UNIGE document Scientific Article
previous document  unige:102160  next document
add to browser collection
Title

Bone-mediated anteroinferior glenohumeral instability : Current concepts

Authors
Boehm, E
Tay, E
Scheibel, M
Published in Der Orthopäde. 2018
Abstract Recurrent anterior shoulder instability is commonly associated with defects of the anterior glenoid rim. Substantial osseous defects significantly diminish the glenohumeral stability and require a bony augmentation, either by a coracoid transfer or free bone grafting procedure. Both reconstructive techniques have been applied for a long time and evaluated biomechanically and clinically. Although neither treatment option has been recognized as clearly superior, both comprise certain advantages and disadvantages. The Latarjet technique enables a biomechanically superior stabilization through the additional sling effect at time zero, but constitutes an extra-anatomical procedure with a broad spectrum and relatively high incidence of complications. Free bone grafting techniques enable an anatomical reconstruction of the glenoid concavity, offer the advantage of an unlimited graft size and show generally less severe and more easily manageable complications. The indications need to be carefully considered depending on the specific defect type, the glenoid track concept in cases of bipolar lesions as well as the individual patient characteristics. For both reconstructive procedures, open and arthroscopic approaches have been described with very good results, allowing a selection based on individual surgical skills and experience levels.
Keywords Coracoid processGlenohumeral dislocationGlenoid cavityScapulaShoulder joint
Identifiers
PMID: 29335759
Full text
Article (Published version) (1.9 MB) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group Thérapie cellulaire et troubles musculo-squelettiques (960)
Citation
(ISO format)
LAEDERMANN, Alexandre et al. Bone-mediated anteroinferior glenohumeral instability : Current concepts. In: Der Orthopäde, 2018. https://archive-ouverte.unige.ch/unige:102160

14 hits

0 download

Update

Deposited on : 2018-02-14

Export document
Format :
Citation style :