International survey on clinical management of anterior shoulder instability
Did you know we also do research on shoulder instability? Together with our clinical partners at the OLVG in Amsterdam, The Netherlands, we conducted an international survey among 197 orthopedic surgeons to map the general diagnostic work-up of anterior shoulder instability. Our work was published in the Archives of Orthopaedic and Trauma Surgery. Click here to read the full article.
Moving on from 2015 to 2016!
First of all we wish you a happy, healthy and succesful New Year! We want to thank our clients and partners for helping us move forward in 2015.
We look back on a successful year. Our user base and the number of scans we processed doubled. So did our team size, pushing us to a bigger office in 2016. We've attended several scientific meetings, with ISHA 2015 in Cambridge UK being one of the highlights.
Technically we've improved too. We started support for MRI as an input modality. Our web platform has been renewed. And last but not least: we've reached the final round of the FICHe eHealth accelerator programme which will allow us to build our new product.
Some of the things you may expect in the new year:
A rollout of our Move Forward™ service in the USA.
Faster delivery of 3D motion simulation reports.
A new image analysis service based on X-rays.
Clinical Graphics' Interactive Workshop Move Forward™ - How you do it at ISHA 2015
Bringing 50 notebooks and a lot of interactivity had its unique set of challenges. In our lunch workshop participants were able to interact directly with the 3D images and answer quiz questions. It would have been impossible to organize this session without the valuable contributions of the expert panel:
Mr Giles Stafford (United Kingdom)
Dr Carlomagno Cárdenas-Nylander (Spain)
Dr Bernardo Aguilera (Colombia)
Dr Emmanuel Audenaert (Belgium)
We want to thank them again for helping us organize this exciting workshop!
ISHA 2015 Invited Talk on Motion Analysis
CEO and founder of Clinical Graphics Peter Krekel contributed to the scientific programme of the ISHA 2015 Annual Scientific Meeting in Cambridge with an invited talk on motion analysis. In a 10 minute talk an overview of past, present and future was given, starting with the first motion analysis system for hips in 1990 (!) and concluding with an outlook on what will be possible in the coming years.
Have MRI? No need for CT!
Although bone is clearly visible on a CT scan, no one likes radiation. Did you know that in the right hands MRI can be a good alternative? With a good protocol you get instant access to Clinical Graphics' MR-based Move Forward™ 3D motion simulation reports! Possibly cost neutral if you currently get MRI and CT. Want to know more? Get in touch with us and we'll get back to you!
Dynamic simulations for FAI - a cadaveric validation study
Röling et al. evaluated the detection of bony impingement in the hip using our simulation software (BMC Musculoskeletal Disorders 2015 16:50). A reduction of range of motion as the result of a cam deformity was correctly detected in 12 out of 13 motion tests. It's open access so please go ahead and read the full article!
Looking back and forward
Recently we attended the Hüftkurs Charité in Berlin, Germany. This month we will be present at the annual scientific meeting of the European Society of Musculoskeletal Radiology, ESSR 2015 in York, UK. In September we will be at the ISHA Annual Scientific Meeting in Cambridge, UK where we will also organize an interactive lunch workshop on Thursday 24 September. We will keep you posted and we are looking forward to see you!
The rise and fall of the hip: from skeletal development to osteoarthritis
In active soccer players cams appear between the age of 12 and +/- 14;
Bigger cams are more likely to lead to OA;
Hip dysplasia leads to OA and anterior dysplasia increases the odds of developing OA;
In general, over-coverage of the acetabulum does not seem to lead to OA.
We expect that the last conclusion is likely to lead to a lot of discussion! Perhaps it is time to differentiate between different types of pincers?
The occurrence of FAI in young soccer players
The British Journal of Sports Medicine published a podcast by Dr Rien Heijboer of the Erasmus MC in Rotterdam. In the 11-minute interview he discusses FAI and its occurrence in young Feyenoord soccer players. He also mentions the Move Forward™ 3D motion simulation service of Clinical Graphics as a tool for pre-operative planning.
Now available: MR based 3D motion simulations!
Until recently our Move Forward™ 3D motion simulation service was CT-based only. After two years of intensive research we are proud to announce that we can now also upgrade your MR images to 3D motion simulation reports. Our specialized MR protocol can be implemented on most MRI systems. Like our CT-based reports, the MR-based reports also include motion simulations, alpha angles, LCE angles, among other parameters. Interested in using our MR-based service? Get in touch with us and we'll get back to you!
Evaluation of the magnitude and location of Cam deformity using 3D CT analysis
An alpha angle measured in a single plane should be viewed with caution: deformities can be misjudged without proper 3D CT analysis. This is a conclusion of the article by Khan and Witt published recently in the Bone & Joint Journal. The Clinical Graphics Move Forward™ service was used to obtain the results. Read more
Can Combining Femoral and Acetabular Morphology Parameters Improve the Characterization of FAI?
This month's edition of CORR features an article by Van Kampen et al. presenting the Omega Zone. The zone combines five parameters into one: the alpha and center-edge angles, acetabular and femoral version, and neck-shaft angle, with the aim of differentiating between patients with and without FAI. Clinical Graphics has been closely involved in its development. Read more
See the joint dynamics of a PAO or Ganz Osteotomy in 3D
Upon request by our partner The London Clinic we have recently added hip dysplasia (PAO) reports to our series of Move Forward™ 3D motion simulation reports for the hip. The report complements our hip impingement (FAI) and total hip arthroplasty (THA) reports, showing you how hip joint dynamics and parameters such as version and joint coverage are altered by a PAO. See for yourself!
Minister of Health visits Clinical Graphics
Edith Schippers, Dutch Minister of Health, recently visited Clinical Graphics headquarters to catch up with innovations which improve quality of health-care and by doing so reduce costs (in the long run). We proudly showed the Minister our validated technology to produce Move Forward™ 3D motion simulation reports.