BACKGROUND The purpose of this computational modeling study was to compare the volume of glenoid bone removal required to implant 3 augmented component designs for management of B2 erosions. In addition, we assessed bone quality of the supporting bone directly beneath the implants by measuring bone density and porosity. METHODS Three augmented component designs—full-wedge, posterior-wedge, an...

BACKGROUND It is not clear whether the anterior capsule should be repaired to the coracoid process or to the native glenoid during the modified Latarjet procedure. We investigated joint stability and range of motion of the shoulder after the modified Latarjet procedure with both of these methods of capsular repair. METHODS Eighteen fresh-frozen cadaveric shoulders were used. After a Bankart l...

BACKGROUND Cuff tear arthropathy is the primary indication for total reverse shoulder arthroplasty. In patients with pseudoparalytic shoulders secondary to irreparable rotator cuff tear, reverse shoulder arthroplasty allows restoration of active anterior elevation and painless shoulder. High rates of glenoid notching have also been reported. We designed a new reverse shoulder arthroplasty with ...

PURPOSE To assess the ability of 3-dimensional (3D) magnetic resonance imaging (MRI, 1.5 and 3 tesla [T]) to quantify glenoid bone loss in a cadaveric model compared with the current gold standard, 3D computed tomography (CT). METHODS Six cadaveric shoulders were used to create a bone loss model, leaving the surrounding soft tissues intact. The anteroposterior (AP) dimension of the glenoid wa...

UNLABELLED Fractures of the scapula body are relatively rare constituting 1% of all fractures and 5% of all fractures around shoulder (1). They are usually caused due to high energy vehicular trauma or fall of heavy object over scapula (1,2,3). In most cases of scapula fractures, early functional treatment gives good or excellent results (1,2). Operative treatment may however be indicated in hi...

Previous research has shown that the position of glenoid fossa differs in different skeletal relationships. However, it is hard to identify and trace the glenoid fossa on a lateral cephalometric radiograph. The aim of the present study was to evaluate the anteroposterior and the vertical positions of the porion point (P) in different skeletal relationships as seen on lateral cephalometric radio...

The treatment of glenoid bone loss in the setting of recurrent shoulder instability remains a challenge. This is because of the nonanatomic nature and resultant incongruous joint resulting from most bony augmentation procedures. We present a novel technique for the management of glenoid bone deficiency by using a fresh osteochondral distal tibial allograft. We have found that the distal tibia h...

Background Reverse total shoulder arthroplasty is an increasingly utilized treatment option for glenohumeral arthritis with massive, irreparable rotator cuff disruption associated with loss of glenohumeral stability and function. Several reverse shoulder implant designs from different manufacturers have been introduced to the market in recent years. Fixation of the glenoid base plate has been s...

INTRODUCTION Glenohumeral stability, defined as humeral head translations, is a key point after shoulder arthroplasty. Indeed this parameter is one of the determining factors in the glenoid loosening since linked with the rocking horse effect [1]. In an intact shoulder, translations are controled by all active and passive elements, especially the labrum [2]. In a prosthetic shoulder, translatio...

Glenoid replacement is technically challenging. Removal of a cemented glenoid component often results in a large osseous defect which makes the immediate introduction of a revision prosthesis almost impossible. We describe a two-stage revision procedure using a reversed shoulder prosthesis. Freeze-dried allograft with platelet-derived growth factor was used to fill the glenoid defect. Radiologi...