Glenoid

Distal Tibial Allograft

Indication

Bony defects > 30 %

Options

- Latarjet - may be insufficient for lesions in the region of 50%

- Iliac crest - associated with high incidence of OA
- distal tibial allograft - radius of curvature matches glenoid highly

Glenoid Fractures

Indications for Surgery

ORIF

- > 5mm step

- > 1/4 glenoid rim and displaced

Ideberg Classification Intra Articular Fracture

Type I

Fractures of the Glenoid rim

I A anterior 

I B posterior

Differentiate from small bony Bankart