title: Management of humeral and glenoid bone loss in recurrent glenohumeral instability.
abstract: Recurrent shoulder instability and resultant glenoid and humeral head bone loss are not infrequently encountered in the population today, specifically in young, athletic patients. This review on the management of bone loss in recurrent glenohumeral instability discusses the relevant shoulder anatomy that provides stability to the shoulder joint, relevant history and physical examination findings pertinent to recurrent shoulder instability, and the proper radiological imaging choices in its workup. Operative treatments that can be used to treat both glenoid and humeral head bone loss are outlined. These include coracoid transfer procedures and allograft/autograft reconstruction at the glenoid, as well as humeral head disimpaction/humeroplasty, remplissage, humeral osseous allograft reconstruction, rotational osteotomy, partial humeral head arthroplasty, and hemiarthroplasty on the humeral side. Clinical outcomes studies reporting general results of these techniques are highlighted.
authors.affiliation: Department of Orthopedic Surgery, Rush University Medical Center, Suite 300, 1611 West Harrison Street, Chicago, IL 60612, USA.
authors.forename: Randy
authors.identifier: 0000-0003-2735-2551
authors.initials: R
authors.lastname: Mascarenhas
authors.affiliation: Sunnybrook Hospital, University of Toronto, Room 508-A, 149 College Street, Toronto, ON, Canada M5T 1P5.
authors.forename: Jamie
authors.initials: J
authors.lastname: Rusen
authors.affiliation: Department of Orthopedic Surgery, Rush University Medical Center, Suite 300, 1611 West Harrison Street, Chicago, IL 60612, USA.
authors.forename: Bryan M
authors.identifier: 0000-0003-3984-4246
authors.initials: BM
authors.lastname: Saltzman
authors.affiliation: Pan Am Clinic, 75 Poseidon Bay, Winnipeg, MB, Canada R3M 3E4.
authors.forename: Jeff
authors.initials: J
authors.lastname: Leiter
authors.affiliation: Toronto Western Hospital and Women's College Hospital, University of Toronto, 76 Grenville Street, Toronto, ON, Canada M5S 1B1.
authors.forename: Jaskarndip
authors.initials: J
authors.lastname: Chahal
authors.affiliation: Department of Orthopedic Surgery, Rush University Medical Center, Suite 300, 1611 West Harrison Street, Chicago, IL 60612, USA.
authors.forename: Anthony A
authors.identifier: 0000-0003-4848-3411
authors.initials: AA
authors.lastname: Romeo
authors.affiliation: Department of Orthopaedic Surgery, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, Canada R3T 2N2.
authors.forename: Peter
authors.initials: P
authors.lastname: MacDonald