Morphology of the Acromion and Scapular Spine with Special Interest in the Strength & Failure Prediction after Reverse Total Shoulder Replacement

Scapular spine fractures following a reverse arthroplasty are a significant clinical concern. This ongoing study looks at the morphology of the acromion and scapular spine with an interest in the strength and failure prediction of the bone. Digital 3D models of the scapular spine were created from cadaver CTs, then bone density and distribution data was obtained. It was found that the cortical bone was most dense just medial of the lateral angle. The cross-sectional area here was also the largest and decreased medially. This has important implications for implant fixation hardware as cortical bone --compared to cancellous bone-- is stronger, denser, and therefore a better option for fixation hardware