Glenoid Bone Loss: Arthroscopic Bone Grafting

  • Ettore TavernaEmail author
  • Guido Garavaglia
  • Henri Ufenast


The etiology of anteroinferior glenohumeral instability is multifactorial. Successful treatment of this condition requires to identify and repair all clinically significant lesions which may be causing shoulder instability.

An erosion of the glenoid is quite a common phenomenon in chronic anterior shoulder instability. Together with a Hill-Sachs lesion, a glenoid bone lesion often coexists in anterior shoulder dislocation.


Bone Block Glenoid Bone Loss Anterior Shoulder Dislocation Anterior Shoulder Instability Anterior Glenoid 
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.


  1. 1.
    Gartsman GM, Roddey TS, Hammerman SM. Arthroscopic treatment of anterior-inferior glenohumeral instability. J Bone Joint Surg. 2000;7A:991–1003.Google Scholar
  2. 2.
    Taverna E, Sansone V, Battistella F. Arthroscopic rotator interval repair: the three-step all-inside technique. Arthroscopy. 2004;20:105–9.PubMedCrossRefGoogle Scholar
  3. 3.
    Edwards TB, Boulahia A, Walch G. Radiographic analysis of bone defects in chronic anterior shoulder instability. Arthroscopy. 2003;19:732–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Sugaya H, Morbshi S, Dodi M, Kon Y, Tsuchiya A. Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg. 2003;85A:878–84.Google Scholar
  5. 5.
    Piasecki DP, Verma NN, Romeo AA, Levine WN, Bach Jr BR, Provencher MT. Glenoid bone deficiency in recurrent anterior shoulder instability: diagnosis and management. J Am Acad Orthop Surg. 2009;17:482–93.PubMedGoogle Scholar
  6. 6.
    Ji JH, Kwak DS, Yang PS, Kwon MJ, Han SH, Jeong JJ. Comparisons of glenoid bony defects between normal cadaveric specimens and patients with recurrent shoulder dislocation: an anatomic study. J Shoulder Elbow Surg. 2012;21:822–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Itoi E, Lee SS, Berglund LJ, Berge LL, An KN. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg. 2000;82A:35–46.Google Scholar
  8. 8.
    Beran MC, Donaldson CT, Bishop JY. Treatment of chronic glenoid defects in the setting of recurrent anterior shoulder instability: a systematic review. J Shoulder Elbow Surg. 2010;19:769–80.PubMedCrossRefGoogle Scholar
  9. 9.
    Ghodadra N, Gupta A, Romeo AA, Bach Jr BR, Verma N, Shewman E, et al. Normalization of glenohumeral articular contact pressures after Latarjet or iliac crest bone-grafting. J Bone Joint Surg. 2010;92A:1478–89.CrossRefGoogle Scholar
  10. 10.
    Milano G, Grasso A, Russo A, Magarelli N, Santagada DA, Deriu L, et al. Analysis of risk factors for glenoid bone defect in anterior shoulder instability. Am J Sports Med. 2011;39:1870–6.PubMedCrossRefGoogle Scholar
  11. 11.
    Moroder P, Hirzinger C, Lederer S, Matis N, Hitzl W, Tauber M, et al. Restoration of anterior glenoid bone defects in post-traumatic recurrent anterior shoulder instability using the J-bone graft shows anatomic graft remodeling. Am J Sports Med. 2012;40:1544–50.PubMedCrossRefGoogle Scholar
  12. 12.
    Yamamoto N, Muraki T, Sperling JW, Steinmann SP, Cofield RH, Itoi E, et al. Stabilizing mechanism in bone-grafting of a large glenoid defect. J Bone Joint Surg. 2010;92A:2059–66.CrossRefGoogle Scholar
  13. 13.
    Hybinette S. De la transposition d’un fragment osseux pour remedier aux luxations recidivantes de l’epaule constatations et resultats opératoires. Acta Chir Seand. 1932;71:411–45.Google Scholar
  14. 14.
    Latarjet M. A propos do traitement des luxations récidivantes de l’Ipaule. Lyon Chir. 1954;49:994–1003.PubMedGoogle Scholar
  15. 15.
    Boileau P, Bicknell RT, El Fegoun AB, Chuinard C. Arthroscopic Bristow procedure for anterior instability in shoulders with a stretched or deficient capsule: the “belt-and-suspenders” operative technique and preliminary results. Arthroscopy. 2007;23:593–601.PubMedCrossRefGoogle Scholar
  16. 16.
    Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R. The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy. 2007;11:1242–5.Google Scholar
  17. 17.
    Taverna E, Golano P, Pascale V, Battistella F. An arthroscopic bone graft procedure for treating anterior-inferior glenohumeral instability. Knee Surg Sports Traumatol Arthrosc. 2008;16:872–5.PubMedCrossRefGoogle Scholar
  18. 18.
    Charousset C, Beauthier V, Bellaïche L, Guillin R, Brassart N, Thomazeau H, et al. Can we improve radiological analysis of osseous lesions in chronic anterior shoulder instability? Orthop Traumatol Surg Res. 2010;96:S88–93.PubMedCrossRefGoogle Scholar
  19. 19.
    Magarelli N, Milano G, Sergio P, Santagada DA, Fabbriciani C, Bonomo L. Intra-observer and interobserver reliability of the ‘Pico’ computed tomography method for quantification of glenoid bone defect in anterior shoulder instability. Skeletal Radiol. 2009;38:1071–5.PubMedCrossRefGoogle Scholar
  20. 20.
    Huijsmans PE, de Witte PB, de Villiers RV, Wolterbeek DW, Warmerdam P, Kruger NR, et al. Recurrent anterior shoulder instability: accuracy of estimations of glenoid bone loss with computed tomography is insufficient for therapeutic decision-making. Skeletal Radiol. 2011;40:1329–34.PubMedCrossRefGoogle Scholar
  21. 21.
    Magarelli N, Milano G, Baudi P, Santagada DA, Righi P, Spina V, et al. Comparison between 2D and 3D computed tomography evaluation of glenoid bone defect in unilateral anterior gleno-humeral instability. Radiol Med. 2012;117:102–11.PubMedCrossRefGoogle Scholar
  22. 22.
    Bois AJ, Fening SD, Polster J, Jones MH, Miniaci A. Quantifying glenoid bone loss in anterior shoulder instability: reliability and accuracy of 2-dimensional and 3-dimensional computed tomography measurement techniques. Am J Sports Med. 2012;40:2569–77.PubMedCrossRefGoogle Scholar
  23. 23.
    Boileau P, Villalba M, Héry J, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg. 2006;88A:1755–63.CrossRefGoogle Scholar
  24. 24.
    Balg F, Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg. 2007;89B:1470–7.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Ettore Taverna
    • 1
    Email author
  • Guido Garavaglia
    • 2
  • Henri Ufenast
    • 3
  1. 1.Head of Upper Limb Service, Upper Limb ServiceOBV, Ospedale la Beata VergineMendrisioSwitzerland
  2. 2.OrthopaedicsORBV, Ospedale Regionale Bellinzona e ValliBellinzonaSwitzerland
  3. 3.Upper Limb ServiceOBV, Ospedale la Beata VergineMendrisioSwitzerland

Personalised recommendations