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...

Shoulder stability depends on the position of the arm as well as activities of the muscles around the shoulder. The capsulo-ligamentous structures are the main stabilisers with the arm at the end-range of movement, whereas negative intra-articular pressure and concavity-compression effect are the main stabilisers with the arm in the mid-range of movement.There are two types of glenoid bone loss...

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...

INTRODUCTION A computer model quantified glenoid base - plate surface contact area and the amount of humeral and glenoid bone removed by three different reverse shoulder prosthesis designs when implanted with various techniques. METHODS The computer model quantified differences in glenoid baseplate contact area and the cortical and cancellous humeral and glenoid bone removed to implant the 36...

HYPOTHESIS During total shoulder arthroplasty (TSA), humeral head subluxation may be difficult to manage. Furthermore, there is a risk for postoperative recurrence of subluxation, affecting the outcome of TSA. An accurate evaluation of the subluxation is necessary to evaluate this risk. Currently, subluxation is measured in 2 dimensions (2D), usually relative to the glenoid face. The goal of th...

BACKGROUND Use of a baseplate with a smaller diameter in reverse shoulder arthroplasty is increasing, especially in patients with a small glenoid or glenoid wear. However, the effect of a smaller baseplate on stability of the glenoid component has not been evaluated. Thus, the purpose of this study was to determine whether a smaller baseplate (25 mm) is beneficial to the initial stability of th...