Range of Impingement-Free Abduction and Adduction Deficit After Reverse Shoulder Arthroplasty

Gutiérrez, Sergio; Comiskey, Charles A; Luo, Zong‐Ping; Pupello, Derek; Frankle, Mark A.

doi:10.2106/jbjs.h.00012

Cited by 302 publications

(205 citation statements)

References 14 publications

Supporting

Mentioning

195

Contrasting

Unclassified

Order By: Relevance

“…Although major problems of initial reverse designs and positioning have been solved, 2,16 impingement causing a limitation of mobility is still an open question. 2,6,8,15,16 It has been analyzed with different prosthesis design by several biomechanical models [8][9][10]16 ; but it was never evaluated in activities of daily living, and never related to scapular compensation. In the present study, the occurrence of impingement in typical activities of daily living was rather low, and only observed for adducted positions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Activities of daily living with reverse prostheses: importance of scapular compensation for functional mobility of the shoulder

Terrier¹,

Scheuber²,

Pioletti³

et al. 2013

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

Hypothesis:The nonanatomical design of reverse shoulder prostheses induce medial displacement of the center of rotation, impingements and may reduce the mobility of the shoulder. The aim of this study is to test the hypothesis that during activities of daily living functional mobility of the shoulder can be restored by scapular compensation. Material and methods: A numerical 3-dimensional model was developed to reproduce the movement of the scapula and humerus, during 4 activities of daily living measured experimentally. This hypothesis was tested in 4 configurations of the aequalis reverse prosthesis (standard 36-mm glenosphere, 42-mm glenosphere, lateralized 36-mm glenosphere, lateralized Bony Increased-Offset Reverse Shoulder Arthroplasty [BIO-RSA]), which were implanted in the virtual model. All impingement positions were evaluated, as the required scapular compensation to avoid impingements. Results: With the 36-mm glenosphere, impingements occurred only for rest of hand to back-pocket positions. The 42-mm partly improved the mobility. The 2 lateralized glenospheres were free of impingement. When impingements occurred, the scapular compensation was less than 10 . Conclusion: Most reverse prostheses impingements reported in clinical and biomechanical studies can be avoided, either by scapular compensation or by a glenosphere lateralization. After reverse shoulder arthroplasty, a fraction of the mobility of the gleno-humeral is transferred to the scapulo-thoracic joint.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Using a computer version of the initial experimental model, they evaluated the abduction ROM in the scapular plane, for various design parameters of the reverse prosthesis. 8,9 The ROM was about 74 for the case that best corresponds to the STD-RSA. A glenosphere of 42 mm, instead of 36 mm, increased the ROM by about 6 .…”

Section: Discussionmentioning

confidence: 99%

Activities of daily living with reverse prostheses: importance of scapular compensation for functional mobility of the shoulder

Terrier¹,

Scheuber²,

Pioletti³

et al. 2013

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

show abstract

“…Debate exists over the medialization of the center of rotation, with some proposing a more lateral offset [15]. Proponents of the more lateral center of rotation point to a lower rate of scapular notching and an increase in impingement-free motion [19]. Others suggest notching may also be minimized with appropriate positioning of the more medial glenoid component [44].…”

Section: Discussionmentioning

confidence: 99%

A History of Reverse Total Shoulder Arthroplasty

Flatow

Harrison

2011

Clinical Orthopaedics &Amp; Related Research

177

108

View full text Add to dashboard Cite

Background Management of the cuff-deficient arthritic shoulder has long been challenging. Early unconstrained shoulder arthroplasty systems were associated with high complication and implant failure rates. The evolution toward the modern reverse shoulder arthroplasty includes many variables of constrained shoulder arthroplasty designs. Questions/purposes This review explores the development of reverse shoulder arthroplasty, specifically describing (1) the evolution of reverse shoulder arthroplasty designs, (2) the biomechanical variations in the evolution of this arthroplasty, and (3) the current issues relevant to reverse shoulder arthroplasty today. Methods Using a PubMed search, the literature was explored for articles addressing reverse shoulder arthroplasty, focusing on those papers with historical context. Results Results of the early designs were apparently poor, although they were not subjected to rigorous clinical research and usually reported only in secondary literature. We identified a trend of glenoid component failure in the early reverse designs. This trend was recognized and reported by authors as the reverse shoulder evolved.Authors reported greater pain relief and better function in reverse shoulder arthroplasty with the fundamental change of Grammont's design (moving the center of rotation medially and distally). However, current reports suggest lingering concerns and challenges with today's designs. Conclusions The history of reverse shoulder arthroplasty involves the designs of many forward-thinking surgeons. Many of these highly constrained systems failed, although more recent designs have demonstrated improved longevity and implant performance. Reverse shoulder arthroplasty requires ongoing study, with challenges and controversies remaining around present-day designs.

show abstract

“…The stabilizing or destabilizing effect of the muscles, ligaments and capsule can be considered to be integrated in the resultant force applied to the joint. 2 Conversely, the influence of component positioning on soft tissues tension, 7 on range of motion, 15,30 eccentric loading and loosening require further investigations.…”

Section: Discussionmentioning

confidence: 99%

The effect of component positioning on intrinsic stability of the reverse shoulder arthroplasty

Favre

Sussmann

Gerber

2010

Journal of Shoulder and Elbow Surgery

140

View full text Add to dashboard Cite

show abstract

Range of Impingement-Free Abduction and Adduction Deficit After Reverse Shoulder Arthroplasty

Abstract: An understanding of a hierarchy of prosthetic design and implantation factors may be important to maximize impingement-free abduction motion as well as to avoid inferior impingement.

Cited by 302 publications

References 14 publications

Activities of daily living with reverse prostheses: importance of scapular compensation for functional mobility of the shoulder

Activities of daily living with reverse prostheses: importance of scapular compensation for functional mobility of the shoulder

A History of Reverse Total Shoulder Arthroplasty

The effect of component positioning on intrinsic stability of the reverse shoulder arthroplasty

Contact Info

Product

Resources

About