Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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Surgical management of biconcave glenoids: a scoping review

  • Mohamad Y. Fares (Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute) ;
  • Mohammad Daher (Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute) ;
  • Joseph Mouawad (Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute) ;
  • Emil R. Haikal (Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute) ;
  • Jean Paul Rizk (Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute) ;
  • Peter Boufadel (Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute) ;
  • Joseph A. Abboud (Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute)
  • 투고 : 2023.08.04
  • 심사 : 2023.10.14
  • 발행 : 2024.09.01
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초록

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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참고문헌

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