Loosening of the glenoid component is a frequent cause of failure of total shoulder arthroplasty (TSA). The etiology of glenoid component loosening is multifactorial and includes aseptic osteolysis, rotator cuff insufficiency, soft tissue instability, and infection. A loose glenoid component is frequently associated with a substantial loss of glenoid bone, which necessitates additional procedur...

Introduction: Glenoid version, glenoid surface orientation in the axial plane, has an important role in the passive stabilization of the articular components of the glenohumeral joint. Glenoid shape and version has been associated with glenohumeral instability, arthritis, and rotator cuff tears. Cross-sectional computed tomography (CT) and magnetic resonance (MR) imaging have been demonstrated ...

Severe glenoid wear is technically problematic, has a higher complication rate, and inferior results in the setting of shoulder arthroplasty. This paper introduces four basic strategies for treating glenoid erosion with a reverse shoulder arthroplasty which include; 1. eccentric reaming, 2. bone grafting of glenoid, 3. reaming and bone grafting, and 4. using augmented baseplates. The benefits a...

INTRODUCTION This study quantified bone removed to correct three different sizes of posterior glenoid defects and also quantified the change in rotator cuff muscle length resulting from correction of each defect using three different glenoid designs. METHODS A 3-D computer model quantified the cortical and cancellous bone removed when correcting three sizes of posterior glenoid defects and si...

Advanced glenohumeral osteoarthritis can transform glenoid morphology and, in some cases, is found in association with severe glenoid retroversion. The associated glenoid retroversion leads to difficulty in fixation of the glenoid component in reverse total shoulder arthroplasty. In the context of extreme glenoid wear, structural grafts can be used to restore glenoid volume and version in order...

Glenoid inclination has been associated with rotator cuff tears and superior humeral translation, but the relationship between glenoid inclination and superior humeral translation has not been assessed in vivo. This study compared glenoid inclination between repaired and contralateral shoulders in 21 unilateral rotator cuff repair patients. As a secondary analysis, we assessed the relationship ...

SUMMARY The universally accepted method of measuring glenoid version to determine proper alignment of the glenoid component during total shoulder arthroplasty does not account for the complex and variable relationship of the glenoid vault with the scapular body. Existing evidence indicates that the glenoid and the scapular body development are controlled by independent genetic and biomechanical...

Total shoulder arthroplasty is a common treatment for glenohumeral arthritis. One of the most common failure modes of total shoulder arthroplasty is glenoid loosening, causing postoperative pain, limitation of function, and potentially, the need for revision surgery. The literature has devoted considerable attention to the design of the glenoid component; efforts to better understand the biomec...

HYPOTHESIS Polyethylene components retrieved at revision of total knee and hip replacements have been analyzed to study the effect of design, patient, and surgical factors on initial implant performance, but few studies have reported similar types of findings in retrieved glenoids. MATERIALS AND METHODS From 1979 to 2006, 78 glenoid components were retrieved from revision surgery in 73 patien...

PURPOSE The purpose of this study was to determine quantitatively whether the Latarjet procedure (coracoid transfer to the glenoid) is sufficient to restore a significant defect area of the glenoid. METHODS Fourteen cadaveric shoulders were used (mean age, 76 years; range, 72 to 87 years). An anteroinferior glenoid defect was created and then the coracoid osteotomized to its angle and transfe...