Proximal humeral joint orientation line
Proximal humeral joint orientation line
- Acronym: PHJOL
Definition
The proximal humeral joint orientation line is a landmark used to assess angular deformities of the humerus and provide indications for their correction.
In the frontal plane, it is determined from a craniocaudal radiograph or multiplanar reconstruction of the humerus: it corresponds to the line connecting the proximal part of the greater tubercle to the line tangential to the head of humerus.
In the sagittal plane, it is determined from a mediolateral radiograph or from a multiplanar reconstruction of the humerus (the circles that best fit the medial and lateral parts of the condyle of humerus must be concentric and not intersect): it corresponds to the line joining the cranioproximal part of the greater tubercle to the caudodistal part of the head of humerus.
References
Jeong J et al. (2020) Measurement of Thoracic Limb Joint Reference Angles in Purebred Shih-Tzu Dogs by Computed Tomography. J Vet Clin 37(4):169 doi.org/10.17555/jvc.2020.08.37.4.169
Wood et al. (2014). Determination of the Mechanical Axis and Joint Orientation Lines in the Canine Humerus: A Radiographic Cadaveric Study. Veterinary Surgery, 43(4), 414–417 doi:10.1111/j.1532-950x.2014.12134.x