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Morphology of the normal and arthritic glenoid

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Abstract

The normal glenoid has a pear-shape aspect and is slightly retroverted. It has a variable orientation in the sagittal plane. The cartilage surface area corresponds to 28 % of the area of the humeral head with a radius of curvature greater than the humeral head. Mechanical properties are significantly higher at the center and posterior edge of the glenoid. With osteoarthritis, the glenoid becomes larger with a greater width and an increasing of the retroversion angle. The wear can be centric or excentric. Mechanical properties are significantly higher at the center and posterior edge of the glenoid.

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References

  1. Aigner F, Longato S, Fritsch H, Kralinger F (2004) Anatomical considerations regarding the “bare spot” of the glenoid cavity. Surg Radiol Anat 26:308–311

    Article  PubMed  CAS  Google Scholar 

  2. Anetzberger H, Putz R (1996) The scapula: principles of construction and stress. Acta Anat 156:70–80

    Article  PubMed  CAS  Google Scholar 

  3. Beluffi G, Fiori P, Rodino C (1998) Bilateral glenoid hypoplasia. Eur Radiol 8:986–988

    Article  PubMed  CAS  Google Scholar 

  4. Bicknell RT, Patterson SD, King GJ, Chess DG, Johnson JA (2007) Glenoid vault endosteal dimensions: an anthropometric study with special interest in implant design. J Should Elb Surg 16:96S–101S

    Article  Google Scholar 

  5. Bicos J, Mazzocca A, Romeo AA (2005) The glenoid center line. Orthopedics 28:581–585

    PubMed  Google Scholar 

  6. Brewer BJ, Wubben RC, Carrera GF (1986) Excessive retroversion of the glenoid cavity. A cause of non-traumatic posterior instability of the shoulder. J Bone Joint Surg Am 68:724–731

    PubMed  CAS  Google Scholar 

  7. Checroun AJ, Hawkins C, Kummer FJ, Zuckerman JD (2002) Fit of current glenoid component designs: an anatomic cadaver study. J Should Elb Surg 11:614–617

    Article  Google Scholar 

  8. Churchill RS, Brems JJ, Kotschi H (2001) Glenoid size, inclination, and version: an anatomic study. J Should Elb Surg 10:327–332

    Article  CAS  Google Scholar 

  9. Codman EA (1934) The shoulder. Rupture of the supraspinatus tendon and other lesions in or about the subacromial Bursa. Boston

  10. Collins JI, Colston WC, Swayne LC (1995) MR findings in congenital glenoid dysplasia. J Comput Assist Tomogr 19:819–821

    Article  PubMed  CAS  Google Scholar 

  11. Couteau B, Mansat P, Mansat M, Darmana R, Egan J (2001) In vivo characterization of glenoid with use of computed tomography. J Should Elb Surg 10:116–122

    Article  CAS  Google Scholar 

  12. Cyprien JM, Vasey HM, Burdet A, Bonvin JC, Kritsikis N, Vuagnat P (1983) Humeral retrotorsion and glenohumeral relationship in the normal shoulder and in recurrent anterior dislocation. Clin Orthop Relat Res 175:8–17

    PubMed  Google Scholar 

  13. Das SP, Ray GS, Saha AK (1966) Observations on the tilt of the glenoid cavity of the scapula. J Anat Soc India 15:114–118

    Google Scholar 

  14. De Wilde LF, Berghs BM, Audenaert E, Sys G, Van Maele GO, Barbaix E (2004) About the variability of the shape of the glenoid cavity. Surg Radiol Anat 26:54–59

    Article  PubMed  Google Scholar 

  15. De Wilde LF, Berghs BM, VandeVyver F, Schepens A, Verdonk RC (2003) Glenohumeral relationship in the transverse plane of the body. J Should Elb Surg 12:260–267

    Article  Google Scholar 

  16. Edelson JG (1995) Localized glenoid hypoplasia. An anatomic variation of possible clinical significance. Clin Orthop 321:189–195

    PubMed  Google Scholar 

  17. Edelson JG (1995) Patterns of degenerative change in the glenohumeral joint. J Bone Joint Surg Br 77:288–292

    PubMed  CAS  Google Scholar 

  18. Edwards TB, Boulahia A, Kempf JF, Boileau P, Némoz C, Walch G (2004) Shoulder arthroplasty in patients with osteoarthritis and dysplatic glenoid morphology. J Should Elb Surg 13:1–4

    Article  Google Scholar 

  19. Flatow EL, Soslowski LJ, Ateshian GA et al (1991) Shoulder joint anatomy and the effect of subluxations and size mismatch on patterns of glenohumeral contact. Orthop Trans 15:803–804

    Google Scholar 

  20. Frich LH, Odgaard A, Dalstra M (1998) Glenoid bone architecture. J Should Elb Surg 7:356–361

    Article  CAS  Google Scholar 

  21. Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of glenoid version. Jone Boint Surg Am 74:1032–1037

    CAS  Google Scholar 

  22. Fuhrman W, Koch F, Rauterberg K (1968) Dominant erbliche hypoplasie und bewegungseinschrankung beider schultergelenke. Zeitschr Orthop 104:584–588

    Google Scholar 

  23. Gallino M, Santamaria E, Doro T (1998) Anthropometry of the scapula: clinical and surgical considerations. J Should Elb Surg 7:284–291

    Article  CAS  Google Scholar 

  24. Gouaze A, Castaing J, Soutoul JH, Chantepie G (1962) Sur l’orientation de l’omoplate et de sa cavité glenoïde. [On the orientation of the scapula and of its glenoid cavity]. Arch Anat Pathol 10:175–181

    CAS  Google Scholar 

  25. Gray’s anatomy of the human body. Osteology: the scapula (shoulder blade)

  26. Grignard F, De Maeseneer M, Scheerlinck T, Handelberg F, Shahabpour M, Machiels F, Osteaux M (1998) Glenoid dysplasia: radiographic and CT arthrographic findings. J Belge Radiol 81:82–83

    PubMed  CAS  Google Scholar 

  27. Habermeyer P, Magosch P, Luz V, Lichtenberg S (2006) Three-dimensional glenoid deformity in patients with osteoarthritis: a radiographic analysis. JBJS Am 88:1301–1307

    Article  PubMed  CAS  Google Scholar 

  28. Howell SM, Galinat BJ (1989) The glenoid-labral socket. A constrained articular surface. Clin Orthop 243:122–125

    PubMed  Google Scholar 

  29. Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships. J Bone Joint Surg Am 74:491–500

    PubMed  CAS  Google Scholar 

  30. Jobe CM, Iannotti JP (1995) Limits imposed on glenohumeral motion by joint geometry. J Should Elb Surg 4:281–285

    Article  CAS  Google Scholar 

  31. Karelse A, Kegels L, De Wilde L (2007) The pillars of the scapula. Clin Anat 20:392–399

    Article  PubMed  Google Scholar 

  32. Kelkar R, Wang VM, Flatow EL, Newton PM, Ateshian GA, Bigliani LU, Pawluk RJ, Mow VC (2001) Glenohumeral mechanics: a study of articular geometry, contact, and kinematics. J Should Elb Surg 10:73–84

    Article  CAS  Google Scholar 

  33. Kerr R, Resnick D, Pineda C, Haghighi P (1985) Osteoarthritis of the glenohumeral joint: a radiologic–pathologic study. Am J Roent 144:967–972

    Article  CAS  Google Scholar 

  34. Kwon YW, Powell KA, Yum JK, Brems JJ, Iannotti JP (2005) Use of three-dimensional computed tomography for the analysis of the glenoid anatomy. J Should Elb Surg 14:85–90

    Article  Google Scholar 

  35. Lintner DM, Sebastianelli WJ, Hanks GA, Kalenak A (1992) Glenoid dysplasia. A case report and review of the literature. Clin Orthop 283:145–148

    PubMed  Google Scholar 

  36. Mallon WJ, Brown HR, Vogler JB, Martinez S III (1992) Radiographic and geometric anatomy of the scapula. Clin Orthop 277:142–154

    PubMed  Google Scholar 

  37. Manns RA, Davies AM (1991) Glenoid hypoplasia: assessment by computed tomographic arthrography. Clin Radiol 43:316–320

    Article  PubMed  CAS  Google Scholar 

  38. Mansat P, Barea C, Hobatho MC, Darmana R, Mansat M (1998) Anatomic variation of the mechanical properties of the glenoid. J Should Elb Surg 7:109–115

    Article  CAS  Google Scholar 

  39. McPherson EJ, Friedman RJ, An YH, Chokesi R, Dooley RL (1997) Anthropometric study of normal glenohumeral relationships. J Should Elb Surg 6:105–112

    Article  CAS  Google Scholar 

  40. Mintzer CM, Waters PM, Brown DJ (1996) Glenoid version in children. J Pediatr Orthop 16:563–566

    Article  PubMed  CAS  Google Scholar 

  41. Mullaji AB, Beddow FH, Lamb GHR (1994) CT measurement of glenoid erosion in arthritis. J Bone Joint Surg Br 76:384–388

    PubMed  CAS  Google Scholar 

  42. Nakagawa Y, Hyakuna K, Otani S, Hashitani M, Nakamura T (1999) Epidemiologic study of glenohumeral osteoarthritis with plain radiography. J Should Elb Surg 8:580–584

    Article  CAS  Google Scholar 

  43. Neer CS, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Joint Surg Am 64:319–337

    PubMed  Google Scholar 

  44. Neer CS (1961) Degenerative lesions of the proximal humeral articular surface. Clin Orthop Relat Res 20:116–125

    Google Scholar 

  45. Neer CS (1974) Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 56:1–13

    PubMed  Google Scholar 

  46. Nyffeler RW, Jost B, Pfirrmann CWA, Gerber C (2003) Measurement of glenoid version: conventional radiographs versus computed tomography scans. J Should Elb Surg 12:493–496

    Article  Google Scholar 

  47. Petersson CJ (1983) Degeneration of the gleno-humeral joint. Acta Orthop Scand 54:277–283

    Article  PubMed  CAS  Google Scholar 

  48. Prescher A (2000) Anatomical basics, variations, and degenerative changes of the shoulder joint and shoulder girdle. Eur J Rad 35:88–102

    Article  CAS  Google Scholar 

  49. Randelli M, Gambrioli PL (1986) Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop Relat Res 208:151–156

    PubMed  Google Scholar 

  50. Saha AK (1971) Dynamic stability of the glenohumeral joint. Acta Orthop Scand 42:491

    Article  PubMed  CAS  Google Scholar 

  51. Schulz CU, Pfahler M, Anetzberger HM, Becker CR, Müller-Gerbl M, Refior HJ (2002) The mineralization patterns at the subchondral bone plate of the glenoid cavity in healthy shoulders. J Should Elb Surg 11:174–181

    Article  Google Scholar 

  52. Soslowsky LJ, Flatow EL, Bigliani LU, Mow VC (1992) Articular geometry of the glenohumeral joint. Clin Orthop 285:181–190

    PubMed  Google Scholar 

  53. Sperling JW, Cofield RH, Steinmann SP (2002) Shoulder arthroplasty for osteoarthritis secondary to glenoid dysplasia. J Bone Joint Surg Am 84:541–546

    PubMed  Google Scholar 

  54. Testut L (1921). Traité d’Anatomie Humaine, ed. 7, Tome 1: Ostéologie, Arthrologie, Myologie, Paris, Doin, pp 503–504

  55. Tillmann B, Petersen W (2001) Clinical anatomy. In: N Wülker, M Mansat, FH Fu (eds) Shoulder surgery. Martin Dunitz, pp 1–29

  56. Von Schroeder HP, Kuiper SD, Botte MJ (2001) Osseous anatomy of the scapula. Clin Orthop 383:131–139

    Article  Google Scholar 

  57. Walch G, Badet R, Boulahia A, Khoury A (1999) Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast 14:756–760

    Article  CAS  Google Scholar 

  58. Wirth MA, Lyons FR, Rockwood CA Jr (1993) Hypoplasia of the glenoid. A review of sixteen patients. J Bone Joint Surg Am 75:1175–1184

    PubMed  CAS  Google Scholar 

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  1. Service d’Orthopédie-Traumatologie, Centre Hospitalier Universitaire Toulouse/PURPAN, Place du Dr Baylac, 31059, Toulouse, France

    Pierre Mansat & Nicolas Bonnevialle

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  1. Pierre Mansat
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  2. Nicolas Bonnevialle
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Correspondence to Pierre Mansat.

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Mansat, P., Bonnevialle, N. Morphology of the normal and arthritic glenoid. Eur J Orthop Surg Traumatol 23, 287–299 (2013). https://doi.org/10.1007/s00590-012-1115-8

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