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

  • Francesco Ascione
  • Howard D. RoutmanEmail author


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 patients deformity, when managing these patterns of glenoid bone loss with RSA.


Glenoid bone loss Retroversion Inclination Posterior subluxation Reverse shoulder arthroplasty Total shoulder arthroplasty Complications Bone graft Augmented baseplates Surgical treatment 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Orthopedic DepartmentCampolongo HospitalSalernoItaly
  2. 2.Orthopedic and Traumatolgy DivisionMadonna del Buon Consiglio Fatebenefratelli HospitalNaplesItaly
  3. 3.The Palm Beach Shoulder Service at Atlantis OrthopaedicsPalm Beach GardensUSA

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