“…This study represents a key first step in expanding our preoperative evaluation of patients with shoulder arthritis. Previously, authors have evaluated primarily the bone quality and morphometry on plain radiographs and CT scans to assess the feasibility of shoulder replacement [4][5][6]. With this study and likely others to follow, perhaps orthopaedic surgeons might consider CT scans or MRI evaluation of the rotator cuff musculature in order to help predict outcomes after shoulder arthroplasty.…”
“…This study represents a key first step in expanding our preoperative evaluation of patients with shoulder arthritis. Previously, authors have evaluated primarily the bone quality and morphometry on plain radiographs and CT scans to assess the feasibility of shoulder replacement [4][5][6]. With this study and likely others to follow, perhaps orthopaedic surgeons might consider CT scans or MRI evaluation of the rotator cuff musculature in order to help predict outcomes after shoulder arthroplasty.…”
“…Multiple studies have supported the role of 2D CT imaging for preoperative planning in total shoulder arthroplasty [17][18][19][20][21][22]. 3D CT imaging has been shown to offer superior accuracy over 2D CT imaging for determining the location of glenoid bone loss and guiding surgical decision-making [23, 24•, 25].…”
Section: Preoperative Planning and Intraoperative Techniquesmentioning
Glenohumeral osteoarthritis produces a wide spectrum of glenoid pathology. The B2 glenoid is defined by asymmetric posterior bone loss with the development of a biconcavity and posterior translation of the humeral head. Progressive bone loss results in increasing glenoid retroversion, which must be corrected during anatomic shoulder arthroplasty. The goals of arthroplasty should also include centering the humeral head and restoring the normal glenoid joint line. When there is minimal bone loss, this may be accomplished with a standard glenoid component and asymmetric reaming. More significant bone loss requires bone grafting or the use of an augmented glenoid component. Reverse shoulder arthroplasty is also an option for older patients or patients with severe bone loss.
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