Computerized tomography was done preoperatively on twenty shoulders
(thirteen patients) in which there were severe arthritic changes, to
measure glenoid version. Ten of the twenty shoulders had osteoarthrosis;
eight, rheumatoid arthritis; and two, gouty arthritis. To help determine
normal values, computerized tomographic scans of the chest of sixty-three
patients who did not have roentgenographic evidence of disease of the
shoulder were studied retrospectively for comparison as a control group. In
the group of patients who had severe arthritis, the mean glenoid
orientation was 11 degrees of retroversion (range, 2 degrees of anteversion
to 32 degrees of retroversion). The computerized tomographic scans showed
uneven wear of the glenoid surface, osteophytes, large cysts, and posterior
displacement of the humeral head. In the control group, the mean
orientation of the glenoid was 2 degrees of anteversion (range, 14 degrees
of anteversion to 12 degrees of retroversion). The difference between the
groups was significant (p less than 0.0001). Glenoid retroversion was
increased in the patients who had severe arthritis, and the computerized
tomographic scans accurately revealed the extent and pattern of erosion of
the bone.