Citation, DOI, disclosures and article data
Citation:
Knipe H, Nicoletti D, Roberts D, Glenoid bone loss. Reference article, Radiopaedia.org (Accessed on 25 Apr 2024) https://doi.org/10.53347/rID-72300
Anteroinferior glenoid bone loss (i.e. bony Bankart lesions) after anterior shoulder dislocations have been and can result in recurrent instability depending on size, especially in the context of bipolar shoulder lesions (i.e. combined Bankart and Hill-Sachs defect).
Radiographic features
Glenoid bone loss can be assessed on CT or MRI (2D or 3D). Numerous techniques have been described with the two most commonly used and reliably accurate (as of 2019) being 1:
Other imaging techniques, which are yet to be comprehensively validated 1, include:
Nofsinger technique
clock-face method
Arthroscopic measurements have often been held as the gold standard, however, the arthroscopic bare spot method has been shown to overestimate glenoid bone loss 1.
See also
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1. Walter W, Samim M, LaPolla F, Gyftopoulos S. Imaging Quantification of Glenoid Bone Loss in Patients With Glenohumeral Instability: A Systematic Review. AJR Am J Roentgenol. 2019;212(5):1-10. doi:10.2214/AJR.18.20504 - Pubmed
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2. Rabinowitz J, Friedman R, Eichinger J. Management of Glenoid Bone Loss with Anterior Shoulder Instability: Indications and Outcomes. Curr Rev Musculoskelet Med. 2017;10(4):452-62. doi:10.1007/s12178-017-9439-y - Pubmed
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3. Skupiński J, Piechota M, Wawrzynek W, Maczuch J, Babińska A. The Bony Bankart Lesion: How to Measure the Glenoid Bone Loss. Pol J Radiol. 2017;82:58-63. doi:10.12659/PJR.898566 - Pubmed
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