Risk factors for glenoid erosion in patients with shoulder hemiarthroplasty: an analysis of 118 cases

Herschel, Ramin; Wieser, Karl; Morrey, Mark E.; Ramos, Carlos Henrique; Gerber, Christian; Meyer, Dominik C.

doi:10.1016/j.jse.2016.06.004

Cited by 42 publications

(23 citation statements)

References 18 publications

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“…To be noted also is that one-third of the patients in a recent study developed glenoid erosion 2.5 years after SHA, with a threefold risk for females with OA (Herschel et al. 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Lower age increases the risk of revision for stemmed and resurfacing shoulder hemi arthroplasty

et al. 2017

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Background and purposeThe number of patients where shoulder hemiarthroplasty (SHA) is an option is still substantial. Descriptive analyses performed by the Swedish Shoulder Arthroplasty Registry (SSAR) showed that while patients receiving SHA designs, i.e. resurfacing hemi (RH) and stemmed hemi (SH), reported similar shoulder functionality and quality of life, the revision rate for RH (12%) was larger than for SH (6.7%); this difference was studied.Patients and methodsAll primary SHA (n = 1,140) for OA reported to SSAR between 1999 and 2009 were analyzed regarding risk factors for revision and PROM outcome, 950 shoulders with primary OA (POA), and 190 secondary OA (SOA). Mean age was 67.4 years (SD 10.8). PROM including WOOS and EQ-5D were collected at 5 years, until December 31, 2014.Results76/950 prostheses because of POA and 16/190 prosthesis because of SOA were revised. Age at primary surgery was the main factor that influenced the risk of revision, lower age increased the risk of revision, and was also the explanation for the difference between SH and RH. We also found that SH and RH had similar outcomes measured by PROM, but the POA group had higher scores than the SOA group with a clinically relevant difference of 10% in WOOS.InterpretationThe risk of revision for SH and RH is similar when adjusted for age and does not depend on primary diagnosis or sex. A lower age increases the risk of revision. Patients suffering from POA experience better shoulder functionality than SOA patients irrespective of implant type.

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“…To be noted also is that one-third of the patients in a recent study developed glenoid erosion 2.5 years after SHA, with a threefold risk for females with OA (Herschel et al. 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Lower age increases the risk of revision for stemmed and resurfacing shoulder hemi arthroplasty

et al. 2017

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“…Bone marrow edema and loosening may specifically be observed at the inferior glenoid in case of anatomical or reversed arthroplasties. In case of isolated replacement of the humeral head (shoulder hemiarthroplasty; anatomical glenoid remains), glenoid osteoarthritis may be observed during follow‐up . In patients with shoulder instability, bone consolidation between the glenoid and the transferred coracoid process may be evaluated after the Latarjet procedure (Fig.…”

Section: Clinical Applicationmentioning

confidence: 99%

Advances in MRI around metal

Jungmann

Agten

Pfirrmann

et al. 2017

Magnetic Resonance Imaging

161

166

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“…We were looking for the presence of cyst preoperatively. 21 Humeral erosion was also assessed in 4 grades: 1, none (greater tuberosity [GT] densification); 2, mild (GT erosion without humeral densification); 3, moderate (GT thinning); and 4, severe (spherical deformation reaching the lateral cortex or GT fracture). We measured the preoperative and postoperative thickness of the GT and researched the spherical GT deformation as well as humeral densification around the pyrocarbon implant ( Fig.…”

Section: Radiologic Assessmentmentioning

confidence: 99%

Pyrocarbon interposition shoulder arthroplasty in young arthritic patients: a prospective observational study

Barret

Gauci

Langlais

et al. 2020

Journal of Shoulder and Elbow Surgery

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Risk factors for glenoid erosion in patients with shoulder hemiarthroplasty: an analysis of 118 cases

Cited by 42 publications

References 18 publications

Lower age increases the risk of revision for stemmed and resurfacing shoulder hemi arthroplasty

Lower age increases the risk of revision for stemmed and resurfacing shoulder hemi arthroplasty

Advances in MRI around metal

Pyrocarbon interposition shoulder arthroplasty in young arthritic patients: a prospective observational study

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