Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 May 21;5(4):1037-1043.
doi: 10.1016/j.xrrt.2025.04.013. eCollection 2025 Nov.

Arthroscopic posterior J-bone graft technique

Philipp Moroder  1 , Aaron Martinez-Ulloa  2 , Abdelkader Shekhbihi  1 , Markus Scheibel  1   3 , Eva Schulz  4
Affiliations

Arthroscopic posterior J-bone graft technique

Philipp Moroder et al. JSES Rev Rep Tech. .
No abstract available

Keywords: Arthroscopic shoulder stabilization dynamic posterior shoulder instability; Bone graft augmentation; Iliac crest autograft; J-bone graft; Posterior shoulder instability; Static posterior shoulder instability.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Arthroscopic J-bone graft instruments: (1) guiding slide, (2) flat trocar, (3) 20 mm chisel thin wedge, (4) 20 mm chisel thick wedge, (5) trial implant, and (6) inserter.
Figure 2
Figure 2
Measurements of the J-shaped iliac crest autograft.
Figure 3
Figure 3
(A) Posterior glenonidal defect before any manipulation, (B) posterior glenoidal defect after straightening with a burr, (C) distance measurement for the length of the graft's length, (D) creating a monocortical osteotomy with a 20 mm chisel, (E) and (F) insertion of the J-bone-graft, and (G) and (H) inserted graft and fixated labrum.
Figure 4
Figure 4
Preoperative imaging: (A) glenoidal retroversion, (B) osseos defect on 3D-CT scan. CT, computed tomography.
Figure 5
Figure 5
Postoperative imaging: (A) inserted J-bone graft on the dorsal glenoid, (B) slightly overcorrected glenoid version after J-bone-graft procedure.
Figure 6
Figure 6
ROM 1 year after surgery: (A) flexion, (B) internal rotation in neutral position, (C) external rotation, and (D) abduction. ROM, range of motion.
Figure 7
Figure 7
Computed tomography scan of the right shoulder joint 1 year postoperatively, (A) highlighting optimal integration and remodeling of the J-graft with (B) anatomical reconstruction of the glenoid articular surface.
See this image and copyright information in PMC

References

    1. Anderl W., Heuberer P.R., Pauzenberger L. Arthroscopic, implant-free bone-grafting for shoulder instability with glenoid bone loss. JBJS Essent Surg Tech. 2020;10:e0109.1–e0109.3. doi: 10.2106/JBJS.ST.18.00109. - DOI - PMC - PubMed
    1. Arner J.W., Elrick B.P., Nolte P.-C., Goldenberg B., Dekker T.J., Millett P.J. Posterior glenoid augmentation with extra-articular iliac crest autograft for recurrent posterior shoulder instability. Arthrosc Tech. 2020;9:e1227–e1233. doi: 10.1016/j.eats.2020.04.023. - DOI - PMC - PubMed
    1. Auffarth A., Schauer J., Matis N., Kofler B., Hitzl W., Resch H. The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation. Am J Sports Med. 2008;36:638–647. doi: 10.1177/0363546507309672. - DOI - PubMed
    1. Barbier O., Ollat D., Marchaland J.-P., Versier G. Iliac bone-block autograft for posterior shoulder instability. Orthop Traumatol Surg Res. 2009;95:100–107. doi: 10.1016/j.otsr.2008.09.008. - DOI - PubMed
    1. Baudi P., Righi P., Bolognesi D., Rivetta S., Rossi Urtoler E., Guicciardi N., et al. How to identify and calculate glenoid bone deficit. Chir Organi Mov. 2005;90:145–152. - PubMed

LinkOut - more resources