Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability
Recurrent shoulder instability and resultant glenoid and humeral head bone loss are not infrequently encountered in the population today, specifically in young, athletic patients. This review on the management of bone loss in recurrent glenohumeral instability discusses the relevant shoulder anatomy...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/640952 |
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| _version_ | 1832545411675455488 |
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| author | Randy Mascarenhas Jamie Rusen Bryan M. Saltzman Jeff Leiter Jaskarndip Chahal Anthony A. Romeo Peter MacDonald |
| author_facet | Randy Mascarenhas Jamie Rusen Bryan M. Saltzman Jeff Leiter Jaskarndip Chahal Anthony A. Romeo Peter MacDonald |
| author_sort | Randy Mascarenhas |
| collection | DOAJ |
| description | Recurrent shoulder instability and resultant glenoid and humeral head bone loss are not infrequently encountered in the population today, specifically in young, athletic patients. This review on the management of bone loss in recurrent glenohumeral instability discusses the relevant shoulder anatomy that provides stability to the shoulder joint, relevant history and physical examination findings pertinent to recurrent shoulder instability, and the proper radiological imaging choices in its workup. Operative treatments that can be used to treat both glenoid and humeral head bone loss are outlined. These include coracoid transfer procedures and allograft/autograft reconstruction at the glenoid, as well as humeral head disimpaction/humeroplasty, remplissage, humeral osseous allograft reconstruction, rotational osteotomy, partial humeral head arthroplasty, and hemiarthroplasty on the humeral side. Clinical outcomes studies reporting general results of these techniques are highlighted. |
| format | Article |
| id | doaj-art-f511c6a778b545a5b0156ac77f7e3f4c |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-f511c6a778b545a5b0156ac77f7e3f4c2025-02-03T07:25:59ZengWileyAdvances in Orthopedics2090-34642090-34722014-01-01201410.1155/2014/640952640952Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral InstabilityRandy Mascarenhas0Jamie Rusen1Bryan M. Saltzman2Jeff Leiter3Jaskarndip Chahal4Anthony A. Romeo5Peter MacDonald6Department of Orthopedic Surgery, Rush University Medical Center, Suite 300, 1611 West Harrison Street, Chicago, IL 60612, USASunnybrook Hospital, University of Toronto, Room 508-A, 149 College Street, Toronto, ON, M5T 1P5, CanadaDepartment of Orthopedic Surgery, Rush University Medical Center, Suite 300, 1611 West Harrison Street, Chicago, IL 60612, USAPan Am Clinic, 75 Poseidon Bay, Winnipeg, MB, R3M 3E4, CanadaToronto Western Hospital and Women’s College Hospital, University of Toronto, 76 Grenville Street, Toronto, ON, M5S 1B1, CanadaDepartment of Orthopedic Surgery, Rush University Medical Center, Suite 300, 1611 West Harrison Street, Chicago, IL 60612, USADepartment of Orthopaedic Surgery, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, R3T 2N2, CanadaRecurrent shoulder instability and resultant glenoid and humeral head bone loss are not infrequently encountered in the population today, specifically in young, athletic patients. This review on the management of bone loss in recurrent glenohumeral instability discusses the relevant shoulder anatomy that provides stability to the shoulder joint, relevant history and physical examination findings pertinent to recurrent shoulder instability, and the proper radiological imaging choices in its workup. Operative treatments that can be used to treat both glenoid and humeral head bone loss are outlined. These include coracoid transfer procedures and allograft/autograft reconstruction at the glenoid, as well as humeral head disimpaction/humeroplasty, remplissage, humeral osseous allograft reconstruction, rotational osteotomy, partial humeral head arthroplasty, and hemiarthroplasty on the humeral side. Clinical outcomes studies reporting general results of these techniques are highlighted.http://dx.doi.org/10.1155/2014/640952 |
| spellingShingle | Randy Mascarenhas Jamie Rusen Bryan M. Saltzman Jeff Leiter Jaskarndip Chahal Anthony A. Romeo Peter MacDonald Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability Advances in Orthopedics |
| title | Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability |
| title_full | Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability |
| title_fullStr | Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability |
| title_full_unstemmed | Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability |
| title_short | Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability |
| title_sort | management of humeral and glenoid bone loss in recurrent glenohumeral instability |
| url | http://dx.doi.org/10.1155/2014/640952 |
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