Glenoid Dysplasia by Josef K. Eichinger, Joseph W. Galvin, Jason A. Grassbaugh, Stephen A. Parada, and Xinning Li J Bone Joint Surg Am Volume 98(11):958-968.

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Presentation transcript:

Glenoid Dysplasia by Josef K. Eichinger, Joseph W. Galvin, Jason A. Grassbaugh, Stephen A. Parada, and Xinning Li J Bone Joint Surg Am Volume 98(11): June 1, 2016 ©2016 by The Journal of Bone and Joint Surgery, Inc.

The qualitative descriptions of glenoid dysplasia as developed by Edelson5 and Weishaupt et al.8. Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

The classification system developed by Harper et al. showing normal through severe dysplastic morphologies of the glenoid6. Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of severe glenoid dysplasia showing hooking of the distal end of the clavicle (orange star), absence of the glenoid neck (blue arrow), and coracoid enlargement (yellow arrow). Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Axillary T1-weighted MRI scan showing glenoid dysplasia with combined lesions of an enlarged posterior aspect of the labrum (blue arrow), retroversion, posterior humeral head subluxation, and posterior-inferior glenoid hypoplasia (orange star). Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Preoperative axial CT scan showing glenoid dysplasia and posterior humeral head subluxation. Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the shoulder showing the lateralized posterior bone-grafting with the blocking (red dashed arrow) technique. Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic view of the posterior glenoid dysplasia and cartilage loss (blue star) before the reconstruction procedure. Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic posterior glenoid bone-grafting (orange star) with autogenous ICBG. The blue arrow is pointing to the posterior capsule. Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic repair of the posterior capsule (green star) over the ICBG to the native glenoid. Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.

Postoperative axillary radiograph made after arthroscopic bone-grafting of the glenoid with ICBG, showing recentering of the humeral head (blue circle) on the glenoid axis (yellow line). Josef K. Eichinger et al. J Bone Joint Surg Am 2016;98: ©2016 by The Journal of Bone and Joint Surgery, Inc.