Background: Glenoid version is a key morphometric parameter influencing glenohumeral joint biomechanics, stability,
and load distribution. Alterations in glenoid orientation, particularly increased retroversion, have been implicated in
abnormal joint kinematics, posterior humeral head translation, and degenerative shoulder conditions. While glenoid
version has been extensively studied in normal and arthritic shoulders, its role in frozen shoulder (adhesive capsulitis)
remains inadequately explored, especially in relation to repetitive overhead activity. Aim: To evaluate glenoid version in
patients with frozen shoulder using computed tomography (CT) and to analyze its association with dominance and
overhead activity. Materials and Methods: This observational study included 40 patients clinically diagnosed with
frozen shoulder. Glenoid version was measured on axial CT images using the Friedman method. Comparisons were made
between dominant and non-dominant shoulders and between patients with and without a history of repetitive overhead
activity. Statistical analysis was performed using SPSS, with results expressed as mean, standard deviation, and p-values.
Results: The mean glenoid version was −10.9 ± 3.4°, indicating overall retroversion. Increased retroversion (>10°) was
observed in 45% of patients. Glenoid retroversion was significantly greater in patients with overhead activity compared
to those without (p < 0.001) and on the dominant side compared to the non-dominant side (p = 0.002). Conclusion:
Increased glenoid retroversion is common in frozen shoulder patients, particularly in those with dominant-side
involvement and repetitive overhead activity, suggesting a possible biomechanical contribution to disease pathology.
Keywords: Glenoid version, glenoid fossa, retroversion, observational study.