JBJS | Arthroscopic Removal of the Glenoid Component for Failed Total Shoulder Arthroplasty: A Report of Five Cases

The Journal of Bone & Joint Surgery, Volume 87, Issue 4

Case Reports | April 01, 2005

Arthroscopic Removal of the Glenoid Component for Failed Total Shoulder Arthroplasty: A Report of Five Cases

Shawn W. O'Driscoll, PhD, MD, FRCS(C)¹; Russell S. Petrie, MD²; Michael E. Torchia, MD¹

¹ Mayo Clinic, 200 First Street S.W., Rochester, MN 55905
² Newport Orthopedic Institute, 361 Hospital Road, Suite 223, Newport Beach, CA 92663

The Journal of Bone & Joint Surgery. 2005; 87:858-863 doi:10.2106/JBJS.C.01732

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Extract

While total shoulder arthroplasty has a successful clinical track record for pain relief and improvement of function, there are substantial concerns regarding the prevalence of glenoid lucent lines and therefore the possibility of loosening of the glenoid component over the long term1,2. Options for treatment of symptomatic glenoid loosening include revision of the component or conversion to a hemiarthroplasty by removal of the loose glenoid component with or without bone-grafting of the glenoid3. The philosophy behind glenoid component removal is based on reports of humeral hemiarthroplasty that have shown that it is indeed possible to have satisfactory pain relief without a glenoid component4-12. The purpose of this report is to present an arthroscopic method for removing a symptomatic loose glenoid component and the underlying cement mantle.

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Topics

shoulder replacement arthroplasty ; shoulder joint prosthesis, glenoid component

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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