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Severe Glenoid Erosion (B2, B3, C, E2, E3) Treated with RSA

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Complex and Revision Shoulder Arthroplasty

Abstract

Reverse shoulder arthroplasty (RSA) is gradually being considered a reasonable approach to more severe patterns of glenoid erosion. The adoption of RSA has been supported by both clinical and finite element analysis reports that demonstrate the challenges encountered by surgeons when considering arthroplasty in this setting. The Favard and modified Walch classifications using computed tomography are the most common methods of analyzing these deformities in anticipation of glenoid arthroplasty. Surgical correction of superior glenoid inclination, retroversion, and posterior humeral head subluxation can be achieved through various techniques in both TSA and RSA. High-side eccentric reaming, structural or cancellous bone grafting, and augmented glenoid components (and relative combinations of them) are described, with both advantages and disadvantages of each technique. Understanding the full spectrum of treatment options available can allow for the best decision-making for each individual patient’s deformity, when managing these patterns of glenoid bone loss with RSA.

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Authors and Affiliations

  1. Orthopedic Department, Campolongo Hospital, Salerno, Italy

    Francesco Ascione

  2. Orthopedic and Traumatolgy Division, Madonna del Buon Consiglio Fatebenefratelli Hospital, Naples, Italy

    Francesco Ascione

  3. The Palm Beach Shoulder Service at Atlantis Orthopaedics, Palm Beach Gardens, FL, USA

    Howard D. Routman

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  1. Department of Orthopedics, University of Utah, Salt Lake City, UT, USA

    Robert Z. Tashjian

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Ascione, F., Routman, H.D. (2019). Severe Glenoid Erosion (B2, B3, C, E2, E3) Treated with RSA. In: Tashjian, R. (eds) Complex and Revision Shoulder Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-02756-8_5

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