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Advances in Orthopedics
Volume 2014, Article ID 640952, 13 pages
Review Article

Management of Humeral and Glenoid Bone Loss in Recurrent Glenohumeral Instability

1Department of Orthopedic Surgery, Rush University Medical Center, Suite 300, 1611 West Harrison Street, Chicago, IL 60612, USA
2Sunnybrook Hospital, University of Toronto, Room 508-A, 149 College Street, Toronto, ON, Canada M5T 1P5
3Pan Am Clinic, 75 Poseidon Bay, Winnipeg, MB, Canada R3M 3E4
4Toronto Western Hospital and Women’s College Hospital, University of Toronto, 76 Grenville Street, Toronto, ON, Canada M5S 1B1
5Department of Orthopaedic Surgery, University of Manitoba, 66 Chancellors Cir, Winnipeg, MB, Canada R3T 2N2

Received 8 April 2014; Accepted 8 July 2014; Published 17 July 2014

Academic Editor: Allen L. Carl

Copyright © 2014 Randy Mascarenhas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.