Surgical management of biconcave glenoids: a scoping review.

IF 1.8 Q2 ORTHOPEDICS Clinics in Shoulder and Elbow Pub Date : 2024-09-01 Epub Date: 2024-01-29 DOI:10.5397/cise.2023.00689
Mohamad Y Fares, Mohammad Daher, Joseph Mouawad, Emil R Haikal, Jean Paul Rizk, Peter Boufadel, Joseph A Abboud
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Abstract

Biconcave (B2) glenoids, characterized by significant posterior glenoid bone loss and a biconcave wear pattern, are a challenging pathology in shoulder surgery. Significant bone defects present in B2 glenoids increases the risk of complications and rates of failure for operative patients with glenohumeral osteoarthritis. Diagnosing this entity is of pivotal importance, and can be accomplished with imaging and a comprehensive clinical investigation. There are no clear-cut guidelines for management, but options include hemiarthroplasty, anatomic total shoulder arthroplasty, and reverse shoulder arthroplasty. In recent years, modern techniques such as corrective reaming, bone grafts, and the use of augmented components have improved patient outcomes. Educating prospective patients is essential for reaching a shared management decision, setting appropriate expectations, and optimizing prognostic outcomes.

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双凹睑板腺的手术治疗:范围界定综述。
双凹(B2)盂成形术的特点是盂后部骨质严重缺损和双凹磨损模式,是肩关节手术中一种具有挑战性的病理类型。B2盂状关节明显的骨缺损会增加肩关节骨关节炎患者的并发症风险和手术失败率。通过影像学检查和全面的临床调查可以确诊这种疾病。目前还没有明确的治疗指南,但可以选择半关节成形术、解剖全肩关节成形术和反向肩关节成形术。近年来,矫正铰孔、骨移植和使用增强型组件等现代技术改善了患者的治疗效果。教育未来的患者对于达成共同的管理决策、设定适当的期望值和优化预后结果至关重要。
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
期刊最新文献
The radiographic and clinical outcomes of stemless reverse total shoulder arthroplasty: a minimum 2-year follow-up study. Reconstruction of chronic long head of biceps tendon tears with gracilis allograft: report of two cases. Surgical management of biconcave glenoids: a scoping review. Surgical anatomical landmarks for arthroscopic repair of subscapularis tendon tears. Experiences and outcomes in shoulder replacements in a district general hospital over 19 years.
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