basalglengeleinsätze

Basalglengeleinsätze refers to a medical procedure involving the insertion of a prosthesis into the glenoid cavity of the shoulder joint. The glenoid cavity is the socket part of the shoulder joint, which articulates with the head of the humerus (the upper arm bone). These inserts are typically used in reverse total shoulder arthroplasty, a surgical procedure to replace a damaged shoulder joint. In a reverse total shoulder arthroplasty, the typical anatomical relationship of the ball and socket is reversed. The glenoid component (the insert) becomes the ball-like surface, and the humeral component becomes the socket. This biomechanical change is beneficial for patients with severe rotator cuff deficiencies, as it allows the deltoid muscle to take over the function of the damaged rotator cuff muscles for arm elevation.

The primary indications for Basalglengeleinsätze in the context of reverse shoulder arthroplasty include severe glenohumeral osteoarthritis with rotator cuff arthropathy, complex proximal humerus fractures, and unreconstructable rotator cuff tears. The goal of the surgery is to relieve pain, restore shoulder function, and improve the patient's quality of life. The insertion of the glenoid component requires precise placement to ensure stability and proper articulation with the humeral prosthesis. Surgical techniques vary, but generally involve preparing the glenoid bone to accept the prosthesis, which is often cemented or press-fit into place. Post-operative rehabilitation is crucial for optimal outcomes, focusing on regaining range of motion and strength. Complications can include loosening of the prosthesis, infection, instability, or nerve injury, though these are managed by experienced surgical teams.