The inverted pear glenoid: an indicator of significant glenoid bone loss

Lo, Ian K.Y.; Parten, Peter M.; Burkhart, Stephen S.

doi:10.1016/j.arthro.2003.11.036

Cited by 374 publications

(284 citation statements)

References 7 publications

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“…2 Itoi et al 9 have suggested a threshold of 20% to 25% loss as an indication for a bony reconstructive procedure. Burkhart and colleagues 10 have gone on to popularize the concept of the inverted peareshaped glenoid as a risk factor for failed soft-tissue Bankart procedures. More recent work by Shaha et al 11 has questioned the 20% to 25% threshold.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Iliac Crest Bone Grafting to the Anterior Glenoid

Fortun¹,

Wong

Burns

2016

Arthroscopy Techniques

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Failed arthroscopic soft-tissue stabilization and anterior glenoid bone loss have been shown to have high failure rates after standard arthroscopic stabilization techniques. For patients with recurrent glenohumeral instability, the Bristow-Latarjet procedure is currently the standard of care. It is predominantly performed through an open deltopectoral approach but has recently been described arthroscopically. Although providing excellent clinical outcomes, the BristowLatarjet procedure violates the subscapularis muscle, has a steep learning curve with a high complication rate, and permanently changes the anterior shoulder anatomy, making any future revision surgery more challenging. We describe a technique for arthroscopic anterior glenoid augmentation using iliac crest bone graft that does not violate the subscapularis, by creating a far anterior-medial portal that traverses superior to the subscapularis and lateral to the conjoint tendon. The graft is passed through this portal and secured with rigid fixation. An arthroscopic Bankart capsulolabral repair is then performed, making the graft extra-articular. A remplissage can easily be added as indicated, allowing this procedure to arthroscopically address all 3 major components of structural instability: glenoid bone loss, capsulolabral tearing, and humeral bone loss.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Iliac Crest Bone Grafting to the Anterior Glenoid

Fortun¹,

Wong

Burns

2016

Arthroscopy Techniques

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“…Íàëè÷èå êîñòíîãî äåôèöèòà ïå-ðåäíåãî êðàÿ ñóñòàâíîé âïàäèíû âûÿâëÿåòñÿ â 20-30% ñëó÷àåâ ó ïàöèåíòîâ, ïåðåíåñøèõ ïåðâè÷íóþ òðàâìàòè-÷åñêóþ äèñëîêàöèþ [16], äî 90% ñëó÷àåâ -ó ïàöèåíòîâ ñ ðåöèäèâèðóþùèìè âûâèõàìè [17,18]. Ïîâðåaeäåíèÿ Hill-Sachs áûëè îòìå÷åíû â 31-93% ñëó÷àåâ ïåðâè÷íîãî è ïîâòîðíîãî âûâèõîâ ïëå÷à, à òàêaeå â 76% ñëó÷àåâ íåóäà÷íûõ ñòàáèëèçàöèé [19].…”

Section: литературный обзор современных этаповunclassified

“…Lo è ñîàâò. [27] íà îñíîâàíèè îáúåêòèâ-íîé àðòðîñêîïè÷åñêîé êàðòèíû, ïîçâîëÿåò îïðåäåëÿòü àáñîëþòíûå ïîêàçàíèÿ (áîëåå 25% ïëîùàäè ãëåíîèäà) äëÿ âûïîëíåíèÿ êîñòíî-ïëàñòè÷åñêèõ îïåðàöèé.…”

Section: литературный обзор современных этаповunclassified

The Historical Review and Trends in the Development of Surgical Treatment of Reccurent Shoulder Instability

Прохоренко¹,

Filipenko²,

Fomenko³

2016

Bûll. sib. med.

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“…6,7 As a result, it has been recommended that defects greater than 25% of the glenoid should be reconstructed. 4,8,9 Principles of surgical management are directed by the degree of osseous injury to the glenoid, the surgeon's experience, and patient-related factors such as work demands and athletic endeavors. 4,10 Treatment of anterior instability of the shoulder is a balance between gaining glenohumeral stability and minimizing loss of glenohumeral motion.…”

mentioning

confidence: 99%

Use of a Cutting Instrument for Fresh Osteochondral Distal Tibia Allograft Preparation: Treatment of Glenoid Bone Loss

Ferrari

Sanchez

Sánchez

et al. 2017

Arthroscopy Techniques

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Glenoid bone loss presents a major risk for glenohumeral instability that has been well recognized as a cause of instability recurrence after attempted Bankart repair, and although most surgeons consider the Latarjet procedure as the gold standard, failures can occur with this technique as well and the search for alternative grafts to address glenoid bone loss is a major topic of ongoing research in the field. Of these techniques, the distal tibia allograft (DTA) has been shown to provide an excellent option to restore glenoid biomechanics, due to its congruency with the humeral head, dense bony quality, and the facility of harvest. The correct preparation of the DTA is essential to provide the most anatomic reconstruction possible and to avoid damage to the graft. The purpose of this Technical Note is to present our technique for cutting the DTA in detail, using a special workstation to optimize this procedure.

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The inverted pear glenoid: an indicator of significant glenoid bone loss

Cited by 374 publications

References 7 publications

Arthroscopic Iliac Crest Bone Grafting to the Anterior Glenoid

Arthroscopic Iliac Crest Bone Grafting to the Anterior Glenoid

The Historical Review and Trends in the Development of Surgical Treatment of Reccurent Shoulder Instability

Use of a Cutting Instrument for Fresh Osteochondral Distal Tibia Allograft Preparation: Treatment of Glenoid Bone Loss

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