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Published in: European Journal of Orthopaedic Surgery & Traumatology 3/2013

01-04-2013 | Original Article

Morphology of the normal and arthritic glenoid

Authors: Pierre Mansat, Nicolas Bonnevialle

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2013

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Abstract

The normal glenoid has a pear-shape aspect and is slightly retroverted. It has a variable orientation in the sagittal plane. The cartilage surface area corresponds to 28 % of the area of the humeral head with a radius of curvature greater than the humeral head. Mechanical properties are significantly higher at the center and posterior edge of the glenoid. With osteoarthritis, the glenoid becomes larger with a greater width and an increasing of the retroversion angle. The wear can be centric or excentric. Mechanical properties are significantly higher at the center and posterior edge of the glenoid.
Literature
1.
go back to reference Aigner F, Longato S, Fritsch H, Kralinger F (2004) Anatomical considerations regarding the “bare spot” of the glenoid cavity. Surg Radiol Anat 26:308–311PubMedCrossRef Aigner F, Longato S, Fritsch H, Kralinger F (2004) Anatomical considerations regarding the “bare spot” of the glenoid cavity. Surg Radiol Anat 26:308–311PubMedCrossRef
2.
go back to reference Anetzberger H, Putz R (1996) The scapula: principles of construction and stress. Acta Anat 156:70–80PubMedCrossRef Anetzberger H, Putz R (1996) The scapula: principles of construction and stress. Acta Anat 156:70–80PubMedCrossRef
4.
go back to reference Bicknell RT, Patterson SD, King GJ, Chess DG, Johnson JA (2007) Glenoid vault endosteal dimensions: an anthropometric study with special interest in implant design. J Should Elb Surg 16:96S–101SCrossRef Bicknell RT, Patterson SD, King GJ, Chess DG, Johnson JA (2007) Glenoid vault endosteal dimensions: an anthropometric study with special interest in implant design. J Should Elb Surg 16:96S–101SCrossRef
5.
go back to reference Bicos J, Mazzocca A, Romeo AA (2005) The glenoid center line. Orthopedics 28:581–585PubMed Bicos J, Mazzocca A, Romeo AA (2005) The glenoid center line. Orthopedics 28:581–585PubMed
6.
go back to reference Brewer BJ, Wubben RC, Carrera GF (1986) Excessive retroversion of the glenoid cavity. A cause of non-traumatic posterior instability of the shoulder. J Bone Joint Surg Am 68:724–731PubMed Brewer BJ, Wubben RC, Carrera GF (1986) Excessive retroversion of the glenoid cavity. A cause of non-traumatic posterior instability of the shoulder. J Bone Joint Surg Am 68:724–731PubMed
7.
go back to reference Checroun AJ, Hawkins C, Kummer FJ, Zuckerman JD (2002) Fit of current glenoid component designs: an anatomic cadaver study. J Should Elb Surg 11:614–617CrossRef Checroun AJ, Hawkins C, Kummer FJ, Zuckerman JD (2002) Fit of current glenoid component designs: an anatomic cadaver study. J Should Elb Surg 11:614–617CrossRef
8.
go back to reference Churchill RS, Brems JJ, Kotschi H (2001) Glenoid size, inclination, and version: an anatomic study. J Should Elb Surg 10:327–332CrossRef Churchill RS, Brems JJ, Kotschi H (2001) Glenoid size, inclination, and version: an anatomic study. J Should Elb Surg 10:327–332CrossRef
9.
go back to reference Codman EA (1934) The shoulder. Rupture of the supraspinatus tendon and other lesions in or about the subacromial Bursa. Boston Codman EA (1934) The shoulder. Rupture of the supraspinatus tendon and other lesions in or about the subacromial Bursa. Boston
10.
go back to reference Collins JI, Colston WC, Swayne LC (1995) MR findings in congenital glenoid dysplasia. J Comput Assist Tomogr 19:819–821PubMedCrossRef Collins JI, Colston WC, Swayne LC (1995) MR findings in congenital glenoid dysplasia. J Comput Assist Tomogr 19:819–821PubMedCrossRef
11.
go back to reference Couteau B, Mansat P, Mansat M, Darmana R, Egan J (2001) In vivo characterization of glenoid with use of computed tomography. J Should Elb Surg 10:116–122CrossRef Couteau B, Mansat P, Mansat M, Darmana R, Egan J (2001) In vivo characterization of glenoid with use of computed tomography. J Should Elb Surg 10:116–122CrossRef
12.
go back to reference 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. Clin Orthop Relat Res 175:8–17PubMed 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. Clin Orthop Relat Res 175:8–17PubMed
13.
go back to reference Das SP, Ray GS, Saha AK (1966) Observations on the tilt of the glenoid cavity of the scapula. J Anat Soc India 15:114–118 Das SP, Ray GS, Saha AK (1966) Observations on the tilt of the glenoid cavity of the scapula. J Anat Soc India 15:114–118
14.
go back to reference De Wilde LF, Berghs BM, Audenaert E, Sys G, Van Maele GO, Barbaix E (2004) About the variability of the shape of the glenoid cavity. Surg Radiol Anat 26:54–59PubMedCrossRef De Wilde LF, Berghs BM, Audenaert E, Sys G, Van Maele GO, Barbaix E (2004) About the variability of the shape of the glenoid cavity. Surg Radiol Anat 26:54–59PubMedCrossRef
15.
go back to reference De Wilde LF, Berghs BM, VandeVyver F, Schepens A, Verdonk RC (2003) Glenohumeral relationship in the transverse plane of the body. J Should Elb Surg 12:260–267CrossRef De Wilde LF, Berghs BM, VandeVyver F, Schepens A, Verdonk RC (2003) Glenohumeral relationship in the transverse plane of the body. J Should Elb Surg 12:260–267CrossRef
16.
go back to reference Edelson JG (1995) Localized glenoid hypoplasia. An anatomic variation of possible clinical significance. Clin Orthop 321:189–195PubMed Edelson JG (1995) Localized glenoid hypoplasia. An anatomic variation of possible clinical significance. Clin Orthop 321:189–195PubMed
17.
go back to reference Edelson JG (1995) Patterns of degenerative change in the glenohumeral joint. J Bone Joint Surg Br 77:288–292PubMed Edelson JG (1995) Patterns of degenerative change in the glenohumeral joint. J Bone Joint Surg Br 77:288–292PubMed
18.
go back to reference Edwards TB, Boulahia A, Kempf JF, Boileau P, Némoz C, Walch G (2004) Shoulder arthroplasty in patients with osteoarthritis and dysplatic glenoid morphology. J Should Elb Surg 13:1–4CrossRef Edwards TB, Boulahia A, Kempf JF, Boileau P, Némoz C, Walch G (2004) Shoulder arthroplasty in patients with osteoarthritis and dysplatic glenoid morphology. J Should Elb Surg 13:1–4CrossRef
19.
go back to reference Flatow EL, Soslowski LJ, Ateshian GA et al (1991) Shoulder joint anatomy and the effect of subluxations and size mismatch on patterns of glenohumeral contact. Orthop Trans 15:803–804 Flatow EL, Soslowski LJ, Ateshian GA et al (1991) Shoulder joint anatomy and the effect of subluxations and size mismatch on patterns of glenohumeral contact. Orthop Trans 15:803–804
20.
go back to reference Frich LH, Odgaard A, Dalstra M (1998) Glenoid bone architecture. J Should Elb Surg 7:356–361CrossRef Frich LH, Odgaard A, Dalstra M (1998) Glenoid bone architecture. J Should Elb Surg 7:356–361CrossRef
21.
go back to reference Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of glenoid version. Jone Boint Surg Am 74:1032–1037 Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of glenoid version. Jone Boint Surg Am 74:1032–1037
22.
go back to reference Fuhrman W, Koch F, Rauterberg K (1968) Dominant erbliche hypoplasie und bewegungseinschrankung beider schultergelenke. Zeitschr Orthop 104:584–588 Fuhrman W, Koch F, Rauterberg K (1968) Dominant erbliche hypoplasie und bewegungseinschrankung beider schultergelenke. Zeitschr Orthop 104:584–588
23.
go back to reference Gallino M, Santamaria E, Doro T (1998) Anthropometry of the scapula: clinical and surgical considerations. J Should Elb Surg 7:284–291CrossRef Gallino M, Santamaria E, Doro T (1998) Anthropometry of the scapula: clinical and surgical considerations. J Should Elb Surg 7:284–291CrossRef
24.
go back to reference Gouaze A, Castaing J, Soutoul JH, Chantepie G (1962) Sur l’orientation de l’omoplate et de sa cavité glenoïde. [On the orientation of the scapula and of its glenoid cavity]. Arch Anat Pathol 10:175–181 Gouaze A, Castaing J, Soutoul JH, Chantepie G (1962) Sur l’orientation de l’omoplate et de sa cavité glenoïde. [On the orientation of the scapula and of its glenoid cavity]. Arch Anat Pathol 10:175–181
25.
go back to reference Gray’s anatomy of the human body. Osteology: the scapula (shoulder blade) Gray’s anatomy of the human body. Osteology: the scapula (shoulder blade)
26.
go back to reference Grignard F, De Maeseneer M, Scheerlinck T, Handelberg F, Shahabpour M, Machiels F, Osteaux M (1998) Glenoid dysplasia: radiographic and CT arthrographic findings. J Belge Radiol 81:82–83PubMed Grignard F, De Maeseneer M, Scheerlinck T, Handelberg F, Shahabpour M, Machiels F, Osteaux M (1998) Glenoid dysplasia: radiographic and CT arthrographic findings. J Belge Radiol 81:82–83PubMed
27.
go back to reference Habermeyer P, Magosch P, Luz V, Lichtenberg S (2006) Three-dimensional glenoid deformity in patients with osteoarthritis: a radiographic analysis. JBJS Am 88:1301–1307PubMedCrossRef Habermeyer P, Magosch P, Luz V, Lichtenberg S (2006) Three-dimensional glenoid deformity in patients with osteoarthritis: a radiographic analysis. JBJS Am 88:1301–1307PubMedCrossRef
28.
go back to reference Howell SM, Galinat BJ (1989) The glenoid-labral socket. A constrained articular surface. Clin Orthop 243:122–125PubMed Howell SM, Galinat BJ (1989) The glenoid-labral socket. A constrained articular surface. Clin Orthop 243:122–125PubMed
29.
go back to reference Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships. J Bone Joint Surg Am 74:491–500PubMed Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships. J Bone Joint Surg Am 74:491–500PubMed
30.
go back to reference Jobe CM, Iannotti JP (1995) Limits imposed on glenohumeral motion by joint geometry. J Should Elb Surg 4:281–285CrossRef Jobe CM, Iannotti JP (1995) Limits imposed on glenohumeral motion by joint geometry. J Should Elb Surg 4:281–285CrossRef
31.
32.
go back to reference Kelkar R, Wang VM, Flatow EL, Newton PM, Ateshian GA, Bigliani LU, Pawluk RJ, Mow VC (2001) Glenohumeral mechanics: a study of articular geometry, contact, and kinematics. J Should Elb Surg 10:73–84CrossRef Kelkar R, Wang VM, Flatow EL, Newton PM, Ateshian GA, Bigliani LU, Pawluk RJ, Mow VC (2001) Glenohumeral mechanics: a study of articular geometry, contact, and kinematics. J Should Elb Surg 10:73–84CrossRef
33.
go back to reference Kerr R, Resnick D, Pineda C, Haghighi P (1985) Osteoarthritis of the glenohumeral joint: a radiologic–pathologic study. Am J Roent 144:967–972CrossRef Kerr R, Resnick D, Pineda C, Haghighi P (1985) Osteoarthritis of the glenohumeral joint: a radiologic–pathologic study. Am J Roent 144:967–972CrossRef
34.
go back to reference Kwon YW, Powell KA, Yum JK, Brems JJ, Iannotti JP (2005) Use of three-dimensional computed tomography for the analysis of the glenoid anatomy. J Should Elb Surg 14:85–90CrossRef Kwon YW, Powell KA, Yum JK, Brems JJ, Iannotti JP (2005) Use of three-dimensional computed tomography for the analysis of the glenoid anatomy. J Should Elb Surg 14:85–90CrossRef
35.
go back to reference Lintner DM, Sebastianelli WJ, Hanks GA, Kalenak A (1992) Glenoid dysplasia. A case report and review of the literature. Clin Orthop 283:145–148PubMed Lintner DM, Sebastianelli WJ, Hanks GA, Kalenak A (1992) Glenoid dysplasia. A case report and review of the literature. Clin Orthop 283:145–148PubMed
36.
go back to reference Mallon WJ, Brown HR, Vogler JB, Martinez S III (1992) Radiographic and geometric anatomy of the scapula. Clin Orthop 277:142–154PubMed Mallon WJ, Brown HR, Vogler JB, Martinez S III (1992) Radiographic and geometric anatomy of the scapula. Clin Orthop 277:142–154PubMed
37.
go back to reference Manns RA, Davies AM (1991) Glenoid hypoplasia: assessment by computed tomographic arthrography. Clin Radiol 43:316–320PubMedCrossRef Manns RA, Davies AM (1991) Glenoid hypoplasia: assessment by computed tomographic arthrography. Clin Radiol 43:316–320PubMedCrossRef
38.
go back to reference Mansat P, Barea C, Hobatho MC, Darmana R, Mansat M (1998) Anatomic variation of the mechanical properties of the glenoid. J Should Elb Surg 7:109–115CrossRef Mansat P, Barea C, Hobatho MC, Darmana R, Mansat M (1998) Anatomic variation of the mechanical properties of the glenoid. J Should Elb Surg 7:109–115CrossRef
39.
go back to reference McPherson EJ, Friedman RJ, An YH, Chokesi R, Dooley RL (1997) Anthropometric study of normal glenohumeral relationships. J Should Elb Surg 6:105–112CrossRef McPherson EJ, Friedman RJ, An YH, Chokesi R, Dooley RL (1997) Anthropometric study of normal glenohumeral relationships. J Should Elb Surg 6:105–112CrossRef
40.
41.
go back to reference Mullaji AB, Beddow FH, Lamb GHR (1994) CT measurement of glenoid erosion in arthritis. J Bone Joint Surg Br 76:384–388PubMed Mullaji AB, Beddow FH, Lamb GHR (1994) CT measurement of glenoid erosion in arthritis. J Bone Joint Surg Br 76:384–388PubMed
42.
go back to reference Nakagawa Y, Hyakuna K, Otani S, Hashitani M, Nakamura T (1999) Epidemiologic study of glenohumeral osteoarthritis with plain radiography. J Should Elb Surg 8:580–584CrossRef Nakagawa Y, Hyakuna K, Otani S, Hashitani M, Nakamura T (1999) Epidemiologic study of glenohumeral osteoarthritis with plain radiography. J Should Elb Surg 8:580–584CrossRef
43.
go back to reference Neer CS, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Joint Surg Am 64:319–337PubMed Neer CS, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Joint Surg Am 64:319–337PubMed
44.
go back to reference Neer CS (1961) Degenerative lesions of the proximal humeral articular surface. Clin Orthop Relat Res 20:116–125 Neer CS (1961) Degenerative lesions of the proximal humeral articular surface. Clin Orthop Relat Res 20:116–125
45.
go back to reference Neer CS (1974) Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 56:1–13PubMed Neer CS (1974) Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 56:1–13PubMed
46.
go back to reference Nyffeler RW, Jost B, Pfirrmann CWA, Gerber C (2003) Measurement of glenoid version: conventional radiographs versus computed tomography scans. J Should Elb Surg 12:493–496CrossRef Nyffeler RW, Jost B, Pfirrmann CWA, Gerber C (2003) Measurement of glenoid version: conventional radiographs versus computed tomography scans. J Should Elb Surg 12:493–496CrossRef
47.
48.
go back to reference Prescher A (2000) Anatomical basics, variations, and degenerative changes of the shoulder joint and shoulder girdle. Eur J Rad 35:88–102CrossRef Prescher A (2000) Anatomical basics, variations, and degenerative changes of the shoulder joint and shoulder girdle. Eur J Rad 35:88–102CrossRef
49.
go back to reference Randelli M, Gambrioli PL (1986) Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop Relat Res 208:151–156PubMed Randelli M, Gambrioli PL (1986) Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop Relat Res 208:151–156PubMed
51.
go back to reference Schulz CU, Pfahler M, Anetzberger HM, Becker CR, Müller-Gerbl M, Refior HJ (2002) The mineralization patterns at the subchondral bone plate of the glenoid cavity in healthy shoulders. J Should Elb Surg 11:174–181CrossRef Schulz CU, Pfahler M, Anetzberger HM, Becker CR, Müller-Gerbl M, Refior HJ (2002) The mineralization patterns at the subchondral bone plate of the glenoid cavity in healthy shoulders. J Should Elb Surg 11:174–181CrossRef
52.
go back to reference Soslowsky LJ, Flatow EL, Bigliani LU, Mow VC (1992) Articular geometry of the glenohumeral joint. Clin Orthop 285:181–190PubMed Soslowsky LJ, Flatow EL, Bigliani LU, Mow VC (1992) Articular geometry of the glenohumeral joint. Clin Orthop 285:181–190PubMed
53.
go back to reference Sperling JW, Cofield RH, Steinmann SP (2002) Shoulder arthroplasty for osteoarthritis secondary to glenoid dysplasia. J Bone Joint Surg Am 84:541–546PubMed Sperling JW, Cofield RH, Steinmann SP (2002) Shoulder arthroplasty for osteoarthritis secondary to glenoid dysplasia. J Bone Joint Surg Am 84:541–546PubMed
54.
go back to reference Testut L (1921). Traité d’Anatomie Humaine, ed. 7, Tome 1: Ostéologie, Arthrologie, Myologie, Paris, Doin, pp 503–504 Testut L (1921). Traité d’Anatomie Humaine, ed. 7, Tome 1: Ostéologie, Arthrologie, Myologie, Paris, Doin, pp 503–504
55.
go back to reference Tillmann B, Petersen W (2001) Clinical anatomy. In: N Wülker, M Mansat, FH Fu (eds) Shoulder surgery. Martin Dunitz, pp 1–29 Tillmann B, Petersen W (2001) Clinical anatomy. In: N Wülker, M Mansat, FH Fu (eds) Shoulder surgery. Martin Dunitz, pp 1–29
56.
go back to reference Von Schroeder HP, Kuiper SD, Botte MJ (2001) Osseous anatomy of the scapula. Clin Orthop 383:131–139CrossRef Von Schroeder HP, Kuiper SD, Botte MJ (2001) Osseous anatomy of the scapula. Clin Orthop 383:131–139CrossRef
57.
go back to reference Walch G, Badet R, Boulahia A, Khoury A (1999) Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast 14:756–760CrossRef Walch G, Badet R, Boulahia A, Khoury A (1999) Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast 14:756–760CrossRef
58.
go back to reference Wirth MA, Lyons FR, Rockwood CA Jr (1993) Hypoplasia of the glenoid. A review of sixteen patients. J Bone Joint Surg Am 75:1175–1184PubMed Wirth MA, Lyons FR, Rockwood CA Jr (1993) Hypoplasia of the glenoid. A review of sixteen patients. J Bone Joint Surg Am 75:1175–1184PubMed
Metadata
Title
Morphology of the normal and arthritic glenoid
Authors
Pierre Mansat
Nicolas Bonnevialle
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2013
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-012-1115-8

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