Glenohumeral Bone Defects: A Review of the Diagnostic and Therapeutic Advances Over the Last 20 Years

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Alejandro Mejía-Grueso
Daniela Gutiérrez-Zúñiga
Nicolle Visbal-Otero
Felipe Valbuena-Bernal

Abstract

Introduction: The approach and treatment of glenohumeral bone defects have evolved intending to provide more individualized management for patients. However, to date, there are no articles that compile these historical advances.
Objective: To describe the most relevant literature on the diagnostic analysis and therapeutic options for glenohumeral bone defects reported in the last 20 years.
Materials and Methods: A search was conducted in the PubMed database with the terms “Glenoid defect”, “Humeral defect”, “Shoulder instability” and “Glenoid track”, filtered by year from 2000 to 2021. Studies published in English and Spanish, involving adult patients, were included.
Results: We reviewed a total of 56 articles. A narrative chronological review of the approach to glenohumeralbone defects in anterior instability was performed.
Conclusions: Technological advances have allowed the development of evaluation and management algorithms aimed at achieving the best outcomes according to the characteristics of each patient. To date, the current literature recommends surgical treatment of instability based on the objective measurement of glenohumeral bone defects, for which arthroscopy and 3D reconstruction tomography offer the most accurate quantification.

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How to Cite
Mejía-Grueso, A., Gutiérrez-Zúñiga, D., Visbal-Otero, N., & Valbuena-Bernal, F. (2022). Glenohumeral Bone Defects: A Review of the Diagnostic and Therapeutic Advances Over the Last 20 Years. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(4), 570-578. https://doi.org/10.15417/issn.1852-7434.2022.87.4.1518
Section
Review article
Author Biographies

Alejandro Mejía-Grueso, Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

Daniela Gutiérrez-Zúñiga, Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

Nicolle Visbal-Otero, Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

Felipe Valbuena-Bernal, Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

Department of Orthopedics and Traumatology, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogota, Colombia

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