RESUMEN
Reverse shoulder arthroplasty (RSA) was proposed to deal with rotator cuff tear arthropathy in the 1970s and improved from 1985 to 1995 by Dr. Grammont who designed the contemporary type of reverse shoulder prosthesis successfully. The number of RSAs has grown rapidly over the past decade. Currently, the indications for RSA include, in addition to rotator cuff tear arthropathy, massive rotator cuff tears which can not be repaired, proximal humerus fractures or their sequelae, inflammatory shoulder disease, osteoarthritis with abnormal glenoid morphology, anatomic revision after failed total shoulder arthroplasty or hemiarthroplasty, and shoulder tumors. Absolute contraindications to RSA include infection, complete axillary nerve palsy, neuropathic shoulder arthropathy, and glenoid bone loss. At present, the stability of the glenoid baseplate, an important factor affecting the incidence of postoperative complications, is mainly achieved by implantation of the screws for the glenoid baseplate base. Therefore, correct implantation of the screws is of great significance to reduce the complications in RSA.
RESUMEN
Background: To study the morphometry and morphology of glenoid cavity of dried scapula bone and in CT scan of glenoid cavity. The present study aimed at calculating three dimensions i.e. vertical diameter, horizontal diameter of the upper segment and horizontal diameter of the lower segment of the glenoid cavity and describing the incidence of its different shapes.Methods: This study was done on 100 dry, unpaired adult human scapulae of unknown sex. 50 scapulae belongs to right side and 50 scapulae belongs to left side obtained from Department of Anatomy, SRM Medical College and Research Institute. The above mentioned diameters are measured using Vernier caliper and the mean dimensions are calculated, morphological variations are studied. 3D CT images of scapulae, obtained from Department of Radiology, SRM Medical college and Hospital, Potheri, were also analysed.Results: In the current study, various dimensions and incidence of various shapes of glenoid cavity were measured. The incidence of both pear and inverted comma shape in right side is greater than in left whereas the incidence of oval shape in left side is greater than right side. The SI diameter of right glenoid is greater than the left, which is statistically significant. The Antero-posterior diameters (AP-1, AP-2, AP-3) of right glenoid is greater than the left, but not statistically significant.Conclusions: The knowledge of the above said variations of glenoid cavity is important in manufacturing the glenoid component of shoulder prosthesis, repair of Bankart’s lesion, procedures like posterior glenoid osteotomy.