ICJR Interviews: Managing Posterior Glenoid Bone Loss

    A reverse shoulder arthroplasty is an effective treatment option for patients with B2, B3, and C glenoids – glenoid osteoarthritis with an intact rotator cuff but posterior glenoid bone loss.

    Gilles Walch, MD, had noted more than a decade ago that when these patients had an anatomic shoulder arthroplasty, they often needed a revision within a few years. For longer-lasting results, he recommended using a reverse procedure for these patients instead.

    With that in mind, Tom R. Norris, MD, from the San Francisco Shoulder, Elbow & Hand Clinic in California, began performing the reverse procedure for these patients in 2004.

    His recent retrospective analysis on 29 shoulders with B2, B3, and C glenoids that received a shaped humeral head autograft from 2007 to 2013 indicates that Dr. Walch was right: All shoulders showed clinical and radiographic evidence of bone graft healing and incorporation, with no loosening, instability, or dislocation.

    Click the image above to hear Dr. Norris discuss his study, “Shaped-Bio Reverse Shoulder Arthroplasty for Primary Glenohumeral Osteoarthitis with Posterior Glenoid Bone Loss” (Paper 295), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.

    Producer: Susan Doan-Johnson; Director: Michael Bugera; Post Production: Charles J. Maynard