In a first aspect the present invention provides a glenoid prosthesis
assembly for use in shoulder joint arthroplasty to address conditions
where deterioration of the rotator cuff mechanism of the shoulder joint
is severe, the assembly comprising a first shell component to be affixed
to a scapula by fixing means, and a smaller second component adapted to
nest within the first component and having an articulation surface for
articulating with a humeral head, the first component being over-sized
relative to the glenoid surface of a scapula whereby the first component
may be first affixed to at least two of the glenoid, acromion and
coracoid processes of the scapula in use by the fixing means and the
second component may be cemented in place within the first component
allowing initial adjustability in the poise of the second component
relative to the first component. Amongst other aspects the invention also
provides a modular proximal humeral prosthesis system for use in shoulder
joint arthroplasty which enables the proximal humeral prosthesis to be
changed between anatomical and reverse of anatomical configurations to
address differing degrees of shoulder joint deterioration.