Subluxation in the Arthritic Shoulder
- PMID: 35102079
- DOI: 10.2106/JBJS.RVW.21.00102
Subluxation in the Arthritic Shoulder
Abstract
»: The term "subluxation" means partial separation of the joint surfaces. In the arthritic shoulder, "arthritic glenohumeral subluxation" refers to displacement of the humeral head on the surface of the glenoid.
»: The degree of arthritic glenohumeral subluxation can be measured using radiography with standardized axillary views or computed tomography (CT).
»: Shoulders with a type-B1 or B2 glenoid may show more posterior subluxation on an axillary radiograph that is made with the arm in an elevated position than on a CT scan that is made with the arm at the side.
»: The degree of arthritic glenohumeral subluxation is not closely related to glenoid retroversion.
»: The position of the humeral head with respect to the plane of the scapula is related to glenoid retroversion and is not a measure of glenohumeral subluxation.
»: Studies measuring glenohumeral subluxation before and after arthroplasty should clarify its importance to the clinical outcomes of shoulder reconstruction.
Copyright © 2021 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A759).
References
-
- Matsen FA 3rd, Bicknell RT, Lippitt SB. Shoulder arthroplasty: the socket perspective. J Shoulder Elbow Surg. 2007 Sep-Oct;16(5)(Suppl):S241-7.
-
- Denard PJ, Walch G. Current concepts in the surgical management of primary glenohumeral arthritis with a biconcave glenoid. J Shoulder Elbow Surg. 2013 Nov;22(11):1589-98.
-
- Friedman RJ, Grey S, Wright TW, Flurin PH, Zuckerman JD, Roche CP. Paper #21 - Posterior augmented glenoids compared to non-augmented glenoids in anatomic total shoulder arthroplasty. J Shoulder Elbow Surg. 2019;28(6):e209.
-
- Grey SG, Wright TW, Flurin PH, Zuckerman JD, Roche CP, Friedman RJ. Clinical and radiographic outcomes with a posteriorly augmented glenoid for Walch B glenoids in anatomic total shoulder arthroplasty. J Shoulder Elbow Surg. 2020 May;29(5):e185-95.
-
- Neer CS 2nd, Watson KC, Stanton FJ. Recent experience in total shoulder replacement. J Bone Joint Surg Am. 1982 Mar;64(3):319-37.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
