Glenoid Bone Grafting for Complex Shoulder Instability
performs surgeries, showed Dr. Petty the imaging studies of Wesley's shoulder one day when he was at the hospital. Dr. Petty told her he thought he could fix the problem, that he had done it before. Dr. Petty diagnosed the problem as bone loss of the glenoid, a bone in the shoulder that keeps the shoulder ball joint in place. It is much like a golf tee holding a golf ball. If parts of the tee are broken off, the ball will tend to fall off of the tee. Dr. Petty's operation on Wesley was complex. He first cut a piece of bone out of Wesley's pelvis, selecting a location where the curvature of the pelvis approximated the curvature of the ball joint. He then shaped the harvested bone as necessary to provide a perfect fit with the damaged glenoid bone and match the shape of the ball. He then attached the bone piece to the glenoid. He also had to reshape portions of the ball joint and remove bone spurs. At Dr. Petty's office four months after surgery, all indications were that the surgery was successful: range of motion was on target, the bone graft was incorporating nicely, hardware was intact and he had normal neurovascular status. Watch the video above as Wesley discusses his experience.