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Glenoid Bone Loss in Athletes

  • Deepak N. Bhatia
  • Joe F. De Beer
Chapter

Abstract

Anterior shoulder instability in athletes is a complex problem and necessitates accurate pre- and intra-operative assessment of soft-tissue and bony pathology. Significant bone loss on the glenoid or humeral head predisposes to failure of soft-tissue repair, and bone grafting procedures are necessary to stabilise the shoulder. Recent research has focussed on radiological and arthroscopic assessment of glenoid bone loss, and treatment algorithms have evolved to incorporate newer techniques for optimal outcomes. This chapter describes key concepts that guide diagnosis and management of this complex condition. Essential surgical procedures, and their recent significant modifications are outlined, and the outcomes of various procedures are highlighted.

Keywords

Shoulder instability Engaging Hill–Sachs Inverted pear glenoid Glenoid track Humeral avulsion glenohumeral ligament Instability severity index score Latarjet procedure Remplissage Double-barrel remplissage Iliac crest graft Labroplasty 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Deepak N. Bhatia
    • 1
    • 2
  • Joe F. De Beer
    • 3
  1. 1.Department of Orthopaedic SurgerySeth GS Medical College, and King Edward VII Memorial HospitalMumbaiIndia
  2. 2.SPORTSMEDMumbaiIndia
  3. 3.Cape Shoulder InstituteCape TownSouth Africa

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