Glenoid Hypoplasia: A Report of 2 Patients

Manipulative Therapy for Shoulder Pain and Disorders: Expansion of a Systematic Review

“…104 After MMT, both cases had a decrease in pain levels, one showed an increase in ROM, and both continued to respond positively with improving orthopedic test results. Lynch et al 104 concluded that shoulder pain patients that fail to respond to conservative care should be evaluated with advanced imaging for glenoid hypoplasia and that multimodal treatment should be used for management of these patients.…”

“…Pain to palpation AC joint and ↓ length of pectoralis maj and lat dorsi mms 8. x-ray confirmed OA at the AC joint Summarized their major finding of ↓ passive internal rotation in left GH joint internally rotated until the shoulder girdle could be felt by the stabilizing operator's arm/hand over the shoulder/AC joint 2. ↑ Internal rotation 25°, from initial 40 to 65°( at 5 month follow-up) Lynch et al, 2008 104 GHP under SCDP Flattened, shallow and deformed glenoid fossa with left shoulder pain 2 patients Patient 1 1. 27 yr ♀ athlete with gradual/insidious onset of left shoulder pain with overhead activities particularly with lifting weights.…”

“…24,41,47,51,[84][85][86]96,103,104 Evidence was assessed for MMT of the cervical and thoracic spines with and without upper rib manipulation, or shoulder/shoulder girdle and/or FKC MMT combined with exercise or multimodal therapy (see individual studies). 24,41,47,51,[84][85][86]103 In 2009, Chen et al 24 published an RCT^(n = 90) comparing mobilization and exercise therapy vs advice and exercise therapy only.…”

Bilateral Glenoid Hypoplasia in a College Football Athlete

“…Hypoplasia or dysplasia of the glenoid has previously been considered a rare anatomic anomaly and is associated with shoulder pain or instability in athletes (16). Many patients with this condition can be asymptomatic, so the true prevalence is likely underestimated (8,13). Plain x-ray findings are virtually diagnostic, and these include a smooth glenoid surface with incomplete ossification and dysplasia of the scapular neck or a notched (dentate) glenoid surface (13).…”

“…Plain x-ray findings are virtually diagnostic, and these include a smooth glenoid surface with incomplete ossification and dysplasia of the scapular neck or a notched (dentate) glenoid surface (13). Additional bony abnormalities can include dysplasia of the humeral head and hooking of the distal clavicle (8,13). Hypertrophied labral tissue is a common magnetic resonance imaging (MRI) finding in these patients, and a spectrum of labral tears has been described (14,16).…”