Knowledge of normal anatomy and kinematics of the glenohumeral joint as wel
l as analysis of the pathoanatomic changes that occur during the course of
the disease is the condition for successful patient management. This review
article critically discusses the most relevant geometrical variables. Syst
ematically, normal anatomy, pathologic anatomy, and the implications for pr
osthetic design and implantation are presented. The most important aspects
concerning the size and shape of the glenoid, the inclination of the articu
lar surface in the horizontal and frontal planes, as well as the geometry o
f the scapular neck are discussed. The accumulated knowledge is of immediat
e practical use and might stimulate researchers and manufacturers to develo
p more adequate glenoid components.