A Case Report of Glenoid Osteotomy for Weight-bearing Shoulder with Posterior Subluxation.

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We performed glenoid osteotomy on a weight-bearing shoulder with posterior subluxation.The patient was a 44-year-old paraplegia male. He complained of disability and pain in his right shoulder after starting plaining tennis. His shoulder pain subsided after a local anesthetic injection at the gleno-Numeral joint, Plain X-ray films showed osteophyte in the Numeral head and osteosclerotic change in the glenoid. Arthrogram did not reveal typical findings of rotator cuff tear. CT indicated a narrowing of the posterior joint space and posterior subluxation of the humeral head. We performed posterior open-wedge glenoid osteotomy and posterior capsular shift. The follow-up period was 18 months. He no longer complained of disability and pain even though he has playing tennis, and pushing up his body with his arm. The range of motion of his shoulder improved 5 degrees in external rotation, and at the fifth lumbar vertebra in internal rotation. CT showed excellent congruency of the gleno-Numeral joint. The J. O. A score was 88 points in the postoperative state, and 55 points in the preoperative state, and he satisfied with his shoulder function.
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