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Normal and Pathological Anatomy of the Glenoid: Effects on the Design, Preparation, and Fixation of the Glenoid Component

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Shoulder Arthroplasty

Summary

In an effort to better understand anatomical and pathological aspects of the glenoid that may be of surgical importance, we reviewed the literature and performed ourselves several studies analysing (a) the size and shape of the normal glenoid surface, (b) the radius of curvature of the glenoid surface and the corresponding humeral head, (c) the horizontal orientation of the glenoid (glenoid version), (d) the vertical orientation of the glenoid (glenoid inclination), (e) the possibilities of bony fixation of a glenoid component. All the results are discussed in terms of their surgical relevance for glenoid orientation, glenoid fixation and glenoid design.

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References

  1. Aliabadi P, Weissman BN (1994) Radiology of total shoulder arthroplasty. In: Friedman RJ (ed) Arthroplasty of the shoulder. Thieme Medical, New York, pp 53–69

    Google Scholar 

  2. Badet R, Boileau P, Noël E, Walch G (1995) Arthrography and computed arthrotomography study of seventy patients with primary glenohumeral osteoarthritis. Rev Rhum 62(9):555–562

    CAS  Google Scholar 

  3. Barret WP, Franklin JL, Jackins SE, Wyss CR, Matsen FA III (1987) Total shoulder arthroplasty. J Bone Joint Surg An 69:865–872

    Google Scholar 

  4. Basmajian JV, Bazant FJ (1959) factors preventing downward dislocation of the adducted shoulder joint: an electromyographic and morphological study. J Bone Joint Surg Am 41:1182

    PubMed  Google Scholar 

  5. Boyd AD, Tornhill TS (1994) Glenoid resurfacing in shoulder arthroplasty. In: Friedman RJ (ed) Arthroplasty of the shoulder. Thieme, New York, pp 306–316

    Google Scholar 

  6. Boileau P, Walch G, Liotard JP (1992) Video-fluoroscopy of shoulder arthroplasties during active elevation. J Orthop Surg 6:4

    Google Scholar 

  7. Boileau P, Walch G, Liotard JP, Noel E (1994) Neer shoulder prosthesis: results related to the etiology. Rev Rhum 61:539–547

    Google Scholar 

  8. Boileau P, Walch G (1997) Glenoid slope in osteoarthritic and rheumatoid shoulders before and after arthroplasty. J Shoulder Elbow Surg 6:194–195

    Google Scholar 

  9. Brems J (1993) The glenoid component in total shoulder arthroplasty. J Shoulder Elbow Surg 2:47–54

    Article  PubMed  CAS  Google Scholar 

  10. Brewer BJ, Wubben RC, Carrera GF (1986) Excessive retro-version of the glenoid cavity. A cause of non traumatic posterior instability of the shoulder. J Bone Joint Surg Am 68:724–731

    PubMed  CAS  Google Scholar 

  11. Buechel FF (1977) Glenohumeral joint in the chimpanzee: comparative anatomical analysis for use in endoprosthic replacement. J Med Primatol 6:108–113

    PubMed  CAS  Google Scholar 

  12. Burkhead WZ, Hutton KS (1995) Biologic resurfacing of the glenoid with hemiarthroplasty of the shoulder. J Shoulder Elbow Surg 4:263

    Article  PubMed  Google Scholar 

  13. Cofield RH, Briggs BT (1979) Gleno-humeral arthritis. J Bone Joint Surg Am 61:668–677

    PubMed  CAS  Google Scholar 

  14. Cofield RH (1984) Total shoulder arthroplasty with the Neer prosthesis. J Bone Joint Surg Am 64:319–337

    Google Scholar 

  15. Cofield RH, Daly PJ (1992) Total shoulder arthroplasty with a tissue-ingrowth glenoid component. J Shoulder Elbow Surg 1:77–85

    Article  PubMed  CAS  Google Scholar 

  16. Collins DN, Harryman DT II, Lippitt SB, Jackins SE, Mat-sen FA III (1991) The technique of glenohumeral arthroplasty. Techniques Orthop 6:43–59

    Article  Google Scholar 

  17. Collins D, Tencer A, Sidles J, Matsen FA III (1992) Edge displacement and deformation of glenoid components in response to eccentric loading. The effect of preparation of the glenoid bone. J Bone Joint Surg Am 74:501–507

    PubMed  CAS  Google Scholar 

  18. Connor PM, Flatow EL (1997) Surgical considerations of bony deficiency in total shoulder arthroplasty. In: Warner JJP, Iannotti JP, Gerber C (eds) Complex and revision problems in shoulder surgery. Lippincott-Raven, Philadelphia, pp 339–354

    Google Scholar 

  19. Copeland S (1989) Cementless total shoulder replacement. Presented at the 4th international conference on surgery of the soulder, New York, Oct 1989

    Google Scholar 

  20. Crossan JF, Vallace R (1980) Clinical and radiological features of the shoulder joint in rheumatoid arthritis. J Bone Joint Surg Br 62:116

    Google Scholar 

  21. Cyprien JM, Vasey HM, Burdet A, Bonvin JC, Kritsikis N, Vuagnat P (1983) Humeral retrotorsion and glenohumeral relationship in the normal shoulder and in recurrent anterior dislocation (scapulometry). Clin Orthop 175:8–17

    PubMed  Google Scholar 

  22. Deutsch AL, Resnick D, Minck JH (1985) Cumputed tomography of the glenohumeral joint and sternoclavicular joints. Orthop Clin North Am 16:497–511

    PubMed  CAS  Google Scholar 

  23. Dras SP, Roy GS, Saha RR (1966) Observations of the tilt of the glenoid cavity of the scapula. J Anat Soc Ind 15:114

    Google Scholar 

  24. Edelson JG (1995) Localized glenoid hypoplasia. An anatomic variation of possible clinical significance. Clin Orthop 321:189–195

    PubMed  Google Scholar 

  25. Edelson JG (1995) Pattterns of degenerative change in the glenohumeral joint. J Bone Joint Surg Br 77(2):288–292

    PubMed  CAS  Google Scholar 

  26. Engelbrecht E, Heinert (1987) More than ten Years’ experience with unconstrained shoulder replacement. In: Kölbel R, Helbig B, Blauth W (eds) Shoulder replacement. Springer, Berlin Heidelberg New York, pp 85–91

    Chapter  Google Scholar 

  27. Fick R (1904) Anatomie and Mechanik der Gelenke. Fischer, Jena, pp 171–174

    Google Scholar 

  28. Figgie HE, Inglis AE, Goldberg VM et al (1988) An analysis of factors affecting the long term results of total shoulder arthroplasty in inflammatory arthritis. J Arthroplasty 3:123–130

    Article  PubMed  Google Scholar 

  29. Flatow EL (1995) Prosthetic design considerations in total shoulder arthroplasty. Semin Arthroplasty 6:233–244

    PubMed  CAS  Google Scholar 

  30. Franklin JL, Barrett WP, Jackins SE et al (1988) Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplasty 3:39–46

    Article  PubMed  CAS  Google Scholar 

  31. Freedman L, Munro RR (1966) Abduction of the arm in the scapular plane: scapular and gleno-humeral movements. J Bone Joint Surg Am 48:1503

    PubMed  CAS  Google Scholar 

  32. Frich LA, Jensen NC, Odgaard A, Pedersen CM, Sjobjerg JO, Dalstra M (1997) Bone strength and material properties of the glenoid. J Shoulder Elbow Surg 6:97–104

    Article  PubMed  CAS  Google Scholar 

  33. Friedman RJ (1992) Gleno-humeral translation after total shoulder arthroplasty. J Shoulder Elbow Surg 1(6):312–316

    Article  PubMed  CAS  Google Scholar 

  34. Friedman RJ, La Berge M, Dooley RL et al (1992) Finite element modeling of the glenoid component: effect of design parameters on stress distribution. J Shoulder Elbow Surg 1:261–270

    Article  PubMed  CAS  Google Scholar 

  35. Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of glenoid version. J Bone Joint Surg Am 74:1032–1037

    PubMed  CAS  Google Scholar 

  36. Friedman RJ (1994) Biomechanics and design of shoulder arthroplasties. In: Friedman RJ (ed) Arthroplasty on the shoulder. Thieme, New York, pp 27–40

    Google Scholar 

  37. Fukuda K, Chen CM, Cofield RH et al (1988) Biomechanical analysis of stability and fixation stength of total shoulder prosthesis. Orthopedics 11:141–149

    PubMed  CAS  Google Scholar 

  38. Giori NJ, Beaupre GS, Carter DR (1990) The influence of fixation peg design on the shear stability of prosthetic implants. J Orthop Res 8:892–898

    Article  PubMed  CAS  Google Scholar 

  39. Glasson JM, Djurasovic M, Levine WN, Pollock RG, Flatow EL, Bigliani LU (1996) Hemiarthroplasty for glenohumeral osteoarthritis in patients with an intact rotator cuff: results correlated to degree of glenoid wear. Presented at the American Academy of Orthopaedics Surgeons, annual meeting, Atlanta, Georgia, USA

    Google Scholar 

  40. Gouaze A, Castaing J, Soutoul JH, Chantepie G (1962) Sur l’orientation de l’omoplate et de sa cavité glenoïde. Arch Anat Pathol 10(3):175–181

    CAS  Google Scholar 

  41. Harryman DT, Sidles JA, Harris SL, Lippitt SB, Matsen FA (1995) The effect of articular conformity and the size of the humeral head component on laxity and motion after gleno-humeral arthroplasty. J Bone Joint Surg Am 77:555–564

    PubMed  CAS  Google Scholar 

  42. Harryman DT, Sidles JA, Clark JM, Mc Quade KS, Gibb TD, Matsen FA (1990) Translation of the humeral head on the glenoid with passive gleno-humeral motion. J Bone Joint Surg Am 72(9):1334–1343

    PubMed  Google Scholar 

  43. Hawkins RJ, Bell RH, Jallay B (1986) Experience with the Neer shoulder arthroplasty. A review of 70 cases. Orthop Trans 10:232

    Google Scholar 

  44. Howell SM, Galinat BJ (1989) The glenoid-labral socket. A constrained articular surface. Clin Orthop 243:122–125

    PubMed  Google Scholar 

  45. Ianotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships: an anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am 74:491–500

    Google Scholar 

  46. Kelkar R, Newton PM, Armengol J et al (1993) Three dimensional kinematics of the glenohumeral joint during abduction in scapular plane. Trans ORS 18:136

    Google Scholar 

  47. Kelleher IM, Cofield RH, Becker DA et al (1992) Fluoroscopically positioned radiographs of total shoulder arthroplasty. J Shoulder Elbow Surg 1:306–311

    Article  PubMed  CAS  Google Scholar 

  48. Kelly IG, Foster RS, Fisher WD (1987) Neer total shoulder replacement in rheumatoid arthritis. J Bone Joint Surg Br 69:723–726

    PubMed  CAS  Google Scholar 

  49. Kerr R, Resnick D, Pineda C, Haghighi P (1985) Osteoarthritis of the gleno-humeral joint: a radiological study. Am J Roentgenol 144:967–972

    CAS  Google Scholar 

  50. Mac Pherson EJ, Friedman RJ, An YH, Chokesis R, Dooley RL (1997) Antropometric study of normal glenohumeral relationships. J Shoulder Elbow Surg 6:105–112

    Article  Google Scholar 

  51. Mallon WJ, Brown HR, Vogher JB III, Martinez S (1992) Radiographic and geometric anatomy of the scapula. Clin Orthop 277:142–154

    PubMed  Google Scholar 

  52. Matsen FA, Lippit SB, Siddles JA, Harryman DT (1994) Smoothness. In: Pratical evaluation and management of the shoulder. Saunders, Philadelphia, pp 151–219

    Google Scholar 

  53. Muladji AB, Beddow FH, Lamb GHR (1994) CT- measurement of glenoid erosion in arthritis. J Bone Joint Surg Br 76:384–388

    Google Scholar 

  54. Morrison DS (1993) Glenoid deficiency in total shoulder arthroplasty. In: Bigliani LU (ed) Complications in shoulder surgery. William and Wilkins, Baltimore, pp 7380

    Google Scholar 

  55. Neer CS II, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Joint Surg Am 64:319–337

    PubMed  Google Scholar 

  56. Neer CS II, Craig EV, Fukuda H (1983) Cuff tear arthropathy. J Bone Joint Surg Am 65:1232–1244

    PubMed  Google Scholar 

  57. Neer CS II, Morison DS (1988) Glenoid bone-grafting in total shoulder arthroplasty. J Bone Joint Surg Am 64:319–337

    Google Scholar 

  58. Neer CS (1990) Glenohumeral arthroplasty. In: Neer CS (ed) Shoulder reconstruction. Saunders, Philadelphia, pp 146–271

    Google Scholar 

  59. O’Driscoll SW, Wright TM, Cofield RH (1993) Radiographic analysis of the glenoid component in total shoulder arthroplasty. J Shoulder Elbow Surg 2:S13

    Google Scholar 

  60. Orr TE, Carter DR, Schurman DJ (1988) Stress analyses of glenoid component designs. Clin Orthop 232:217–224

    PubMed  Google Scholar 

  61. Peterson CJ (1983) Degeneration of the gleno-humeral joint: an anatomical study 54:277–283

    Google Scholar 

  62. Pizon P (1959) Osteométrie scapulo-humérale. Presse Med 67(40):1531–1533

    PubMed  CAS  Google Scholar 

  63. Pollock RG, Deliz ED, Mcllveen SJ et al (1992) Prosthetic replacement in rotator cuff deficient shoulders. J Shoulder Elbow Surg 1:173–186

    Article  PubMed  CAS  Google Scholar 

  64. Randelli M, Gambrioli PL (1986) Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop 208:151–156

    PubMed  Google Scholar 

  65. Rodosky MW, Bigliani LU (1994) Surgical treatment of nonconstrained glenoid component failure. Oper Tech Orthop 4:226–236

    Article  Google Scholar 

  66. Rodosky MW, Bigliani LU (1996) Indication for glenoid resurfacing in shoulder arthroplasty. J Shoulder Elbow Surg 5(3):231–248

    Article  PubMed  CAS  Google Scholar 

  67. Roper BA, Paterson JMH, Day WH (1990) The Roper-Day total shoulder replacement. J Bone Joint Surg Br 72:694–697

    PubMed  CAS  Google Scholar 

  68. Saha AK (1973) Dynamic stability of the glenohumeral joint. Acta Orthop Scand 44:668–678

    Article  PubMed  CAS  Google Scholar 

  69. Smith CM, Pichora D, Wyss UP et al (1992) Challenges in glenoid implant technology: a three dimensional finite element analysis. Orthop Trans 16:99

    Google Scholar 

  70. Severt R, Thomas BJ, Tsenter MJ et al (1993) The influence of conformity and constraint on translational forces and frictional torque in total shoulder arthroplasty. Clin Orthop 292:151–158

    PubMed  Google Scholar 

  71. Soslowky LJ, Flatow EL, Bigliani LU, Mow VC (1992) Articular geometry of the glenohumeral joint. Clin Orthop 285:181–190

    Google Scholar 

  72. Sillar P, Meszaros T, Horvath F, Keri L, Lengyel E (1979) Gerontological aspects of degenerative changes of the shoulder-joint (radiological and clinical sudies). ZFA 34:411–421

    PubMed  CAS  Google Scholar 

  73. Tomaszewski PR, Ondrla JM (1992) Incongruity and its relation to stress in prosthetic shoulder components. Trans ORS 17:425

    Google Scholar 

  74. Torchis ME, Cofield RH (1995) Long term results of Neer total shoulder arthroplasty. Orthop Trans 18:1994–1995

    Google Scholar 

  75. Toris T (1981) Roentgenographical examination of the tilted angle of the scapula in the resting position. Jpn Orthop Assoc 55:295

    Google Scholar 

  76. Walch G, Boileau P, Noel E, Donnell ST (1992) Impignement of the deep surface of the supraspinatus tendon on the postero-superior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg 1:238–245

    Article  PubMed  CAS  Google Scholar 

  77. Walch G, Boileau P, Riand N (1997) Morphological study of the glenoid in primary glenohumeral osteoarthritis. J Shoulder Elbow Surg 6(2):226 (abstract 22)

    Google Scholar 

  78. Wilde AH, Borden LS, Brems JJ (1984) Experience with the Neer total shoulder replacement. In: Bateman JE, Welsh RP (eds) Surgery of the shoulder. Mosby, St Louis, pp 224–228

    Google Scholar 

  79. Wilde AH (1992) Shoulder arthroplasty: what it is good for and how good it is. In: Matsen FA III, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability, 1st edn. American Academy of Orthopaedic Surgeons, Rosemond, IL, pp 459–481

    Google Scholar 

  80. Wirth MA, Lyons FR, Rockwood CA Jr (1993) Hypoplasia of the glenoid. J Bone Joint Surg Am 75(8):1175–1184

    PubMed  CAS  Google Scholar 

  81. Wirth MA, Basamania C, Rockwood CA Jr (1994) Fixation of glenoid component: Keel versus pegs. Oper Tech Orthop 4:218–225

    Article  Google Scholar 

  82. Wirth MA, Seltzer DG, Senes HR et al (1994) An analysis of failed humeral head and total shoulders athroplasty. Presented at the Americal Shoulder and Elbow Surgeons, 10th open meeting, New Orleans, Febr 1994

    Google Scholar 

  83. Wuelker N, Schmotzer H, Thren K et al (1994) Translation of the glenohumeral joint with simulated active elevation. Clin Orthop 309:193–200

    PubMed  Google Scholar 

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Authors
  1. P. Boileau
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  2. G. Walch
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Editors and Affiliations

  1. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Lyon, 116, Rue Antoine Charial, 69003, Lyon, France

    Gilles Walch M.D.

  2. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Nice, 151, Route de Saint-Antoine de Ginestière, 06200, Nice, France

    Pascal Boileau M.D.

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Boileau, P., Walch, G. (1999). Normal and Pathological Anatomy of the Glenoid: Effects on the Design, Preparation, and Fixation of the Glenoid Component. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_13

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  • DOI: https://doi.org/10.1007/978-3-642-58365-0_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63554-0

  • Online ISBN: 978-3-642-58365-0

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