Preoperative Glenoid Considerations for Shoulder Arthroplasty: a Review

Overview

Journal EFORT Open Rev

Specialty Orthopedics

Date 2020 Apr 17

PMID 32296546

Citations 9

Authors

Stephen Gates

Brain Sager

Michael Khazzam

Affiliations

Soon will be listed here.

Abstract

Preoperative assessment of the glenoid in the setting of shoulder arthroplasty is critical to account for variations in glenoid morphology, wear, version, inclination, and glenohumeral subluxation.Three-dimensional computed tomography (3D CT) scan assessment of the morphology of glenoid erosion allows for a more accurate surgical decision-making process to correct deformity and restore the joint line.Newer technology has brought forth computer-assisted software for glenoid planning in shoulder arthroplasty and patient-specific instrumentation.There have been promising early findings, although further evaluation is needed to determine how this technology impacts implant survivorship, function, and patient-reported outcomes. Cite this article: 2020;5:126-137. DOI: 10.1302/2058-5241.5.190011.

Citing Articles

Current trends in shoulder arthroplasty - Are the trends backed by evidence?.

Shields D, Sewpaul Y, Sandeep K, Atherton C, Goffin J, Rashid M J Clin Orthop Trauma. 2025; 62:102897.

PMID: 39872122 PMC: 11762636. DOI: 10.1016/j.jcot.2024.102897.

Reverse Total Shoulder Arthroplasty in the Setting of an Intramuscular Lipoma With Extension Into the Glenoid: A Case Report.

Griswold B, DeFoor M, Steflik M, Parada S Hand (N Y). 2024; :15589447241267784.

PMID: 39143758 PMC: 11571806. DOI: 10.1177/15589447241267784.

Determining the Normal Glenoid Version in the Indian Population.

Sonve A, Joshi A, Rai P, Achhapalia Y Indian J Radiol Imaging. 2024; 34(3):435-440.

PMID: 38912251 PMC: 11188746. DOI: 10.1055/s-0044-1778725.

Incidental findings are frequent in shoulder CT and MRI scans and increase with age.

Pasurka M, Statescu A, von Knebel Doeberitz P, Kubach J, Dally F, Gravius S J Orthop. 2024; 56:161-166.

PMID: 38882230 PMC: 11169079. DOI: 10.1016/j.jor.2024.05.024.

Rate of incidental findings on routine preoperative computed tomography for shoulder arthroplasty.

Meeker D, Bozoghlian M, Hartog T, Corlette J, Nepola J, Patterson B Clin Shoulder Elb. 2024; 27(2):169-175.

PMID: 38556913 PMC: 11181057. DOI: 10.5397/cise.2023.00836.

References

Gyftopoulos S, Rosenberg Z, Roberts C, Bencardino J, Appel M, Baccei S . ACR Appropriateness Criteria Imaging After Shoulder Arthroplasty. J Am Coll Radiol. 2016; 13(11):1324-1336. DOI: 10.1016/j.jacr.2016.07.028. View

Iannotti J, Baker J, Rodriguez E, Brems J, Ricchetti E, Mesiha M . Three-dimensional preoperative planning software and a novel information transfer technology improve glenoid component positioning. J Bone Joint Surg Am. 2014; 96(9):e71. DOI: 10.2106/JBJS.L.01346. View

Jun B, Vasanji A, Ricchetti E, Rodriguez E, Subhas N, Li Z . Quantification of regional variations in glenoid trabecular bone architecture and mineralization using clinical computed tomography images. J Orthop Res. 2017; 36(1):85-96. DOI: 10.1002/jor.23620. View

Walch G, Vezeridis P, Boileau P, Deransart P, Chaoui J . Three-dimensional planning and use of patient-specific guides improve glenoid component position: an in vitro study. J Shoulder Elbow Surg. 2014; 24(2):302-9. DOI: 10.1016/j.jse.2014.05.029. View

Lau S, Keith P . Patient-specific instrumentation for total shoulder arthroplasty: not as accurate as it would seem. J Shoulder Elbow Surg. 2017; 27(1):90-95. DOI: 10.1016/j.jse.2017.07.004. View

Dallalana R, McMahon R, East B, Geraghty L . Accuracy of patient-specific instrumentation in anatomic and reverse total shoulder arthroplasty. Int J Shoulder Surg. 2016; 10(2):59-66. PMC: 4857532. DOI: 10.4103/0973-6042.180717. View

Churchill R, Brems J, Kotschi H . Glenoid size, inclination, and version: an anatomic study. J Shoulder Elbow Surg. 2001; 10(4):327-32. DOI: 10.1067/mse.2001.115269. View

Iannotti J, Jun B, Patterson T, Ricchetti E . Quantitative Measurement of Osseous Pathology in Advanced Glenohumeral Osteoarthritis. J Bone Joint Surg Am. 2017; 99(17):1460-1468. DOI: 10.2106/JBJS.16.00869. View

Levigne C, Garret J, Boileau P, Alami G, Favard L, Walch G . Scapular notching in reverse shoulder arthroplasty: is it important to avoid it and how?. Clin Orthop Relat Res. 2010; 469(9):2512-20. PMC: 3148391. DOI: 10.1007/s11999-010-1695-8. View

10.

Scalise J, Codsi M, Bryan J, Iannotti J . The three-dimensional glenoid vault model can estimate normal glenoid version in osteoarthritis. J Shoulder Elbow Surg. 2008; 17(3):487-91. DOI: 10.1016/j.jse.2007.09.006. View

11.

Gauci M, Boileau P, Baba M, Chaoui J, Walch G . Patient-specific glenoid guides provide accuracy and reproducibility in total shoulder arthroplasty. Bone Joint J. 2016; 98-B(8):1080-5. DOI: 10.1302/0301-620X.98B8.37257. View

12.

Boileau P, Cheval D, Gauci M, Holzer N, Chaoui J, Walch G . Automated Three-Dimensional Measurement of Glenoid Version and Inclination in Arthritic Shoulders. J Bone Joint Surg Am. 2018; 100(1):57-65. DOI: 10.2106/JBJS.16.01122. View

13.

Lombardo D, Khan J, Prey B, Zhang L, Petersen-Fitts G, Sabesan V . Quantitative assessment and characterization of glenoid bone loss in a spectrum of patients with glenohumeral osteoarthritis. Musculoskelet Surg. 2016; 100(3):179-185. DOI: 10.1007/s12306-016-0406-3. View

14.

Rouleau D, Kidder J, Pons-Villanueva J, Dynamidis S, DeFranco M, Walch G . Glenoid version: how to measure it? Validity of different methods in two-dimensional computed tomography scans. J Shoulder Elbow Surg. 2010; 19(8):1230-7. DOI: 10.1016/j.jse.2010.01.027. View

15.

Daggett M, Werner B, Collin P, Gauci M, Chaoui J, Walch G . Correlation between glenoid inclination and critical shoulder angle: a radiographic and computed tomography study. J Shoulder Elbow Surg. 2015; 24(12):1948-53. DOI: 10.1016/j.jse.2015.07.013. View

16.

Boileau P, Avidor C, Krishnan S, Walch G, Kempf J, Mole D . Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elbow Surg. 2002; 11(4):351-9. DOI: 10.1067/mse.2002.125807. View

17.

Iannotti J, Weiner S, Rodriguez E, Subhas N, Patterson T, Jun B . Three-dimensional imaging and templating improve glenoid implant positioning. J Bone Joint Surg Am. 2015; 97(8):651-8. DOI: 10.2106/JBJS.N.00493. View

18.

Levigne C, Boileau P, Favard L, Garaud P, Mole D, Sirveaux F . Scapular notching in reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2008; 17(6):925-35. DOI: 10.1016/j.jse.2008.02.010. View

19.

Kwon Y, Powell K, Yum J, Brems J, Iannotti J . Use of three-dimensional computed tomography for the analysis of the glenoid anatomy. J Shoulder Elbow Surg. 2005; 14(1):85-90. DOI: 10.1016/j.jse.2004.04.011. View

20.

Daggett M, Werner B, Gauci M, Chaoui J, Walch G . Comparison of glenoid inclination angle using different clinical imaging modalities. J Shoulder Elbow Surg. 2015; 25(2):180-5. DOI: 10.1016/j.jse.2015.07.001. View