Web1 de mar. de 2024 · The authors validated the “on-track, off-track” paradigm from the biomechanical standpoint using a “moderate” 15% glenoid bone loss model with double-pulley remplissage 19 of on-track (15% humeral arc-length) and off-track (30% arc-length) Hill-Sachs lesions. 20 In this model, an on-track HSL rarely engaged with the anterior … Web9 de mar. de 2024 · Background: The purpose of this study was to assess the clinical outcomes of patients with anterior shoulder instability who underwent surgical treatment according to the on-track/off-track concept. Methods: We retrospectively analyzed patients who underwent surgical treatment according to the glenoid track concept with a …
Glenoid Track Calculator Tim Wang, M.D.
WebUsing the on-track off-track technique of reading MR images, the reviewers correctly predicted 13 of the 18 engaging (off-track) lesions (sensitivity, 72.2%). Among the 58 shoulders that did not engage (on-track), they correctly predicted 51 (specificity, 87.9%). Web1 de ago. de 2024 · Clinical validation studies show that the 'on-track/off-track' concept is able to predict reliably the risk of a HSL being engaged with the glenoid. For off-track lesions, either remplissage or Latarjet procedure is indicated, depending upon the glenoid defect size and the risk of recurrence. Cite this article: EFORT Open Rev 2024;2:343-351. philipp rachinger
MRI Evaluation of Bipolar Bone Loss Using the On-Track Off-Track …
WebIn off-track lesions and less than 25% glenoid bone loss, remplissage should be used. Bone transplant surgery is required for patients with a glenoid bone defect of more than 25%. This narrative review aims to report the most updated findings on “on-track” and “off-track” lesions in GI. The glenoid track refers to the area of contact between the humeral head and glenoid and is defined as ~83% of glenoid width 2,3. A Hill-Sachs defect that is smaller than the track ("on-track") will maintain contact and is at lower risk of engagement and instability. Conversely, a Hill-Sachs defect that is larger than the … Ver mais Determining on-track or off-track lesions was initially described on CT but can also be calculated on MRI 2. Two measurements are … Ver mais Off-track bipolar lesions may be treated surgically with reconstitution of the anteroinferior glenoid bone stock (commonly via a Latarjet procedure) +/- remplissage depending on the size of the Hill-Sachs defect 3. Ver mais Web1 de ago. de 2024 · The Glenoid Track Concept: On-Track and Off-Track—A Narrative Review. The GT concept is a valuable tool for evaluating anterior shoulder instability in patients and isolated Bankart repair should be considered in patients with recurrent instability and an on-track lesion with less than 25% glenoid bone loss. philipp radermacher