Journal of the Korean Shoulder and Elbow Society  2010;13(1):117-122

Reconstruction of the Glenoid Using Iliac Bone Graft for Recurrent Anterior Shoulder Instability with Severe Glenoid Bone Defect: A Report of Two Cases.

Seong Man LEE 1 ; Won Ju JUNG ; Hyun Joo LEE ; In Ho JEON

Affiliations

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Keywords

Shoulder; Anterior dislocation; Seizure; Recurrent; Tricortical iliac crest bone graft

Country

Republic of Korea

Language

Korean

Abstract

PURPOSE: The purpose of this report was to assess a surgical technique-using an autogenous tricortical iliac crest bone graft in patients with epilepsy-for anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency. MATERIALS AND METHODS: We studied two cases of recurrent anterior dislocation of the shoulder due to epilepsy. These cases were treated with anatomical glenoid reconstruction using an autogenous tricortical iliac crest bone graft. RESULTS: Both cases achieved bone union in 5 months. There was no recurrence of instability and pain. Both cases had normal range of motion. CONCLUSION: Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency using an autogenous tricortical iliac crest bone graft is a successful surgical technique for achieving shoulder stability.