Technique and application of a non-invasive three dimensional image matching method for the study of total shoulder arthroplasty

Knowledge of in-vivo glenohumeral joint biomechanics after total shoulder arthroplasty are important for the improvement of patient function, implant longevity and surgical technique. No data has been published on the in-vivo glenohumeral joint contact locations in patients after total shoulder arthroplasty. Therefore, the objectives of this thesis were to determine the in-vivo glenohumeral joint contact locations and humeral head translations in patients after total shoulder arthroplasty. First, a non-invasive three dimensional fluoroscopic image matching method was developed and validated for use in the shoulder joint complex. Next, a group of patients that have undergone clinically successful total shoulder arthroplasty surgeries were recruited for study and imaged by the fluoroscopic imaging technique.The fluoroscopic imaging system was recreated in a virtual environment and the in vivo kinematics that were recorded by the fluoroscopes were recreated with three dimensional models. The contact centroids of the glenohumeral joint and humeral head translations were measured using solid modeling software. In summary, this thesis quantified the in-vivo glenohumeral joint contact locations and humeral head translations after total shoulder arthroplasty. These data provides surgeons and engineers valuable information for developing surgical treatments that may better help recreate 'normal' motion of the shoulder after total shoulder arthroplasty.

Department dc:contributor.department

Massachusetts Institute of Technology. Dept. of Mechanical Engineering.

Grantor dc:publisher

Massachusetts Institute of Technology

Year dc:date.issued

2009

Author dc:creator

• Massimini, Daniel Frank

Advisor dc:contributor.advisor

• Guoan Li and Derek Rowell.

• Mechanical Engineering.

Statement dc:rights

• M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission.

Licence dc:rights.uri

• http://dspace.mit.edu/handle/1721.1/7582

Language dc:language.iso

eng

Handle dc:identifier.uri

http://hdl.handle.net/1721.1/46384

OAI identifier oai:identifier

oai:dspace.mit.edu:1721.1/46384