Good function after shoulder arthroplasty

Abstract

Background and purpose Different results after shoulder arthroplasty have been found for different diagnostic groups. We evaluated function, pain, and quality of life after shoulder arthroplasty in 4 diagnostic groups.Patients and methods Patients with shoulder arthroplasties registered in the Norwegian Arthroplasty Register from 1994 through 2008 were posted a questionnaire in 2010. 1,107 patients with rheumatoid arthritis (RA), osteoarthritis (OA), acute fracture (AF), or fracture sequela (FS) returned completed forms (65% response rate). The primary outcome measure was the Oxford shoulder score (OSS), which assesses symptoms and function experienced by the patient on a scale from 0 to 48. A secondary outcome measure was the EQ-5D, which assesses life quality. The patients completed a questionnaire concerning symptoms 1 month before surgery, and another concerning the month before they received the questionnaire.Results Patients with RA and OA had the best results with a mean improvement in OSS of 16 units, as opposed to 11 for FS patients. Both shoulder pain and function had improved substantially. The change in OSS for patients with AF was negative (–11), but similar end results were obtained for AF patients as for RA and OA patients. Quality of life had improved in patients with RA, OA, and FS.Interpretation Good results in terms of pain relief and improved level of function were obtained after shoulder arthroplasty for patients with RA, OA, and—to a lesser degree—FS. A shoulder arthropathy had a major effect on quality of life, and treatment with shoulder replacement substantially improved it.

Shoulder linked arthroplasty in patients with obstetric brachial plexus palsy can improve quality of life and function at short-term follow-up

“…7 Relief of pain was the main improvement reported. There was minimal improvement in functional range of movement.…”

Pain and function in eight hundred and fifty nine patients comparing shoulder hemiprostheses, resurfacing prostheses, reversed total and conventional total prostheses

“…A more detailed description of patients and methods can be found in our previous publication from the same survey [10].…”

Persisting Racial Disparities in Total Shoulder Arthroplasty Utilization and Outcomes

“…TSA is frequently performed for end-stage arthritis of the shoulder, due to rheumatoid arthritis (RA), osteoarthritis (OA), fracture, or other shoulder disorders [1][2][3][4]. TSA is associated with reduction in shoulder pain and improvement in shoulder function and quality of life [1,[5][6][7] and high patient satisfaction [8]. A recent study that used the 1993-2007 US Nationwide Inpatient Sample (NIS) reported that Blacks had lower overall TSA utilization rates compared to Whites with a risk ratio of 0.6 [9].…”