Arthroscopic Latarjet for Recurrent Shoulder Instability.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors declare no conflict of interest. 14. J Shoulder Elbow Surg. 2009 Sep-Oct;18(5):819-33. doi: 10.1016/j.jse.2009.05.008. Epub 2009 Jul 1. The glenoid in shoulder arthroplasty. Strauss EJ(1), Roche C, Flurin PH, Wright T, Zuckerman JD. Author information: (1)Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, NY 10003, USA. Total shoulder arthroplasty is a common treatment for glenohumeral arthritis. One of the most common failure modes of total shoulder arthroplasty is glenoid loosening, causing postoperative pain, limitation of function, and potentially, the need for revision surgery. The literature has devoted considerable attention to the design of the glenoid component; efforts to better understand the biomechanics of the reconstructed glenohumeral joint and identify factors that contribute to glenoid component loosening are ongoing. This article reviews the current state of knowledge about the glenoid in total shoulder arthroplasty, summarizing the anatomic parameters of the intact glenoid, variations in component design and fixation, the mechanisms of glenoid loosening, the outcomes of revision surgery in the treatment of glenoid component failure, and alternative treatments for younger patients. DOI: 10.1016/j.jse.2009.05.008