Editorial Commentary: Sizing Up the Distal Radius: Age, Sex, and Density Considerations for Glenoid Reconstruction

Allograft bone block reconstruction for glenoid bone loss has become increasingly used, with favorable clinical outcomes. Among the available donor grafts, the distal tibia allograft remains the most used. Current evidence evaluating alternative grafts, particularly the distal radius, is largely limited to cadaveric, biomechanical, and radiologic studies. Important characteristics, including bone mineral density, radius of curvature, and graft dimensions, have indicated that the distal radius is a promising alternative donor source for glenoid reconstruction. Prospective comparative clinical studies are required before routine clinical adoption can be recommended.