Ideal management of the glenoid in anatomic shoulder arthroplasty remains controversial. Glenoid component loosening remains a common source of clinical concern and, in young, active patients, implantation of a glenoid prosthesis is often avoided. Efforts to decrease glenoid loosening have resulted in changes to prosthetic design and implantation techniques. Currently, a wide variety of glenoid component options are available, including metal-backed or all-polyethylene, bone ingrowth or ongrowth, inset, and augmented designs. Additionally, several alternatives are available for the young, active patient, including hemiarthroplasty, nonprosthetic resurfacing, and tissue interposition. Many recent clinical and biomechanical studies have examined these implant options. A thorough knowledge of glenoid anatomy, pathology, implant options, indications, and principles of implantation is necessary to optimize the outcome following anatomic shoulder arthroplasty.



Polls results
1

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
91% Article relates to my practice (11/12)
8% Article does not relate to my practice (1/12)
0% Undecided (0/12)
2

Will this article lead to more cost-effective healthcare?

58% Yes (7/12)
25% No (3/12)
16% Undecided (2/12)
3

Was this article biased? (commercial or personal)

8% Yes (1/12)
75% No (9/12)
16% Undecided (2/12)
4

What level of evidence do you think this article is?

16% Level 1 (2/12)
16% Level 2 (2/12)
41% Level 3 (5/12)
16% Level 4 (2/12)
8% Level 5 (1/12)