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CT evaluation of glenoid joint line restoration with glenoid bone grafting and reverse shoulder arthroplasty in patients with significant glenoid bone loss

Journal of Shoulder and Elbow Surgery Nov 12, 2020

Italia KR, Green N, Maharaj J, et al. - This study was attempted to evaluate the restoration of the glenoid joint line after structural bone grafting and reverse shoulder arthroplasty (RSA), and to assess graft incorporation, correction of glenoid version, and rate of notching. Researchers conducted a retrospective review including a total of 21 patients who had undergone RSA (20 primary, 1 revision) with glenoid bone grafting (15 autografts, 6 allografts). They categorized preoperative defects and postoperative joint line restoration was evaluated based on the lateral aspect of the base of the coracoid. Post-operative CT scans were evaluated for graft incorporation, version correction, and presence of notching. In all patients, restoration of the glenoid joint line was achieved. This study’s findings demonstrate that glenoid bone grafting is a viable option for restoring the glenoid joint line in cases of significant glenoid defects encountered during RSA.

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