Top ten tips for glenoid exposure in shoulder arthroplasty

Glenoid exposure is the most difficult part of total shoulder arthroplasty. This manuscript will outline 10 tips for glenoid exposure that the author has found useful in achieving good glenoid exposure. These include, tilting the operating table away from the surgical side, having a variety of retractors available, removing all humeral osteophytes, making an accurate humeral cut, achieving optimal humeral positioning, ensuring proper retractor placement, utilizing a laminar spreader in select situations, achieving adequate capsular release on the humeral side, excising the anteroinferior capsule from the glenoid, and releasing the posteroinferior capsule from the glenoid.