Arthroscopic Posterior Glenoid Osteotomy.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Posterior shoulder instability with excessive glenoid retroversion presents management challenges.
• Traditional open techniques for glenoid correction can be invasive.
• Minimally invasive arthroscopic approaches offer potential advantages.

Purpose of the Study:

• To describe the feasibility and safety of an arthroscopic posterior open wedge glenoid osteotomy.
• To evaluate the use of an autologous scapular spine graft for glenoid correction.
• To assess the adjunctive posterior capsulolabral complex reattachment in this context.

Main Methods:

• Arthroscopic posterior open wedge glenoid osteotomy.
• Grafting with autologous scapular spine.
• Posterior capsulolabral complex reattachment.

Main Results:

• The described arthroscopic procedure was feasible and safe.
• This technique addresses posterior shoulder instability in the context of glenoid retroversion.
• Successful graft incorporation and capsulolabral healing are implied.

Conclusions:

• Arthroscopic posterior open wedge glenoid osteotomy with autologous scapular spine graft is a viable surgical option.
• This minimally invasive approach is suitable for patients with symptomatic posterior shoulder instability and excessive glenoid retroversion.
• The technique offers a less invasive alternative to open procedures.