Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone Loss
Glenoid bone loss is commonly associated with recurrent shoulder instability. Failure to recognize and appropriately address it can lead to poor outcomes. Numerous studies have found anterior-inferior glenoid bone loss in the setting of recurrent anterior instability. Though much less common, poster...
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doaj-6f16017edb4b45478093aedc8c201e432021-06-10T04:50:59ZengElsevierArthroscopy Techniques2212-62872013-11-0124e405e411Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone LossAnil K. Gupta, M.D., M.B.A.0Peter N. Chalmers, M.D.1Emma Klosterman, B.S.2Joshua D. Harris, M.D.3Matthew T. Provencher, M.D., MC, USN4Anthony A. Romeo, M.D.5Midwest Orthopaedics at Rush, Division of Sports Medicine and Shoulder and Elbow, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A; Address correspondence to Anil K. Gupta, M.D., M.B.A., Midwest Orthopaedics at Rush, Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W Harrison St, Chicago, IL 60612, U.S.A.Midwest Orthopaedics at Rush, Division of Sports Medicine and Shoulder and Elbow, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.AMidwest Orthopaedics at Rush, Division of Sports Medicine and Shoulder and Elbow, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.AMidwest Orthopaedics at Rush, Division of Sports Medicine and Shoulder and Elbow, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.ADivision of Sports Medicine, US Naval Medical Center, San Diego, California, U.S.AMidwest Orthopaedics at Rush, Division of Sports Medicine and Shoulder and Elbow, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.AGlenoid bone loss is commonly associated with recurrent shoulder instability. Failure to recognize and appropriately address it can lead to poor outcomes. Numerous studies have found anterior-inferior glenoid bone loss in the setting of recurrent anterior instability. Though much less common, posterior shoulder instability can be seen in the setting of acute trauma, epilepsy, electrocution, and alcoholism. Heightened awareness has led to recognition in collision athletes as well. Posterior glenoid bone loss must be addressed in a similar fashion to anterior glenoid bone loss to prevent recurrent instability. Open bone augmentation procedures have been described with successful results. In this technical note, we describe an arthroscopic technique using fresh distal tibial allograft for posterior glenoid augmentation. In addition, a current review regarding the diagnosis and management of recurrent posterior shoulder instability is provided.http://www.sciencedirect.com/science/article/pii/S2212628713000686 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anil K. Gupta, M.D., M.B.A. Peter N. Chalmers, M.D. Emma Klosterman, B.S. Joshua D. Harris, M.D. Matthew T. Provencher, M.D., MC, USN Anthony A. Romeo, M.D. |
spellingShingle |
Anil K. Gupta, M.D., M.B.A. Peter N. Chalmers, M.D. Emma Klosterman, B.S. Joshua D. Harris, M.D. Matthew T. Provencher, M.D., MC, USN Anthony A. Romeo, M.D. Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone Loss Arthroscopy Techniques |
author_facet |
Anil K. Gupta, M.D., M.B.A. Peter N. Chalmers, M.D. Emma Klosterman, B.S. Joshua D. Harris, M.D. Matthew T. Provencher, M.D., MC, USN Anthony A. Romeo, M.D. |
author_sort |
Anil K. Gupta, M.D., M.B.A. |
title |
Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone Loss |
title_short |
Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone Loss |
title_full |
Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone Loss |
title_fullStr |
Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone Loss |
title_full_unstemmed |
Arthroscopic Distal Tibial Allograft Augmentation for Posterior Shoulder Instability With Glenoid Bone Loss |
title_sort |
arthroscopic distal tibial allograft augmentation for posterior shoulder instability with glenoid bone loss |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2013-11-01 |
description |
Glenoid bone loss is commonly associated with recurrent shoulder instability. Failure to recognize and appropriately address it can lead to poor outcomes. Numerous studies have found anterior-inferior glenoid bone loss in the setting of recurrent anterior instability. Though much less common, posterior shoulder instability can be seen in the setting of acute trauma, epilepsy, electrocution, and alcoholism. Heightened awareness has led to recognition in collision athletes as well. Posterior glenoid bone loss must be addressed in a similar fashion to anterior glenoid bone loss to prevent recurrent instability. Open bone augmentation procedures have been described with successful results. In this technical note, we describe an arthroscopic technique using fresh distal tibial allograft for posterior glenoid augmentation. In addition, a current review regarding the diagnosis and management of recurrent posterior shoulder instability is provided. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628713000686 |
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