Anterior Traumatic Instability with Glenoid Bone Loss

Taverna, Ettore; D’Ambrosi, Riccardo

doi:10.1007/978-3-662-49376-2_36

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Appropriate imaging of the unstable shoulder shows 90 % of bony lesions [20, 27, 64]. Many authors recommend the transfer of the coracoid if the glenoid defect affects 20 % or more of the anteroposterior diameter of the glenoid [7, 17, 40, 62, 65, 67]. The relationship between the width of the glenoid defect and the clinical result continues to be investigated.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic treatment of glenoid bone loss

Taverna

Garavaglia

Ufenast

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Recurrent anterior instability of the glenohumeral joint has long been an arduous problem to solve surgically, owing to its difficulty to the need to restore both osseous and dynamic constraints in the unstable shoulder. Biomechanical studies have indicated that glenoid bone loss shortens the safe arc through which the glenoid can resist axial forces; in these cases, a soft tissue repair alone may be insufficient to maintain stability. Clinical studies have confirmed that major bone loss is associated with an unfavourable outcome. The benefits of using arthroscopic procedures for surgical stabilization of the shoulder include smaller incisions and less soft tissue dissection, better access for repair and, potentially, the maximum respect for the undamaged anatomical structures. The biggest disadvantage of arthroscopic procedures until recently was the inability to successfully treat a significant bone defect. Over the last 10 years, several new arthroscopic techniques have been developed, providing new surgical options for successfully treating soft tissues and bony lesions in anterior-inferior glenohumeral instability. Level of evidence V.

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Section: Introductionmentioning

confidence: 99%

Arthroscopic treatment of glenoid bone loss

Taverna

Garavaglia

Ufenast

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…With glenoid loss over 13% and a small "on track" Hill-Sachs -arthroscopic Laterjet technique. The combination of glenoid loss greater than 13% and moderate/large "off track" Hill-Sachs lesions are indications for an open Laterjet technique or free bone graft and replissage [33,57].…”

Section: Coracoid Transfer: Laterjetmentioning

confidence: 99%

Glenoid bone defect in anterior shoulder instability

Dobrilov

2023

Shoulder Surgery - Open vs Arthroscopic Techniques

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Bipolar bone defect in shoulder instability are main reason for poor results after arthroscopic stabilization for acute or chronic shoulder instability. Precise quantification of those defects and their interaction to each other should be done, when facing patient with multiple shoulder dislocations. Subsequently treatment should be addressed to clinical and imaging findings. CT and MRI are now “gold standards” for decision making regarding bone defects after multiple shoulder dislocations. Bone transfers are established as reliable surgical option for such patients. They provide opportunity to compensate even large bone defects. Laterjet coracoid transfer is one of the best surgical options with easy technique and reliable results.

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Anterior Traumatic Instability with Glenoid Bone Loss

Cited by 2 publications

References 18 publications

Arthroscopic treatment of glenoid bone loss

Arthroscopic treatment of glenoid bone loss

Glenoid bone defect in anterior shoulder instability

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