title: Posterior glenoid rim deficiency in recurrent (atraumatic) posterior shoulder instability.
abstract: OBJECTIVE
  To assess the shape of the posterior glenoid rim in patients with recurrent (atraumatic) posterior instability.
  
  
  METHODS
  CT examinations of 15 shoulders with recurrent (atraumatic) posterior instability were reviewed in masked fashion with regard to abnormalities of the glenoid shape, specifically of its posterior rim. The glenoid version was also assessed. The findings were compared with the findings in 15 shoulders with recurrent anterior shoulder instability and 15 shoulders without instability. For all patients, surgical correlation was available.
  
  
  RESULTS
  Fourteen of the 15 (93%) shoulders with recurrent (atraumatic) posterior shoulder instability had a deficiency of the posteroinferior glenoid rim. In patients with recurrent anterior instability or stable shoulders such deficiencies were less common (60% and 73%, respectively). The craniocaudal length of the deficiencies was largest in patients with posterior instability. When a posteroinferior deficiency with a craniocaudal length of 12 mm or more was defined as abnormal, sensitivity and specificity for diagnosing recurrent (atraumatic) posterior instability were 86.7% and 83.3%, respectively. There was a statistically significant difference in glenoid version between shoulders with posterior instability and stable shoulders (P=0.01).
  
  
  CONCLUSIONS
  Recurrent (atraumatic) posterior shoulder instability should be considered in patients with a bony deficiency of the posteroinferior glenoid rim with a craniocaudal length of more than 12 mm.
authors.affiliation: Department of Radiology, University Hospital Balgrist, Zurich, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Weishaupt
authors.forename: M
authors.initials: M
authors.lastname: Zanetti
authors.forename: R W
authors.initials: RW
authors.lastname: Nyffeler
authors.forename: C
authors.initials: C
authors.lastname: Gerber
authors.forename: J
authors.initials: J
authors.lastname: Hodler
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology; D016013:Likelihood Functions; D008297:Male; D012540:Scapula / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D012785:Shoulder Joint / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed