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Abstract
Background
Glenoid version is an important factor in the evaluation of shoulder stability and shoulder pathologies. However, there are neither established reference values nor known factors that influence the glenoid version, even though valid reference values are needed for diagnostic and orthopaedic surgery like corrective osteotomy and total or reverse shoulder arthroplasty (TSA/RSA). The aim of our population-based study was to identify factors influencing the glenoid version and to establish reference values from a large-scale population cohort.
Results
Our study explored the glenoid versions in a large sample representing the general adult population. We investigated 3004 participants in the population-based Study of Health in Pomerania (SHIP). Glenoid version was measured for both shoulders via magnetic resonance imaging (MRI). Associations with the glenoid version were calculated for sex, age, body height, body weight and BMI. The reference values for glenoid version in the central European population range between −9° and 7.5°, while multiple factors are associated with the glenoid version.
Conclusion
To achieve a reliable interpretation prior to orthopaedic surgery, sex- and age-adjusted reference values are proposed.
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Details

1 BG Unfallklinik Tübingen, Eberhard Karls University Tübingen, Department of Traumatology and Reconstructive Surgery, Tübingen, Germany (GRID:grid.10392.39) (ISNI:0000 0001 2190 1447)
2 University Medicine Greifswald, Clinic of Trauma, Reconstructive Surgery and Rehabilitation Medicine, Greifswald, Germany (GRID:grid.412469.c) (ISNI:0000 0000 9116 8976)
3 Ernst-Moritz-Arndt University of Greifswald, Institute for Community Medicine, Greifswald, Germany (GRID:grid.5603.0) (ISNI:0000 0001 2353 1531)
4 BG Unfallklinik Tübingen, Eberhard Karls University Tübingen, Department of Traumatology and Reconstructive Surgery, Tübingen, Germany (GRID:grid.10392.39) (ISNI:0000 0001 2190 1447); BG Unfallklinik Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany (GRID:grid.10392.39) (ISNI:0000 0001 2190 1447)
5 University of Malta, Department of Trauma and Orthopaedics, Mater Dei Hospital, Msida, Malta (GRID:grid.4462.4) (ISNI:0000 0001 2176 9482)
6 University Medicine Greifswald, Institute of Diagnostic Radiology and Neuroradiology, Greifswald, Germany (GRID:grid.412469.c) (ISNI:0000 0000 9116 8976)