Combined Glenoid Osteotomy and Bone Block Augmentation for Severe Posterior Shoulder Dysplasia and Instability: A Case Report.
Roy Romem, Dario Fucich, Swara Kalva et al.
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Case in brief
A 26-year-old man presented with recurrent posterior shoulder instability due to glenoid dysplasia, characterized by significant glenoid retroversion and bone loss. He underwent a combined opening-wedge osteotomy and posterior bone-block augmentation. Postoperative imaging showed a marked correction in retroversion and an increase in glenoid arc. At 18 months follow-up, he reported no pain or instability, with full motion and strength restored.
Diagnostic / clinical pearl
This case highlights the effectiveness of combined glenoid osteotomy and bone block augmentation as a treatment for severe posterior shoulder instability associated with glenoid dysplasia.