Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-02-2013 | Shoulder

Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft

Authors: Peter J. Millett, Jean-Yves Schoenahl, Bradley Register, Trevor R. Gaskill, Derek. F. P. van Deurzen, Frank Martetschläger

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2013

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.

Level of evidence IV.

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

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

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–e22CrossRef

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):677–694PubMedCrossRef

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

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

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

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):651–655PubMedCrossRef

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

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):777–781PubMed

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):446–452PubMedCrossRef

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):1130–1136PubMedCrossRef

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):411–419CrossRef

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):1792–1797PubMedCrossRef

Title: Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft
Authors: Peter J. Millett
Jean-Yves Schoenahl
Bradley Register
Trevor R. Gaskill
Derek. F. P. van Deurzen
Frank Martetschläger
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2254-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2013

Relationship between the extent of labral lesions and the frequency of glenohumeral dislocation in shoulder instability

Influence of soft tissues on the proximal bony tibial slope measured with two-dimensional MRI

Diagnosis and prognosis of acute hamstring injuries in athletes

Patella instability: building bridges across the ocean a historic review

Increased chondrocyte seeding density has no positive effect on cartilage repair in an MPEG-PLGA scaffold

The influence of risk factors on clinical outcomes following anatomical medial patellofemoral ligament (MPFL) reconstruction using the gracilis tendon