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Case Reports
. 2026 Jan 29;6(2):100677.
doi: 10.1016/j.xrrt.2026.100677. eCollection 2026 May.

Global shoulder instability in a seizure patient: anterior and posterior glenoid reconstruction with humeral head reconstruction. A case report

Brett G Brazier  1 , Christian B Allen  2 , Cole Cook  1 , Michael D McKee  1 , Evan S Lederman  1 , Anup Shah  1
Affiliations
Case Reports

Global shoulder instability in a seizure patient: anterior and posterior glenoid reconstruction with humeral head reconstruction. A case report

Brett G Brazier et al. JSES Rev Rep Tech. .
No abstract available

Keywords: Bipolar glenohumeral bone loss; Glenoid bone block allograft; Glenoid bone loss; Hill-Sachs lesion; Humeral head allograft; Multidirectional shoulder instability.

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Figures

Figure 1
Figure 1
(A) Initial Grashey and (B) axillary radiographs of the left shoulder. Computed tomography (CT) of the left shoulder. (C) Axial cut demonstrating the large Hill-Sachs and reverse Hill-Sachs lesions and (D) Sagittal cut of the glenoid demonstrating significant anterior (21.0%) and posterior (23.7%) bone loss.
Figure 2
Figure 2
Post-operative radiographs following the Latarjet procedure demonstrating screws and anterior bone block in appropriate placement. The axillary radiograph demonstrates persistent posterior humeral subluxation.
Figure 3
Figure 3
Clinical photo following the posterior approach to the Left shoulder demonstrating the large humeral head Hill-Sachs lesion (black HH), the detached posterior labrum (white L) and posterior glenoid (black G) following débridement for preparation of allograft augmentation.
Figure 4
Figure 4
Clinical photo following posterior glenoid bone block allograft augmentation and fixation with 2 screws. The detached labrum is shown anterior to the bone block with a Fukuda retractor anterior to the labrum retracting the humeral head.
Figure 5
Figure 5
(A) Fresh humeral head allograft utilized prior to it being shaped and sized to fit into the Hill-Sachs lesion. (B) Humeral head allograft after being shaped and sized filling the Hill-Sachs lesion with 3 headless compression screws utilized for fixation.
Figure 6
Figure 6
(A) Anteroposterior, (B) Grashey, (C) axillary, and (D) Scapular Y radiographs following anterior and posterior glenoid bone augmentation with screws and bone block in appropriate placement.
Figure 7
Figure 7
CT 4 months after stage 2: (A-C) axial cuts, (D), (E) sagittal cuts, and (F) coronal cut demonstrating incorporation and healing of the anterior and posterior glenoid bone blocks as well as healing and incorporation of the humeral head allograft. CT, computed tomography.
See this image and copyright information in PMC

References

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