Management of posterior shoulder instability in patients with excessive glenoid retroversion can be challenging. However, a corrective posterior glenoid osteotomy is an option. Although various open techniques are available, minimally invasive and arthroscopy surgery are the most advantageous. This study describes the feasibility and safety of an arthroscopic posterior open wedge glenoid osteotomy using an autologous scapular spine graft along with additional posterior capsulolabral complex reattachment. This procedure is a viable option for patients with symptomatic posterior shoulder instability.
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http://dx.doi.org/10.1016/j.eats.2023.09.003 | DOI Listing |
Knee Surg Sports Traumatol Arthrosc
December 2024
Department of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
Purpose: To evaluate clinical, functional and radiological mid-term outcomes following posterior open-wedge glenoid osteotomy (POWGO) for the treatment of posterior shoulder instability (PSI) associated with increased glenoid retroversion.
Methods: Patients who underwent POWGO for the treatment of symptomatic PSI with glenoid retroversion >10° and participated in a previous study assessing short-term outcomes were included after a minimum follow-up of 5 years. Clinical (Rowe score and physical examination) and functional outcomes (Oxford Shoulder Instability Score [OSIS] and visual analogue scale [VAS] for pain) were assessed.
Comput Methods Biomech Biomed Engin
October 2024
Department of Oral and Maxillofacial Surgery, Bezmialem Vakif University, İstanbul, Turkey.
Three different kinds of condylar inclination were manually modelled anteriorly inclined condylar neck, vertical condylar neck, and posteriorly inclined condylar neck. Three different maxillary impactions were simulated to evaluate the effect of counterclockwise rotation. The von Misses stresses of the disc, compressive stresses of the glenoid fossa, and compressive stresses of the condyle were the highest in the models with posteriorly inclined neck and lowest in the models with vertical condylar neck design.
View Article and Find Full Text PDFAm J Sports Med
October 2024
Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Background: Excessive glenoid retroversion is a known risk factor for posterior shoulder instability and failure after soft tissue stabilization procedures. Whether excessive glenoid retroversion is a risk factor for failure after posterior glenoid bone grafting is unknown.
Purpose: To evaluate the biomechanical effectiveness of posterior iliac crest bone grafting (ICBG) for posterior shoulder instability with increasing glenoid retroversion.
JBJS Essent Surg Tech
September 2024
Duke University Medical Center, Durham, North Carolina.
World Neurosurg
November 2024
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA. Electronic address:
Objective: Patients with brachial plexus birth injuries (BPBIs) are at risk for limitations in shoulder external rotation. The role of lower trapezius tendon transfer to restore shoulder external rotation in this population has not been well characterized. This study aimed to evaluate the utility of lower trapezius tendon transfer for restoration of external rotation in a subset of pediatric patients.
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