Treatment Options for Glenoid Bone Loss in the Shoulder
Glenoid bone loss is common in those who suffer from anterior instability of the shoulder. The bone loss occurs in the shoulder socket, leading to issues with recurrent dislocations. Each dislocation can result in further bone loss.
If you have been diagnosed with glenoid bone loss in the shoulder, you may be wondering what your treatment options are. Read on to discover everything you need to know about glenoid bone loss and its treatment options.
What is Glenoid bone loss in the shoulder?
Glenoid bone loss is typically caused when the shoulder dislocates. It is a common issue, found in around 40% of those who have suffered a single dislocation. In those who have experienced recurring dislocations, 85% have signs of Glenoid bone loss. This shows that frequent dislocations increase the risk of further bone loss.
Most of the time, it is thought to be caused by compression fractures that occur at the time of dislocation. When bone loss occurs, the humeral head can’t be supported in the socket. This increases the risk it will dislocate again. It is a nasty cycle that will continue unless treatment is sought.
How is the condition diagnosed?
Glenoid bone loss can be diagnosed and measured using CT, radiographs, or MRI scans. The preferred method is a CT scan due to its ease and accuracy.
In early cases, the CT scan will show the rim of the anterior Glenoid has straightened. The amount of bone loss can be measured by comparing the maximum width on the normal side to that on the affected side.
If a dislocation has occurred, an MRI scan will be used to diagnose Glenoid bone loss, rather than a CT scan.
What are your treatment options?
If you are diagnosed with Glenoid bone loss, there are treatment options available. These include arthroscopic soft tissue stabilisation and bony restoration.
Surgery does tend to be the most effective treatment option. When performed correctly, it can prevent future dislocations and fully restore shoulder function. There are pros and cons to each surgical option available. For this reason, you should run through your options with a shoulder specialist to see which is better suited to you.
Non-surgical treatments are available if surgery is determined to be too high of a risk. A rehabilitation plan will be created in a bid to improve the range of motion. Strengthening up the muscles and tendons around the shoulder can also help to prevent future dislocations.
If you suspect you have Glenoid bone loss in the shoulder, book a consultation with one of our leading surgeons today. Without treatment, the condition could continue to worsen until the shoulder can no longer stay in its socket. This makes it crucial to seek treatment sooner rather than later.