Anatomic Augmented Glenoid Implants for the Management of the B2 Glenoid
The B2 glenoid is defined by Walch et al. as a glenoid that is biconcave with posterior erosion accompanied by posterior humeral head subluxation. This creates unique challenges for the treating orthopedic surgeon. Bone loss, excessive retroversion, and posterior subluxation make anatomic shoulder a...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2019-09-01
|
Series: | Journal of Shoulder and Elbow Arthroplasty |
Online Access: | https://doi.org/10.1177/2471549219870350 |
_version_ | 1818112581516132352 |
---|---|
author | Lisa GM Friedman MD, MA Grant E Garrigues MD |
author_facet | Lisa GM Friedman MD, MA Grant E Garrigues MD |
author_sort | Lisa GM Friedman MD, MA |
collection | DOAJ |
description | The B2 glenoid is defined by Walch et al. as a glenoid that is biconcave with posterior erosion accompanied by posterior humeral head subluxation. This creates unique challenges for the treating orthopedic surgeon. Bone loss, excessive retroversion, and posterior subluxation make anatomic shoulder arthroplasty in this setting fraught with increased complications, including instability, glenoid component loosening, and poor clinical outcomes. Many techniques have been devised to treat the arthritic shoulder with a B2 glenoid, including hemiarthroplasty, total shoulder arthroplasty using eccentric reaming, bone grafting and custom implantation, and reverse total shoulder arthroplasty. In this review, we will focus on anatomic total shoulder arthroplasty using augmented glenoid implants to treat the B2 glenoid. Indications, clinical results, and basic science analyses of augmented anatomic glenoids are also discussed. |
first_indexed | 2024-12-11T03:21:13Z |
format | Article |
id | doaj.art-05a6f7b696a14d86a51c2cd312f62675 |
institution | Directory Open Access Journal |
issn | 2471-5492 |
language | English |
last_indexed | 2024-12-11T03:21:13Z |
publishDate | 2019-09-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of Shoulder and Elbow Arthroplasty |
spelling | doaj.art-05a6f7b696a14d86a51c2cd312f626752022-12-22T01:22:37ZengSAGE PublishingJournal of Shoulder and Elbow Arthroplasty2471-54922019-09-01310.1177/2471549219870350Anatomic Augmented Glenoid Implants for the Management of the B2 GlenoidLisa GM Friedman MD, MAGrant E Garrigues MDThe B2 glenoid is defined by Walch et al. as a glenoid that is biconcave with posterior erosion accompanied by posterior humeral head subluxation. This creates unique challenges for the treating orthopedic surgeon. Bone loss, excessive retroversion, and posterior subluxation make anatomic shoulder arthroplasty in this setting fraught with increased complications, including instability, glenoid component loosening, and poor clinical outcomes. Many techniques have been devised to treat the arthritic shoulder with a B2 glenoid, including hemiarthroplasty, total shoulder arthroplasty using eccentric reaming, bone grafting and custom implantation, and reverse total shoulder arthroplasty. In this review, we will focus on anatomic total shoulder arthroplasty using augmented glenoid implants to treat the B2 glenoid. Indications, clinical results, and basic science analyses of augmented anatomic glenoids are also discussed.https://doi.org/10.1177/2471549219870350 |
spellingShingle | Lisa GM Friedman MD, MA Grant E Garrigues MD Anatomic Augmented Glenoid Implants for the Management of the B2 Glenoid Journal of Shoulder and Elbow Arthroplasty |
title | Anatomic Augmented Glenoid Implants for the Management of the B2 Glenoid |
title_full | Anatomic Augmented Glenoid Implants for the Management of the B2 Glenoid |
title_fullStr | Anatomic Augmented Glenoid Implants for the Management of the B2 Glenoid |
title_full_unstemmed | Anatomic Augmented Glenoid Implants for the Management of the B2 Glenoid |
title_short | Anatomic Augmented Glenoid Implants for the Management of the B2 Glenoid |
title_sort | anatomic augmented glenoid implants for the management of the b2 glenoid |
url | https://doi.org/10.1177/2471549219870350 |
work_keys_str_mv | AT lisagmfriedmanmdma anatomicaugmentedglenoidimplantsforthemanagementoftheb2glenoid AT grantegarriguesmd anatomicaugmentedglenoidimplantsforthemanagementoftheb2glenoid |