Friday, October 13, 2023

Is it necessary to use an augmented component to address the B2 glenoid?

As the figures at the top of this post indicate, the B2 glenoid can managed with a ream and run procedure.

As the figures below demonstrate, the B2 glenoid can also be managed with a standard all polyethylene glenoid and anatomic humeral head.

The preoperative axillary view shows the humeral head to be posteriorly decentered on the retroverted glenoid.




The two highly comparable axillary "truth" views enable verification of the postoperative centering of the humeral head on the prosthetic glenoid.





Comment: While preoperative 3D CT based planning software may suggest the need for augmented glenoid components to "correct" joint geometry, most arthritic shoulders with B2 glenoid pathoanatomy can be durably managed with anatomic arthroplasty using standard components, accepting the glenoid retroversion (see this related post on correctors and acceptors).

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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link).
Shoulder rehabilitation exercises (see this link).