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» A thorough understanding of glenoid deformity is essential to anticipate intraoperative needs and manage bony deficiencies. Management strategies include eccentric reaming, alternate scapular line baseplate orientation, bone grafting, or metallic augmentation as either "off-the-shelf" or custom baseplates. Accurate implantation of the glenoid component in the presence of glenoid bone loss (GBL) may also benefit from shoulderspecific guides, navigation, or robotic assistance. » GBL can negatively affect outcomes due to compromised bony fixation, altered soft tissue tensioning, and component malposition, which can contribute to impingement, dislocation, aseptic loosening, polyethylene wear, and component failure. » In this article, we provide a comprehensive review of published literature regarding the management of GBL in primary RSA and provide additional insight on the effectiveness of current approaches to manage bony deficiency.
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http://dx.doi.org/10.2106/JBJS.OA.25.00131 | DOI Listing |
Arthroscopy
September 2025
University of Pittsburgh Medical Center, Department of Orthopaedic Surgery. Electronic address:
Recurrent anterior instability with glenoid bone loss is a difficult problem with several surgical options. The Latarjet technique remains the gold standard for glenoid bone reconstruction in the setting of critical glenoid bone loss with excellent long-term outcomes. However, this technique has well known downsides including high rates of complications.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
September 2025
Department of Orthopedic Surgery, University Hospital Leuven, Leuven, Belgium; Department of Development and Regeneration, KU Leuven - University of Leuven, Leuven, Belgium. Electronic address:
Background: Management of a first-time anterior shoulder dislocation in young and active patients remains a topic of ongoing debate. This study aims to use choice-based conjoint analysis to identify the factors influencing a surgeon's decision-making process and explore potential heterogeneity in the identified decision patterns.
Methods: A discrete choice experiment was conducted among all 94 members of the Belgian Elbow and Shoulder Society.
Mil Med
September 2025
Department of Orthopedic Surgery, Armed Forces Daejeon Hospital, Daejeon, Korea.
Background: Shoulder instability is a frequent concern in active duty military personnel because of the high physical demands of service. Arthroscopic Bankart repair is commonly employed to address anterior shoulder instability, but there is limited data on return-to-duty outcomes in military cohorts, particularly in the South Korean population.
Methods: This retrospective study included 30 active duty male soldiers who underwent isolated arthroscopic Bankart repair at a single military hospital.
Am J Sports Med
September 2025
Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Background: The extent to which excessive glenoid retroversion leads to increased glenohumeral contact pressures and whether these increases can be mitigated surgically is unknown.
Purpose: To evaluate the effect of excessive glenoid retroversion and posterior iliac crest bone grafting (ICBG) with or without glenoid osteotomy on glenohumeral contact patterns.
Study Design: Controlled laboratory study.
Bone Joint J
September 2025
Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA.
Aims: Dislocation arthropathy of the shoulder is an advanced arthritis resulting from recurrent glenohumeral dislocation with or without previous stabilization surgery. The aim of this study was to compare the clinical results of reverse total shoulder arthroplasty (RTSA) in patients with dislocation arthropathy with those with primary osteoarthritis (OA) and glenoid bone loss.
Methods: This was a retrospective matched cohort study including 22 patients with dislocation arthropathy who were treated by one surgeon between 2011 and 2021 and a matched group of 44 patients who were also treated with RTSA, for OA.