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Clin Shoulder Elbow > Volume 17(4); 2014 > Article
Clinics in Shoulder and Elbow 2014;17(4):190-193.
DOI: https://doi.org/10.5397/CiSE.2014.17.4.190    Published online December 31, 2014.
Iliac Bone Graft for Recurrent Posterior Shoulder Instability with Glenoid Bone Defect
Sang Hun Ko, Yun Jae Cho
Department of Orthopedic Surgery, Ulsan University Hospital, Ulsan, Korea. shkoshko@hanmail.net
Received: 27 May 2014   • Revised: 20 July 2014   • Accepted: 29 July 2014
Abstract
Recurrent posterior shoulder instability is a debilitating condition that is relatively uncommon, but its diagnosis in young adults is increasing in frequency. Several predisposing factors for this condition have been identified, such as the presence of an abnormal joint surface orientation, an osteochondral fracture of the humeral head or glenoid cavity, and a postero-inferior capsuloligamentary deficit, but their relative importance remains poorly understood. Whilst, conservative treatment is effective in cases of hyperlaxity or in the absence of bone abnormality, failure of conservative treatment means that open or arthroscopic surgery is required. In general, soft-tissue reconstructions are carried out in cases of capsulolabral lesions in which bone anatomy is normal, whereas bone grafts have been required in cases where posterior bony Bankart lesions, glenoid defects, or posterior glenoid dysplasia are present. However, a consensus on the exact management of posterior shoulder instability is yet to be reached, and published studies are few with weak evidence. In our study, we report the reconstruction of the glenoid using iliac bone graft in a patient suffering recurrent posterior shoulder instability with severe glenoid bone defect.
Key Words: Joint instability; Posterior; Bone graft; Ilium


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