the GH joint and rely on manual manipulation to create motion, and have low reproducibility. Similarly, most established techniques track shoulder motion discontinuously with limited accuracy.

Methods

To overcome these problems, we have designed a novel system in which the shoulder girdle is studied intact, incorporating both GH and ST motions. In this system, highly reproducible trajectories are created using a robotic actuator to control the intact shoulder girdle. High-speed cameras are employed to track retroreflective bone markers continuously.

Results

We evaluated this automated system’s capacity to reproducibly capture GH translation in intact and pathologic shoulder conditions. A pair of shoulders (left and right) were tested during forward elevation at baseline, with a winged scapula, and after creation of a full thickness supraspinatus tear.

Discussion

The system detected differences in GH translations as small as 0.5 mm between different conditions. For each, three consecutive trials were performed and demonstrated high reproducibility and high precision.

【 授权许可】

   
2013 Rosso et al.; licensee BioMed Central Ltd.

【 图 表 】

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