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Updated: Oct 5, 2025

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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Subluxation in the Arthritic Shoulder
Frederick A Matsen1, Jason E Hsu
1Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington.
JBJS Reviews
|February 1, 2022
Summary
Arthritic glenohumeral subluxation, a partial joint separation in the shoulder, is measured by imaging. Its degree is not closely related to glenoid retroversion, impacting shoulder reconstruction outcomes.
Area of Science:
- Orthopedics
- Radiology
- Biomedical Engineering
Background:
- Arthritic glenohumeral subluxation involves displacement of the humeral head on the glenoid surface.
- Understanding subluxation is crucial for shoulder reconstruction outcomes.
Purpose of the Study:
- To define and measure arthritic glenohumeral subluxation.
- To investigate the relationship between subluxation and glenoid retroversion.
- To clarify the clinical significance of subluxation in shoulder arthroplasty.
Main Methods:
- Measurement of arthritic glenohumeral subluxation using radiography (axillary views) and computed tomography (CT).
- Comparison of subluxation measurements based on imaging modality and arm position.
- Correlation analysis between subluxation degree and glenoid retroversion.
Main Results:
- Arthritic glenohumeral subluxation can be quantified via radiography and CT.
- Posterior subluxation may appear greater on elevated-arm radiographs compared to side-arm CT scans for specific glenoid types (B1/B2).
- The degree of subluxation shows a weak correlation with glenoid retroversion.
Conclusions:
- Arthritic glenohumeral subluxation measurement techniques are established.
- Imaging modality and arm position can influence subluxation measurements.
- Glenoid retroversion is not a reliable indicator of glenohumeral subluxation, necessitating further research into subluxation's role in shoulder reconstruction outcomes.
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