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Review Question - QID 218263

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QID 218263 (Type "218263" in App Search)
A 67-year-old male presents to your office with shoulder pain that is impeding his sleep and daily activities. He has failed nonoperative measures and wishes to have surgery. You recommend anatomic total shoulder arthroplasty. Preoperative CT demonstrates a biconcave glenoid with 15º of retroversion and MRI shows Goutallier grade 1 changes in the supraspinatus. You warn the patient that glenoid loosening can occur in some circumstances after anatomic total shoulder arthroplasty. Which of the following would place this patient at the highest risk for this complication?