Reverse Shoulder Arthroplasty for the Treatment of Irreparable Rotator Cuff Tear without Glenohumeral Arthritis

2010 ◽  
Vol 92 (15) ◽  
pp. 2544-2556 ◽  
Author(s):  
Philip Mulieri ◽  
Page Dunning ◽  
Steven Klein ◽  
Derek Pupello ◽  
Mark Frankle
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
Cuff Tear ◽  
Glenohumeral Arthritis ◽  
Irreparable Rotator Cuff Tear

scholarly journals Reverse Shoulder Prosthesis With a Lateralized Glenosphere: Early Results of a Prospective Multicenter Study Stratified by Diagnosis

2019 ◽  
Vol 3 ◽  
pp. 247154921984404 ◽  
Author(s):  
Samer S Hasan ◽  
Jonathan C Levy ◽  
Zachary R Leitze ◽  
Avinash G Kumar ◽  
Gary D Harter ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Multicenter Study ◽  
Shoulder Arthroplasty ◽  
External Rotation ◽  
Reverse Shoulder Arthroplasty ◽  
Design Team ◽  
Scapular Notching ◽  
Cuff Tear ◽  
Glenohumeral Arthritis

Background We report here on the results, stratified by diagnosis, of a multicenter prospective study by surgeons unaffiliated with the design team of reverse shoulder arthroplasty (RSA) performed using a lateralized glenosphere. We hypothesized that outcomes would be comparable to those reported previously.Methods: A total of 245 patients underwent RSA for cuff tear arthropathy or glenohumeral arthritis with rotator cuff tear, rotator cuff tear with instability or escape and without glenohumeral arthritis, or failed shoulder arthroplasty. Clinical, radiographic, and self-assessed outcome measures were obtained preoperatively and at standardized time points postoperatively. At 2 years, 173 patients were available as 23 patients were deceased, 12 had undergone revision, and 37 were unavailable.Results: Range of motion and outcomes improved, irrespective of diagnosis. Active forward flexion, abduction, and external rotation improved (73°–127°, 65°–109°, and 24°–37°, respectively, P < .0001 for all). Simple Shoulder Test (3.2–8.5) and American Shoulder and Elbow Surgeons scores (45–86) also improved. Scapular notching occurred in 13.3%; scapular spine/acromial fractures in 6.5%. Patients undergoing revision shoulder arthroplasty improved more modestly.Conclusion: In this multicenter study, surgeons unaffiliated with the design team obtained clinical improvements comparable to those reported previously and that exceeded minimal clinically important differences for RSA. Improvements in external rotation and low scapular notching rates potentially relate to the lateralized design.

Reverse shoulder arthroplasty for massive rotator cuff tear: risk factors for poor functional improvement

2015 ◽  
Vol 24 (11) ◽  
pp. 1698-1706 ◽  
Author(s):  
Robert U. Hartzler ◽  
Brandon M. Steen ◽  
Michael M. Hussey ◽  
Michael C. Cusick ◽  
Benjamin J. Cottrell ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
Functional Improvement ◽  
Massive Rotator Cuff Tear ◽  
Cuff Tear

scholarly journals Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Paraskevas Georgoulas ◽  
Aliki Fiska ◽  
Athanasios Ververidis ◽  
Georgios I. Drosos ◽  
Evanthia Perikleous ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Arthroplasty ◽  
Large Scale ◽  
Reverse Shoulder Arthroplasty ◽  
Clinical Effectiveness ◽  
Surgical Approaches ◽  
Cuff Tear ◽  
Scapular Spine ◽  
Deltopectoral Approach

Reverse shoulder arthroplasty (RSA) has become an optimal treatment for numerous orthopedic entities, such as rotator cuff tear arthropathies, pseudoparalysis, fracture sequelae, acute fractures, failed arthroplasties, osteoarthritis, and rheumatoid arthritis, and is linked with relief of topical pain and regaining of functionality. Presently, RSA has been conducted through anterosuperior (AS) or deltopectoral (DP) approach. The aim of the study was to discuss both approaches and to examine broadly their features to render a comparison in terms of clinical effectiveness. An electronic search in PubMed, EMBASE, and Google Scholar databases was performed, using combinations of the following keywords: RSA, DP approach, AS approach, notching, and cuff tear arthropathy. A total of 61 studies were found, and 16 relevant articles were eventually included. Currently published literature has not shown significant diversities in the clinical course due to approach preference; risk of instability seems to be greater in DP approach, while regarding scapular notching and fracture rates the findings were conflicted. In addition, the AS approach has been associated with decreased risk of acromial and scapular spine fractures. In conclusion, both surgical approaches have shown similar clinical outcomes and effectiveness concerning pain and restoring range of motion (ROM) in rotator cuff tear arthropathies. In the future, further investigations based on large-scale well-designed studies are required to address clinical gaps allowing in-depth comparison of both approaches.

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