Nerve stress during reverse total shoulder arthroplasty: a cadaveric study

Lenoir, H.; Dagneaux, Louis; Canovas, François; Waitzenegger, Thomas; Pham, Thuy Trang; Chammas, Michel

doi:10.1016/j.jse.2016.07.020

Cited by 35 publications

(15 citation statements)

References 16 publications

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“… 118 , 119 Brachial plexus palsies have been shown to be more common in RTSA than in TSA, possibly because of the lengthening effect on the arm during RTSA and the need for greater glenoid exposure. 120 …”

Section: Complicationsmentioning

confidence: 99%

Reverse total shoulder arthroplasty

Familiari¹,

Rojas

Doral

et al. 2018

EFORT Open Reviews

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Since the introduction of reverse total shoulder arthroplasty (RTSA) in 1987 (in Europe) and 2004 (in the United States), the number of RTSAs performed annually has increased.Although the main indication for RTSA has been rotator cuff tears, indications have expanded to include several shoulder conditions, many of which involve dysfunction of the rotator cuff.RTSA complications have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure, neurological injury, periprosthetic fracture and scapular notching.Current controversies in RTSA include optimal baseplate positioning, humeral neck-shaft angle (135° versus 155°), glenosphere placement (medial, lateral or bony increased offset RTSA) and subscapularis repair.Improvements in prosthesis design, surgeon experience and clinical results will need to occur to optimize this treatment for many shoulder conditions.Cite this article: EFORT Open Rev 2018;3:58–69 DOI: 10.1302/2058-5241.3.170044

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Section: Complicationsmentioning

confidence: 99%

Reverse total shoulder arthroplasty

Familiari¹,

Rojas

Doral

et al. 2018

EFORT Open Reviews

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“…48 Nerve monitoring during shoulder arthroplasties has shown more nerve alerts during RSA than during anatomical total shoulder arthroplasty. 49 Lenoir et al 50 found that the axillary and radial nerves were often stretched during the procedure. The author has seen several cases of postoperative numbness in the hand, particularly in the ulnar nerve area.…”

Section: Stretching Of the Brachial Plexusmentioning

confidence: 99%

“…49 Lenoir et al. 50 found that the axillary and radial nerves were often stretched during the procedure. The author has seen several cases of postoperative numbness in the hand, particularly in the ulnar nerve area.…”

Section: Stretching Of the Brachial Plexusmentioning

confidence: 99%

Management of painful reverse shoulder arthroplasty

Ekelund

2017

Shoulder & Elbow

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Even though reverse shoulder arthroplasty is a very successful procedure, painful complications occur. During the initial postoperative years, the most common reasons for pain are instability, postoperative fracture of the acromion or spine, and periprosthetic infection. Later, aseptic loosening, with humeral loosening being more frequent that glenoid loosening, can be a source of pain and reduction in function. A careful patient history, clinical examination, plain radiographs, computed tomography and blood tests give an explanation for the pain in most cases. The majority of these complications can be successfully treated, maintaining a functional reverse shoulder arthroplasty. However, if all examinations are normal, it is important to remember that nonshoulder conditions such as tumour of the lung or degenerative changes of the cervical spine can give shoulder pain.

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“…Many case reports of axillary nerve injury after shoulder arthroplasty exist, and fortunately, most are transient 11, 16, 19. These are believed to be mostly the result of lengthening the limb girdle causing a transient neurapraxia 8, 9, 10…”

Section: Discussionmentioning

confidence: 99%