Results of closed management of acute dislocation after reverse shoulder arthroplasty

Teusink, Matthew J.; Pappou, Ioannis P.; Schwartz, Daniel G.; Cottrell, Benjamin J.; Frankle, Mark A.

doi:10.1016/j.jse.2014.07.015

Cited by 53 publications

(47 citation statements)

References 30 publications

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“…Implant systems that incorporate lateralization with offset components improve deltoid tension without the need for humeral lengthening 127 . After prosthetic dislocation, the surgeon should attempt an initial closed reduction and be prepared for revision surgery 130 . With proximal humeral bone loss, instability issues may be corrected with cortical strut or proximal humeral allografts, metallic spacers, a thicker humeral cup insert, or a cemented humeral stem 58,131 .…”

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confidence: 99%

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Complications of Shoulder Arthroplasty

Bohsali

Bois

Wirth³

2017

The Journal of Bone and Joint Surgery

274

199

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d The most common complications after reverse shoulder arthroplasty in order of decreasing frequency included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE).d The most common complications after anatomic total shoulder arthroplasty (TSA) in order of decreasing frequency were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE.d Glenoid component wear and loosening remain a common cause of failure after anatomic TSA, despite advances in surgical technique and implant design.d Diagnostic confirmation of infection after shoulder arthroplasty remains a challenge. In the setting of a painful and stiff shoulder after arthroplasty, the surgeon should have a heightened suspicion for infection. Inflammatory markers may be normal, radiographs may be inconclusive, and prosthetic joint aspiration may be negative for a causative organism.Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked "yes" to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work and "yes" to indicate that the author had a patent and/or copyright, planned, pending, or issued, broadly relevant to this work. 99:256-69 d http://dx.doi.org/10.2106/JBJS.16.00935 frequency) included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE)The most common complications after anatomic TSA (in order of decreasing frequency) were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE (

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mentioning

confidence: 99%

“…Efficacy regarding these surgical techniques remains largely unproven.loosening made up a majority of these events (217 [82%] of 264 shoulders) . Glenoid implant failure comprised 37.7%(130) of 345 complications after TSA 9,20,21,32,40,41,43,52,55,62,68,71,72,74,[76][77][78]83,87,103,106,108,[112][113][114][115][116]118,119,[121][122][123][124] …”

mentioning

confidence: 99%

Complications of Shoulder Arthroplasty

Bohsali

Bois

Wirth³

2017

The Journal of Bone and Joint Surgery

274

199

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“…18 However, dislocations are reported with both prosthesis styles. 26 Factors that can influence the degree of stability of RSA are the soft tissue balance, glenosphere size, the inclination of the humeral articular joint line, the version of the humeral component and the position of the metaglene (Fig. 2).…”

Section: Instabilitymentioning

confidence: 99%

“…26 Conservative management can be successful in almost half of patients, and shoulders that remain stable after closed reduction have a similar outcome in terms of pain and motion. On the contrary, recurrent instability may lead to revision surgery.…”

Section: Instabilitymentioning

confidence: 99%

Complications in reverse shoulder arthroplasty

et al. 2016

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The reported rate of complications of reverse shoulder arthroplasty (RSA) seems to be higher than the complication rate of anatomical total shoulder arthroplasty.The reported overall complication rate of primary RSA is approximately 15%; when RSA is used in the revision setting, the complication rate may approach 40%.The most common complications of RSA include instability, infection, notching, loosening, nerve injury, acromial and scapular spine fractures, intra-operative fractures and component disengagement.Careful attention to implant design and surgical technique, including implantation of components in the correct version and height, selection of the best glenosphere-humeral bearing match, avoidance of impingement, and adequate management of the soft tissues will hopefully translate in a decreasing number of complications in the future.Cite this article: Barco R, Savvidou OD, Sperling JW, Sanchez-Sotelo J, Cofield RH. Complications in reverse shoulder arthroplasty. EFORT Open Rev 2016;1:72-80. DOI: 10.1302/2058-5241.1.160003.

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“…The authors found that closed management was effective in more than 50% of the cases (Teusink et al, 2014). Approximately 62% occurred in the first 3 months following surgery.…”

Section: Instabilitymentioning

confidence: 99%

Proximal humerus fractures

Greiwe

2015

Shoulder and Elbow Trauma and Its Complications

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Results of closed management of acute dislocation after reverse shoulder arthroplasty

Cited by 53 publications

References 30 publications

Complications of Shoulder Arthroplasty

Complications of Shoulder Arthroplasty

Complications in reverse shoulder arthroplasty

Proximal humerus fractures

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