抄録
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 playing tennis. His shoulder pain subsided after a local anesthetic injection at the gleno-humeral joint. Plain X-ray films showed osteophyte in the humeral head and osteosclerotic change in the glenoid. Arthrogram did not indicate rotator cuff tear. CT indicated narrowing of the posterior joint space and posterior subluxation of the humeral head. We performed posterior open-wedge glenoid osteotomy and capsular shift. The follow-up period was 7 years. He did not complain of disability and pain even during tennis. CT showed excellent congruency of the gleno-humeral joint. J.O.A score was 88 points seven years after operation and 55 points in preoperatively and he was satisfied with his shoulder function.
