Journal article
Management of glenoid and humeral bone loss
Sports medicine and arthroscopy review, Vol.18(3), pp.140-148
09/2010
DOI: 10.1097/JSA.0b013e3181e88ef9
PMID: 20711045
Abstract
Glenoid and humeral head bone deficiency is a common reason for recurrent anterior shoulder instability and failure of capsulolabral reconstruction. There is a strong association between the severity of the bone defects and the number and ease of recurrent instability. Clinical evaluation, advanced imaging, examination under anesthesia, and diagnostic arthroscopy are important in decision making. Glenoid bone loss greater than 20%, an engaging Hill-Sachs lesion, or Instability Severity Index Score greater than 6 are indications for an open bony procedure to restore the glenoid articular arc. Hill-Sachs lesions greater than 30% should be directly addressed with either an arthroscopic remplissage technique or open bone grafting procedure.
Details
- Title: Subtitle
- Management of glenoid and humeral bone loss
- Creators
- Matthew J Bollier - Department of Orthopaedic Surgery, University of Iowa, Iowa City, IA 52242, USA. mattbollier@yahoo.comRobert Arciero
- Resource Type
- Journal article
- Publication Details
- Sports medicine and arthroscopy review, Vol.18(3), pp.140-148
- Publisher
- United States
- DOI
- 10.1097/JSA.0b013e3181e88ef9
- PMID
- 20711045
- ISSN
- 1062-8592
- eISSN
- 1538-1951
- Language
- English
- Date published
- 09/2010
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040434502771
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