Anterior and posterior glenoid bone augmentation options for shoulder instability: State of the art

Emilio Calvo, Eiji Itoi, Philippe Landreau, Guillermo Arce, Nobuyuki Yamamoto, Jie Ma, Sara Sparavalo, Ivan Wong

研究成果: Review article査読

抄録

Bony lesions are highly prevalent in anterior shoulder instability and can be a significant cause of failure of stabilisation procedures if they are not adequately addressed. The glenoid track concept describes the dynamic interaction between the humeral head and glenoid defects in anterior shoulder instability. It has been beneficial for understanding the role played by bone defects in this entity. As a consequence, the popularity of glenoid augmentation procedures aimed to treat anterior glenoid bone defects; reconstructing the anatomy of the glenohumeral joint has risen sharply in the last decade. Although bone defects are less common in posterior instability, posterior bone block procedures can be indicated to treat not only posterior bony lesions, attritional posterior glenoid erosion or dysplasia but also normal or retroverted glenoids to provide an extended glenoid surface to increase the glenohumeral stability. The purpose of this review was to analyse the rationale, current indications and results of surgical techniques aimed to augment the glenoid surface in patients diagnosed of either anterior or posterior instability by assessing a thorough review of modern literature. Classical techniques such as Latarjet or free bone block procedures have proven to be effective in augmenting the glenoid surface and consequently achieving adequate shoulder stability with good clinical outcomes and early return to athletic activity. Innovations in surgical techniques have permitted to perform these procedures arthroscopically. Arthroscopy provides the theoretical advantages of lower morbidity and faster recovery, as well as the identification and treatment of concomitant pathologies.

本文言語English
ページ(範囲)308-317
ページ数10
ジャーナルJournal of ISAKOS
6
5
DOI
出版ステータスPublished - 2021 9 1

ASJC Scopus subject areas

  • 外科
  • 整形外科およびスポーツ医学

フィンガープリント

「Anterior and posterior glenoid bone augmentation options for shoulder instability: State of the art」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル