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Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Posterior shoulder instability with glenoid deficiency is a rare entity and its surgical treatment is challenging. Reconstructive techniques have focused on extra-articular structural bone transfer that obstructs humeral translation and thereby prevents glenohumeral dislocation. However, long-term results are not as promising. In this report, the authors describe a technique for anatomic posterior glenoid reconstruction using an osteoarticular distal tibia allograft in two patients including their outcomes after 2 years.

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References

  1. Bahk M, Keyurapan E, Tasaki A, Sauers EL, McFarland EG (2007) Laxity testing of the shoulder: a review. Am J Sports Med 35(1):131–144

    Article  PubMed  Google Scholar 

  2. Barbier O, Ollat D, Marchaland JP, Versier G (2009) Iliac bone-block autograft for posterior shoulder instability. Orthop Traumatol Surg Res 95(2):100–107

    Article  PubMed  CAS  Google Scholar 

  3. Barker JU, Gardner MJ, Boraiah S, Kelly BT, Lane JM, Lorich DG (2008) Complete bony union achieved after arthrodesis of native glenoid and acromion to an allograft proximal humerus: a case report. J Should Elb Surg 17(2):e19–e22

    Article  Google Scholar 

  4. Burkhart SS, De Beer JF (2000) 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 16(7):677–694

    Article  PubMed  CAS  Google Scholar 

  5. Burkhart SS, Debeer JF, Tehrany AM, Parten PM (2002) Quantifying glenoid bone loss arthroscopically in shoulder instability. Arthroscopy 18(5):488–491

    Article  PubMed  Google Scholar 

  6. Kouvalchouk JF, Coudert X, Watin Augouard L, Da Silva Rosa R, Paszkowski A (1993) Treatment of posterior instability of the shoulder joint using an acromial stop with a pediculated deltoid flap. Rev Chir Orthop Repar Appar Mot 79(8):661–665

    CAS  Google Scholar 

  7. Lo IK, Parten PM, Burkhart SS (2004) The inverted pear glenoid: an indicator of significant glenoid bone loss. Arthroscopy 20(2):169–174

    Article  PubMed  Google Scholar 

  8. Meuffels DE, Schuit H, van Biezen FC, Reijman M, Verhaar JA (2010) The posterior bone block procedure in posterior shoulder instability: a long-term follow-up study. J Bone Joint Surg Br 92(5):651–655

    Article  PubMed  CAS  Google Scholar 

  9. Millett PJ, Clavert P, Hatch GF 3rd, Warner JJ (2006) Recurrent posterior shoulder instability. J Am Acad Orthop Surg 14(8):464–476

    PubMed  Google Scholar 

  10. Mowery CA, Garfin SR, Booth RE, Rothman RH (1985) Recurrent posterior dislocation of the shoulder: treatment using a bone block. J Bone Joint Surg Am 67(5):777–781

    PubMed  CAS  Google Scholar 

  11. Provencher MT, Ghodadra N, LeClere L, Solomon DJ, Romeo AA (2009) Anatomic osteochondral glenoid reconstruction for recurrent glenohumeral instability with glenoid deficiency using a distal tibia allograft. Arthroscopy 25(4):446–452

    Article  PubMed  Google Scholar 

  12. Servien E, Walch G, Cortes ZE, Edwards TB, O’Connor DP (2007) Posterior bone block procedure for posterior shoulder instability. Knee Surg Sports Traumatol Arthrosc 15(9):1130–1136

    Article  PubMed  Google Scholar 

  13. Sirveaux F, Leroux J, Roche O, Gosselin O, De Gasperi M, Mole D (2004) Surgical treatment of posterior instability of the shoulder joint using an iliac bone block or an acromial pediculated bone block: outcome in eighteen patients. Rev Chir Orthop Repar Appar Mot 90(5):411–419

    Article  CAS  Google Scholar 

  14. Weng PW, Shen HC, Lee HH, Wu SS, Lee CH (2009) Open reconstruction of large bony glenoid erosion with allogeneic bone graft for recurrent anterior shoulder dislocation. Am J Sports Med 37(9):1792–1797

    Article  PubMed  Google Scholar 

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Correspondence to Peter J. Millett.

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Millett, P.J., Schoenahl, JY., Register, B. et al. Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft. Knee Surg Sports Traumatol Arthrosc 21, 445–449 (2013). https://doi.org/10.1007/s00167-012-2254-5

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  • DOI: https://doi.org/10.1007/s00167-012-2254-5

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