Abstract
In the setting of bipolar bone injury, orthopedic surgeons are currently making use of the glenoid track method to guide surgical management. Using preoperative CT or MR imaging, this method allows the identification of patients who are more likely to fail a primary capsuloligamentous Bankart repair. As the glenoid track method becomes increasingly used in preoperative planning, it is important for the radiologist to become familiar with its concept and method of calculation. This review article aims to concisely summarize the current literature and the clinical implications of the glenoid track method.
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Abbreviations
- MRI:
-
Magnetic resonance imaging
- CT:
-
Computed tomography
- ROI:
-
Region of interest
References
Sheehan SE, Gaviola G, Gordon R, Sacks A, Shi LL, Smith SE. Traumatic shoulder injuries: a force mechanism analysis-glenohumeral dislocation and instability. AJR am J Roentgenol. 2013;201(2):378–93.
Randelli P, Ragone V, Carminati S, Cabitza P. Risk factors for recurrence after Bankart repair a systematic review. Knee Surg Sports Traumatol Arthrosc. 2012;20(11):2129–38.
Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy. 2000;16(7):677–94.
Lo IK, Parten PM, Burkhart SS. The inverted pear glenoid: an indicator of significant glenoid bone loss. Arthroscopy. 2004;20(2):169–74.
Saliken DJ, Bornes TD, Bouliane MJ, Sheps DM, Beaupre LA. Imaging methods for quantifying glenoid and Hill-Sachs bone loss in traumatic instability of the shoulder: a scoping review. BMC Musculoskelet Disord. 2015;16:164.
Ho AG, Gowda AL, Michael WJ. Evaluation and treatment of failed shoulder instability procedures. J Orthop Traumatol. 2016;17(3):187–97.
Ramhamadany E, Modi CS. Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss. World J Orthop. 2016;7(6):343–54.
Rouleau DM, Hebert-Davies J, Djahangiri A, Godbout V, Pelet S, Balg F. Validation of the instability shoulder index score in a multicenter reliability study in 114 consecutive cases. Am J Sports med. 2013;41(2):278–82.
Shaha JS, Cook JB, Rowles DJ, Bottoni CR, Shaha SH, Tokish JM. Clinical validation of the glenoid track concept in anterior glenohumeral instability. J Bone Joint Surg am. 2016;98(22):1918–23.
Greis PE, Scuderi MG, Mohr A, Bachus KN, Burks RT. Glenohumeral articular contact areas and pressures following labral and osseous injury to the anteroinferior quadrant of the glenoid. J Shoulder Elb Surg. 2002;11(5):442–51.
Cho SH, Cho NS, Rhee YG. Preoperative analysis of the Hill-Sachs lesion in anterior shoulder instability: how to predict engagement of the lesion. Am J Sports med. 2011;39(11):2389–95.
Haviv B, Mayo L, Biggs D. Outcomes of arthroscopic "remplissage": capsulotenodesis of the engaging large Hill-Sachs lesion. J Orthop Surg res. 2011;6:29.
Zhu YM, Lu Y, Zhang J, Shen JW, Jiang CY. Arthroscopic Bankart repair combined with remplissage technique for the treatment of anterior shoulder instability with engaging Hill-Sachs lesion: a report of 49 cases with a minimum 2-year follow-up. Am J Sports med. 2011;39(8):1640–7.
Yamamoto N, Itoi E, Abe H, Minagawa H, Seki N, Shimada Y, et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elb Surg. 2007;16(5):649–56.
Omori Y, Yamamoto N, Koishi H, Futai K, Goto A, Sugamoto K, et al. Measurement of the glenoid track in vivo as investigated by 3-dimensional motion analysis using open MRI. Am J Sports med. 2014;42(6):1290–5.
Kurokawa D, Yamamoto N, Nagamoto H, Omori Y, Tanaka M, Sano H, et al. The prevalence of a large Hill-Sachs lesion that needs to be treated. J Shoulder Elb Surg. 2013;22(9):1285–9.
Di Giacomo G, Itoi E, Burkhart SS. Evolving concept of bipolar bone loss and the Hill-Sachs lesion: from "engaging/non-engaging" lesion to "on-track/off-track" lesion. Arthroscopy. 2014;30(1):90–8.
Di Giacomo G, De Vita A, Costantini A, de Gasperis N, Scarso P. Management of humeral head deficiencies and glenoid track. Curr rev Musculoskelet med. 2014;7(1):6–11.
Di Giacomo G, de Gasperis N, Scarso P. Bipolar bone defect in the shoulder anterior dislocation. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):479–88.
Motamedi D, Everist BM, Mahanty SR, Steinbach LS. Pitfalls in shoulder MRI: part 1—normal anatomy and anatomic variants. AJR am J Roentgenol. 2014;203(3):501–7.
Gyftopoulos S, Beltran LS, Bookman J, Rokito A. MRI evaluation of bipolar bone loss using the on-track off-track method: a feasibility study. AJR am J Roentgenol. 2015;205(4):848–52.
Schneider AK, Hoy GA, Ek ET, Rotstein AH, Tate J, Taylor DM, et al. Interobserver and intraobserver variability of glenoid track measurements. J Shoulder Elb Surg. 2017 Apr;26(4):573–9.
Kinsella SD, Chauvin NA, Diaz T, Morey JM, Wells L. Traumatic shoulder dislocation among adolescents: Hill-Sachs lesion volume and recurrent instability. J Pediatr Orthop. 2015;35(5):455–61.
Hartzler RU, Bui CN, Jeong WK, Akeda M, Peterson A, McGarry M, et al. Remplissage of an off-track Hill-Sachs lesion is necessary to restore biomechanical glenohumeral joint stability in a bipolar bone loss model. Arthroscopy. 2016;32(12):2466–76.
Mook WR, Petri M, Greenspoon JA, Horan MP, Dornan GJ, Millett PJ. Clinical and anatomic predictors of outcomes after the Latarjet procedure for the treatment of anterior glenohumeral instability with combined glenoid and humeral bone defects. Am J Sports med. 2016;44(6):1407–16.
Locher J, Wilken F, Beitzel K, Buchmann S, Longo UG, Denaro V, et al. Hill-Sachs off-track lesions as risk factor for recurrence of instability after arthroscopic Bankart repair. Arthroscopy. 2016;32(10):1993–9.
Di Giacomo G, Golijanin P, Sanchez G, Provencher MT. Radiographic analysis of the Hill-Sachs lesion in anteroinferior shoulder instability after first-time dislocations. Arthroscopy. 2016;32(8):1509–14.
Garcia GH, Wu HH, Liu JN, Huffman GR, Kelly JD. Outcomes of the remplissage procedure and its effects on return to sports: average 5-year follow-up. Am J Sports med. 2016;44(5):1124–30.
Yamamoto N, Itoi E. Osseous defects seen in patients with anterior shoulder instability. Clin Orthop Surg. 2015;7(4):425–9.
Trivedi S, Pomerantz ML, Gross D, Golijanan P, Provencher MT. Shoulder instability in the setting of bipolar (glenoid and humeral head) bone loss: the glenoid track concept. Clin Orthop Relat res. 2014;472(8):2352–62.
Metzger PD, Barlow B, Leonardelli D, Peace W, Solomon DJ, Provencher MT. Clinical application of the "glenoid track" concept for defining humeral head engagement in anterior shoulder instability: a preliminary report. Orthop J Sports med. 2013;1(2):2325967113496213.
van der Linde JA, van Wijngaarden R, Somford MP, van Deurzen DF, van den Bekerom MP. The Bristow-Latarjet procedure, a historical note on a technique in comeback. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):470–8.
Purchase RJ, Wolf EM, Hobgood ER, Pollock ME, Smalley CC. Hill-Sachs "remplissage": an arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2008;24(6):723–6.
Castagna A, Garofalo R, Conti M, Flanagin B. Arthroscopic Bankart repair: have we finally reached a gold standard? Knee Surg Sports Traumatol Arthrosc. 2016;24(2):398–405.
Lafosse L, Boyle S, Gutierrez-Aramberri M, Shah A, Meller R. Arthroscopic latarjet procedure. Orthop Clin North am. 2010;41(3):393–405.
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Younan, Y., Wong, P.K., Karas, S. et al. The glenoid track: a review of the clinical relevance, method of calculation and current evidence behind this method. Skeletal Radiol 46, 1625–1634 (2017). https://doi.org/10.1007/s00256-017-2687-5
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DOI: https://doi.org/10.1007/s00256-017-2687-5