Case Report of Arthroscopic Anatomical Bone Glenoid Augmentation with Subscapularis Tendon Protection with A 24 Months Follow-Up and Literature Review of The Current Concepts of Glenoid Bone Augmentation

Abstract

Recurrent shoulder instability is known to be a challenge in terms of the success rate of surgical stabilization of the shoulder joint. According to the latest literature the choice of the glenohumeral stabilization surgical treatment is guided by the degree of bone loss. Among the techniques dedicated to significant glenoid bone loss, one will find many already reported, but each has its drawbacks. As we observe currently popular techniques, we conclude that we should continue to look for techniques or some modifications to those already available that are laden with as few complications as possible. In 2019, a new technique called bone block cerclage has been described. It is a new approach, using when metal implants are not used while providing benefits such as maintenance and integrity and function of structures like coracobrachialis, short head of biceps, pectoralis minor and preservation of subscapularis tendon. Currently, there are not many reported cases in the literature after BBC with a longer follow-up time. In this paper, we present the case of our patient operated on 24 months ago with this technique with good results. The patient is still under our observation. Due to the relatively new technique and the small number of described follow- ups, we feel it is relevant to describe our case.