Normal and Pathological Anatomy of the Glenoid: Effects on the Design, Preparation, and Fixation of the Glenoid Component

  • P. Boileau
  • G. Walch
Conference paper

Summary

In an effort to better understand anatomical and pathological aspects of the glenoid that may be of surgical importance, we reviewed the literature and performed ourselves several studies analysing (a) the size and shape of the normal glenoid surface, (b) the radius of curvature of the glenoid surface and the corresponding humeral head, (c) the horizontal orientation of the glenoid (glenoid version), (d) the vertical orientation of the glenoid (glenoid inclination), (e) the possibilities of bony fixation of a glenoid component. All the results are discussed in terms of their surgical relevance for glenoid orientation, glenoid fixation and glenoid design.

Keywords

Rotator Cuff Humeral Head Shoulder Arthroplasty Glenohumeral Joint Total Shoulder Arthroplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Aliabadi P, Weissman BN (1994) Radiology of total shoulder arthroplasty. In: Friedman RJ (ed) Arthroplasty of the shoulder. Thieme Medical, New York, pp 53–69Google Scholar
  2. 2.
    Badet R, Boileau P, Noël E, Walch G (1995) Arthrography and computed arthrotomography study of seventy patients with primary glenohumeral osteoarthritis. Rev Rhum 62(9):555–562Google Scholar
  3. 3.
    Barret WP, Franklin JL, Jackins SE, Wyss CR, Matsen FA III (1987) Total shoulder arthroplasty. J Bone Joint Surg An 69:865–872Google Scholar
  4. 4.
    Basmajian JV, Bazant FJ (1959) factors preventing downward dislocation of the adducted shoulder joint: an electromyographic and morphological study. J Bone Joint Surg Am 41:1182PubMedGoogle Scholar
  5. 5.
    Boyd AD, Tornhill TS (1994) Glenoid resurfacing in shoulder arthroplasty. In: Friedman RJ (ed) Arthroplasty of the shoulder. Thieme, New York, pp 306–316Google Scholar
  6. 6.
    Boileau P, Walch G, Liotard JP (1992) Video-fluoroscopy of shoulder arthroplasties during active elevation. J Orthop Surg 6:4Google Scholar
  7. 7.
    Boileau P, Walch G, Liotard JP, Noel E (1994) Neer shoulder prosthesis: results related to the etiology. Rev Rhum 61:539–547Google Scholar
  8. 8.
    Boileau P, Walch G (1997) Glenoid slope in osteoarthritic and rheumatoid shoulders before and after arthroplasty. J Shoulder Elbow Surg 6:194–195Google Scholar
  9. 9.
    Brems J (1993) The glenoid component in total shoulder arthroplasty. J Shoulder Elbow Surg 2:47–54PubMedCrossRefGoogle Scholar
  10. 10.
    Brewer BJ, Wubben RC, Carrera GF (1986) Excessive retro-version of the glenoid cavity. A cause of non traumatic posterior instability of the shoulder. J Bone Joint Surg Am 68:724–731PubMedGoogle Scholar
  11. 11.
    Buechel FF (1977) Glenohumeral joint in the chimpanzee: comparative anatomical analysis for use in endoprosthic replacement. J Med Primatol 6:108–113PubMedGoogle Scholar
  12. 12.
    Burkhead WZ, Hutton KS (1995) Biologic resurfacing of the glenoid with hemiarthroplasty of the shoulder. J Shoulder Elbow Surg 4:263PubMedCrossRefGoogle Scholar
  13. 13.
    Cofield RH, Briggs BT (1979) Gleno-humeral arthritis. J Bone Joint Surg Am 61:668–677PubMedGoogle Scholar
  14. 14.
    Cofield RH (1984) Total shoulder arthroplasty with the Neer prosthesis. J Bone Joint Surg Am 64:319–337Google Scholar
  15. 15.
    Cofield RH, Daly PJ (1992) Total shoulder arthroplasty with a tissue-ingrowth glenoid component. J Shoulder Elbow Surg 1:77–85PubMedCrossRefGoogle Scholar
  16. 16.
    Collins DN, Harryman DT II, Lippitt SB, Jackins SE, Mat-sen FA III (1991) The technique of glenohumeral arthroplasty. Techniques Orthop 6:43–59CrossRefGoogle Scholar
  17. 17.
    Collins D, Tencer A, Sidles J, Matsen FA III (1992) Edge displacement and deformation of glenoid components in response to eccentric loading. The effect of preparation of the glenoid bone. J Bone Joint Surg Am 74:501–507PubMedGoogle Scholar
  18. 18.
    Connor PM, Flatow EL (1997) Surgical considerations of bony deficiency in total shoulder arthroplasty. In: Warner JJP, Iannotti JP, Gerber C (eds) Complex and revision problems in shoulder surgery. Lippincott-Raven, Philadelphia, pp 339–354Google Scholar
  19. 19.
    Copeland S (1989) Cementless total shoulder replacement. Presented at the 4th international conference on surgery of the soulder, New York, Oct 1989Google Scholar
  20. 20.
    Crossan JF, Vallace R (1980) Clinical and radiological features of the shoulder joint in rheumatoid arthritis. J Bone Joint Surg Br 62:116Google Scholar
  21. 21.
    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 (scapulometry). Clin Orthop 175:8–17PubMedGoogle Scholar
  22. 22.
    Deutsch AL, Resnick D, Minck JH (1985) Cumputed tomography of the glenohumeral joint and sternoclavicular joints. Orthop Clin North Am 16:497–511PubMedGoogle Scholar
  23. 23.
    Dras SP, Roy GS, Saha RR (1966) Observations of the tilt of the glenoid cavity of the scapula. J Anat Soc Ind 15:114Google Scholar
  24. 24.
    Edelson JG (1995) Localized glenoid hypoplasia. An anatomic variation of possible clinical significance. Clin Orthop 321:189–195PubMedGoogle Scholar
  25. 25.
    Edelson JG (1995) Pattterns of degenerative change in the glenohumeral joint. J Bone Joint Surg Br 77(2):288–292PubMedGoogle Scholar
  26. 26.
    Engelbrecht E, Heinert (1987) More than ten Years’ experience with unconstrained shoulder replacement. In: Kölbel R, Helbig B, Blauth W (eds) Shoulder replacement. Springer, Berlin Heidelberg New York, pp 85–91CrossRefGoogle Scholar
  27. 27.
    Fick R (1904) Anatomie and Mechanik der Gelenke. Fischer, Jena, pp 171–174Google Scholar
  28. 28.
    Figgie HE, Inglis AE, Goldberg VM et al (1988) An analysis of factors affecting the long term results of total shoulder arthroplasty in inflammatory arthritis. J Arthroplasty 3:123–130PubMedCrossRefGoogle Scholar
  29. 29.
    Flatow EL (1995) Prosthetic design considerations in total shoulder arthroplasty. Semin Arthroplasty 6:233–244PubMedGoogle Scholar
  30. 30.
    Franklin JL, Barrett WP, Jackins SE et al (1988) Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplasty 3:39–46PubMedCrossRefGoogle Scholar
  31. 31.
    Freedman L, Munro RR (1966) Abduction of the arm in the scapular plane: scapular and gleno-humeral movements. J Bone Joint Surg Am 48:1503PubMedGoogle Scholar
  32. 32.
    Frich LA, Jensen NC, Odgaard A, Pedersen CM, Sjobjerg JO, Dalstra M (1997) Bone strength and material properties of the glenoid. J Shoulder Elbow Surg 6:97–104PubMedCrossRefGoogle Scholar
  33. 33.
    Friedman RJ (1992) Gleno-humeral translation after total shoulder arthroplasty. J Shoulder Elbow Surg 1(6):312–316PubMedCrossRefGoogle Scholar
  34. 34.
    Friedman RJ, La Berge M, Dooley RL et al (1992) Finite element modeling of the glenoid component: effect of design parameters on stress distribution. J Shoulder Elbow Surg 1:261–270PubMedCrossRefGoogle Scholar
  35. 35.
    Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of glenoid version. J Bone Joint Surg Am 74:1032–1037PubMedGoogle Scholar
  36. 36.
    Friedman RJ (1994) Biomechanics and design of shoulder arthroplasties. In: Friedman RJ (ed) Arthroplasty on the shoulder. Thieme, New York, pp 27–40Google Scholar
  37. 37.
    Fukuda K, Chen CM, Cofield RH et al (1988) Biomechanical analysis of stability and fixation stength of total shoulder prosthesis. Orthopedics 11:141–149PubMedGoogle Scholar
  38. 38.
    Giori NJ, Beaupre GS, Carter DR (1990) The influence of fixation peg design on the shear stability of prosthetic implants. J Orthop Res 8:892–898PubMedCrossRefGoogle Scholar
  39. 39.
    Glasson JM, Djurasovic M, Levine WN, Pollock RG, Flatow EL, Bigliani LU (1996) Hemiarthroplasty for glenohumeral osteoarthritis in patients with an intact rotator cuff: results correlated to degree of glenoid wear. Presented at the American Academy of Orthopaedics Surgeons, annual meeting, Atlanta, Georgia, USAGoogle Scholar
  40. 40.
    Gouaze A, Castaing J, Soutoul JH, Chantepie G (1962) Sur l’orientation de l’omoplate et de sa cavité glenoïde. Arch Anat Pathol 10(3):175–181Google Scholar
  41. 41.
    Harryman DT, Sidles JA, Harris SL, Lippitt SB, Matsen FA (1995) The effect of articular conformity and the size of the humeral head component on laxity and motion after gleno-humeral arthroplasty. J Bone Joint Surg Am 77:555–564PubMedGoogle Scholar
  42. 42.
    Harryman DT, Sidles JA, Clark JM, Mc Quade KS, Gibb TD, Matsen FA (1990) Translation of the humeral head on the glenoid with passive gleno-humeral motion. J Bone Joint Surg Am 72(9):1334–1343PubMedGoogle Scholar
  43. 43.
    Hawkins RJ, Bell RH, Jallay B (1986) Experience with the Neer shoulder arthroplasty. A review of 70 cases. Orthop Trans 10:232Google Scholar
  44. 44.
    Howell SM, Galinat BJ (1989) The glenoid-labral socket. A constrained articular surface. Clin Orthop 243:122–125PubMedGoogle Scholar
  45. 45.
    Ianotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships: an anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am 74:491–500Google Scholar
  46. 46.
    Kelkar R, Newton PM, Armengol J et al (1993) Three dimensional kinematics of the glenohumeral joint during abduction in scapular plane. Trans ORS 18:136Google Scholar
  47. 47.
    Kelleher IM, Cofield RH, Becker DA et al (1992) Fluoroscopically positioned radiographs of total shoulder arthroplasty. J Shoulder Elbow Surg 1:306–311PubMedCrossRefGoogle Scholar
  48. 48.
    Kelly IG, Foster RS, Fisher WD (1987) Neer total shoulder replacement in rheumatoid arthritis. J Bone Joint Surg Br 69:723–726PubMedGoogle Scholar
  49. 49.
    Kerr R, Resnick D, Pineda C, Haghighi P (1985) Osteoarthritis of the gleno-humeral joint: a radiological study. Am J Roentgenol 144:967–972Google Scholar
  50. 50.
    Mac Pherson EJ, Friedman RJ, An YH, Chokesis R, Dooley RL (1997) Antropometric study of normal glenohumeral relationships. J Shoulder Elbow Surg 6:105–112CrossRefGoogle Scholar
  51. 51.
    Mallon WJ, Brown HR, Vogher JB III, Martinez S (1992) Radiographic and geometric anatomy of the scapula. Clin Orthop 277:142–154PubMedGoogle Scholar
  52. 52.
    Matsen FA, Lippit SB, Siddles JA, Harryman DT (1994) Smoothness. In: Pratical evaluation and management of the shoulder. Saunders, Philadelphia, pp 151–219Google Scholar
  53. 53.
    Muladji AB, Beddow FH, Lamb GHR (1994) CT- measurement of glenoid erosion in arthritis. J Bone Joint Surg Br 76:384–388Google Scholar
  54. 54.
    Morrison DS (1993) Glenoid deficiency in total shoulder arthroplasty. In: Bigliani LU (ed) Complications in shoulder surgery. William and Wilkins, Baltimore, pp 7380Google Scholar
  55. 55.
    Neer CS II, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Joint Surg Am 64:319–337PubMedGoogle Scholar
  56. 56.
    Neer CS II, Craig EV, Fukuda H (1983) Cuff tear arthropathy. J Bone Joint Surg Am 65:1232–1244PubMedGoogle Scholar
  57. 57.
    Neer CS II, Morison DS (1988) Glenoid bone-grafting in total shoulder arthroplasty. J Bone Joint Surg Am 64:319–337Google Scholar
  58. 58.
    Neer CS (1990) Glenohumeral arthroplasty. In: Neer CS (ed) Shoulder reconstruction. Saunders, Philadelphia, pp 146–271Google Scholar
  59. 59.
    O’Driscoll SW, Wright TM, Cofield RH (1993) Radiographic analysis of the glenoid component in total shoulder arthroplasty. J Shoulder Elbow Surg 2:S13Google Scholar
  60. 60.
    Orr TE, Carter DR, Schurman DJ (1988) Stress analyses of glenoid component designs. Clin Orthop 232:217–224PubMedGoogle Scholar
  61. 61.
    Peterson CJ (1983) Degeneration of the gleno-humeral joint: an anatomical study 54:277–283Google Scholar
  62. 62.
    Pizon P (1959) Osteométrie scapulo-humérale. Presse Med 67(40):1531–1533PubMedGoogle Scholar
  63. 63.
    Pollock RG, Deliz ED, Mcllveen SJ et al (1992) Prosthetic replacement in rotator cuff deficient shoulders. J Shoulder Elbow Surg 1:173–186PubMedCrossRefGoogle Scholar
  64. 64.
    Randelli M, Gambrioli PL (1986) Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop 208:151–156PubMedGoogle Scholar
  65. 65.
    Rodosky MW, Bigliani LU (1994) Surgical treatment of nonconstrained glenoid component failure. Oper Tech Orthop 4:226–236CrossRefGoogle Scholar
  66. 66.
    Rodosky MW, Bigliani LU (1996) Indication for glenoid resurfacing in shoulder arthroplasty. J Shoulder Elbow Surg 5(3):231–248PubMedCrossRefGoogle Scholar
  67. 67.
    Roper BA, Paterson JMH, Day WH (1990) The Roper-Day total shoulder replacement. J Bone Joint Surg Br 72:694–697PubMedGoogle Scholar
  68. 68.
    Saha AK (1973) Dynamic stability of the glenohumeral joint. Acta Orthop Scand 44:668–678PubMedCrossRefGoogle Scholar
  69. 69.
    Smith CM, Pichora D, Wyss UP et al (1992) Challenges in glenoid implant technology: a three dimensional finite element analysis. Orthop Trans 16:99Google Scholar
  70. 70.
    Severt R, Thomas BJ, Tsenter MJ et al (1993) The influence of conformity and constraint on translational forces and frictional torque in total shoulder arthroplasty. Clin Orthop 292:151–158PubMedGoogle Scholar
  71. 71.
    Soslowky LJ, Flatow EL, Bigliani LU, Mow VC (1992) Articular geometry of the glenohumeral joint. Clin Orthop 285:181–190Google Scholar
  72. 72.
    Sillar P, Meszaros T, Horvath F, Keri L, Lengyel E (1979) Gerontological aspects of degenerative changes of the shoulder-joint (radiological and clinical sudies). ZFA 34:411–421PubMedGoogle Scholar
  73. 73.
    Tomaszewski PR, Ondrla JM (1992) Incongruity and its relation to stress in prosthetic shoulder components. Trans ORS 17:425Google Scholar
  74. 74.
    Torchis ME, Cofield RH (1995) Long term results of Neer total shoulder arthroplasty. Orthop Trans 18:1994–1995Google Scholar
  75. 75.
    Toris T (1981) Roentgenographical examination of the tilted angle of the scapula in the resting position. Jpn Orthop Assoc 55:295Google Scholar
  76. 76.
    Walch G, Boileau P, Noel E, Donnell ST (1992) Impignement of the deep surface of the supraspinatus tendon on the postero-superior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg 1:238–245PubMedCrossRefGoogle Scholar
  77. 77.
    Walch G, Boileau P, Riand N (1997) Morphological study of the glenoid in primary glenohumeral osteoarthritis. J Shoulder Elbow Surg 6(2):226 (abstract 22)Google Scholar
  78. 78.
    Wilde AH, Borden LS, Brems JJ (1984) Experience with the Neer total shoulder replacement. In: Bateman JE, Welsh RP (eds) Surgery of the shoulder. Mosby, St Louis, pp 224–228Google Scholar
  79. 79.
    Wilde AH (1992) Shoulder arthroplasty: what it is good for and how good it is. In: Matsen FA III, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability, 1st edn. American Academy of Orthopaedic Surgeons, Rosemond, IL, pp 459–481Google Scholar
  80. 80.
    Wirth MA, Lyons FR, Rockwood CA Jr (1993) Hypoplasia of the glenoid. J Bone Joint Surg Am 75(8):1175–1184PubMedGoogle Scholar
  81. 81.
    Wirth MA, Basamania C, Rockwood CA Jr (1994) Fixation of glenoid component: Keel versus pegs. Oper Tech Orthop 4:218–225CrossRefGoogle Scholar
  82. 82.
    Wirth MA, Seltzer DG, Senes HR et al (1994) An analysis of failed humeral head and total shoulders athroplasty. Presented at the Americal Shoulder and Elbow Surgeons, 10th open meeting, New Orleans, Febr 1994Google Scholar
  83. 83.
    Wuelker N, Schmotzer H, Thren K et al (1994) Translation of the glenohumeral joint with simulated active elevation. Clin Orthop 309:193–200PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • P. Boileau
  • G. Walch

There are no affiliations available

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