A Morphological Evaluation of Shoulder Parameters: A Medical Support Tool for the Diagnosis

Shoulder disorders are very common in the middle-aged population, due to several causes. The traditional diagnosis relies on the knowledge and the experience of the physician but a clinical misinterpretation in this early phase can have serious consequences for the patient’s health. The aim of this study is to investigate morphological shoulder parameters, as indicators of healthy or pathological conditions. In this way, it is possible to generate a quantitative report, based on measurements. It can be exploited as a medical support tool for physicians to either confirm the diagnosis, or to raise reasonable doubts, as far as the results differed. However, not all the shoulder disorders can be identified through this approach. Magnetic Resonance and Computed Tomography images of pathological shoulders have been employed for the study. The predefined morphological parameters have been measured on 2D medical images as well as from 3D reconstructed virtual model. Critical Shoulder Angle has been identified as the most significant parameter. It is well known that it is affected by Glenoid Inclination, Lateral Acromial Extension and Acromial Height. However, the contribution of each factor is not clear. Hence, a statistical analysis has been performed to understand how its sub-parameters influence it.