Considerations for Shoulder Arthroplasty Implant Selection in Primary Glenohumeral Arthritis With Posterior Glenoid Deformity

J Am Acad Orthop Surg. 2022 Oct 1;30(19):e1240-e1248. doi: 10.5435/JAAOS-D-21-01219. Epub 2022 Aug 26.

Abstract

Glenoid deformity has an important effect on outcomes and complication rates after shoulder arthroplasty for primary glenohumeral arthritis. The B2/B3 glenoid has particularly been associated with a poorer outcome with shoulder arthroplasty compared with other glenoid types. One of the primary challenges is striking a balance between deformity correction and joint line preservation. Recently, there has been a proliferation of both anatomic and reverse implants that may be used to address glenoid deformity. The purpose of this review was to provide an evidence-based approach for addressing glenoid deformity associated with primary glenohumeral arthritis.

Publication types

  • Review

MeSH terms

  • Arthroplasty
  • Arthroplasty, Replacement, Shoulder*
  • Glenoid Cavity* / surgery
  • Humans
  • Osteoarthritis* / surgery
  • Retrospective Studies
  • Scapula / surgery
  • Shoulder Joint* / surgery