An 18-year-old woman presented with a history of recurrent glenohumeral dislocations involving her right dominant shoulder. Physical examination suggested physiologic hyperlaxity and anterior instability. Magnetic resonance arthrography demonstrated an anomalous intracapsular origin of the long head of the biceps tendon (LHBT), with normal-appearing LHBT in the intertubercular groove. Diagnosti...

Labral pathologies of the glenohumeral joint are most commonly caused by trauma. The majority of lesions affect the anterior part of labrum, resulting from much higher frequency of anterior shoulder dislocations over posterior ones. Another subgroup of labral lesions, not directly related to joint instability, are SLAP tears. Other findings include degenerative changes of labrum and paralabral ...

BACKGROUND Large glenoid rim defects in patients with traumatic anterior shoulder instability are often regarded as a contraindication for arthroscopic Bankart repair, with a defect of 20% to 27% considered as the critical size. While recurrence of dislocations, male sex, and collision sports were reported to be the significant factors influencing large glenoid defects, the influences of sublux...

The Comprehensive® Shoulder Solutions’ Modular Hybrid Glenoid from Biomet is a revolutionary design for replacement of the glenoid in total shoulder arthroplasty. It provides three outer pegs and three central peg options for surgical implantation. In vitro testing of the Modular Hybrid Glenoid resulted in mean axial pull-out peak loads ranging from 209 to 303 lbf, mean inferior/superior shear ...

Introduction Glenoid prosthesis loosening is a major complication of shoulder arthoplasty, thus highlighting the importance of improving glenoid prostheses longevity [1]. Finite element (FE) stress analyses have been used to assist joint prosthesis designs. Prior FE analyses have employed static or non-linear solutions to compare design variations with respect to stresses in the glenoid bone an...

Address for Correspondence: Dr. Uma S.V, Assistant Professor, Department of Anatomy, Sapthagiri institute of Medical Sciences and Research Centre, No.15,chikkasandra,Hesarghatta main road, Bangalore-560090, Karnataka, India. E-Mail: [email protected] Background: A good understanding of morphometry of glenoid cavity of the scapulae is essential for proper designing of glenoid prosthesis. Moreove...

BACKGROUND Anterior shoulder instability associated with severe glenoid bone loss is rare, and little has been reported on this problem. Recent biomechanical and anatomical studies have suggested guidelines for bony reconstruction of the glenoid. HYPOTHESIS Anatomical glenoid reconstruction will restore stability in shoulders with recurrent anterior instability owing to glenoid bone loss. S...

BACKGROUND Accurate analysis of osseous glenoid morphology is important in treating glenohumeral arthritis and instability. Two-dimensional computed tomography scans are used to evaluate glenoid alignment. Accuracy of this method is dependent on the angle of axial reconstruction in relation to the position of the scapula. The purpose of this study was to investigate the effect of scapular rotat...

PURPOSE Our aim was to test the validity of using the bare spot method to quantify glenoid bone loss arthroscopically in patients with shoulder instability. METHODS Twenty-seven patients with no evidence of instability (18 males, nine females; mean age 59.1 years) were evaluated arthroscopically to assess whether the bare spot is consistently located at the center of the inferior glenoid. Ano...

A subset of patients undergoing primary total shoulder arthroplasty (TSA) have a medialized joint line secondary to glenoid wear. In some cases, the central pegs or peripheral pegs of a peg design glenoid component may violate the medial cortex of the glenoid vault. It is unknown whether this leads to early failure. The objectives of this study were to determine (1) whether glenoid components w...