Abstract
The algorithm of treatment depends on many factors, but the size and type (fragment or erosion) of the glenoid bone deficit is the priority. If a mobile bone fragment is associated with a labral lesion, then there is a possibility to perform an arthroscopic repair, despite the size of the fragment. If there is a bone loss, there are no guidelines. If the bone deficit is greater than 20 % with respect to the healthy contralateral glenoid, a bone grafting procedure open or arthroscopic is recommended by most authors to fill the defect and to reconstruct the anatomic glenoid arch [1–4]. If the missing area of the glenoid is less than 10 % and there are no soft tissue alterations, an arthroscopic reconstruction of soft tissue is certainly a viable treatment option to restore the stability of the joint. If the bone loss is between 10 % and 20 %, other factors should be considered, such as the presence of a Hill-Sachs lesion that could represent an indication for a bone procedure (Table 36.1).
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Taverna, E., D’Ambrosi, R. (2016). Anterior Traumatic Instability with Glenoid Bone Loss. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_36
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