Rotator cuff fatty infiltration and muscle atrophy do not impact clinical outcomes after reverse total shoulder arthroplasty for glenohumeral osteoarthritis with intact rotator cuff

Puzzitiello, Richard N.; Moverman, Michael A.; Menendez, Mariano E.; Hart, Paul-Anthony; Kirsch, Jacob M.; Jawa, Andrew

doi:10.1016/j.jse.2021.03.135

Cited by 11 publications

(30 citation statements)

References 25 publications

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“…1 ). Postoperative rotator cuff tears in TSA are not only related with decreased range of motion, but also instability or subluxation, which eventually lead to early glenoid loosening [ 1 , 12 , 13 , 24 ].…”

Section: Rotator Cuff Tearmentioning

confidence: 99%

“…Conversely, they are not significant in RSA. Puzzitiello et al [ 12 ] concluded that rotator cuff muscle quality as assessed by MA and FI does not impact clinical outcomes following RSA with a lateralized glenosphere in patients with GHOA and an intact rotator cuff. Therefore, if progressed MA and FI is combined with GHOA, RSA could be a reasonable decision even with an intact rotator cuff [ 2 , 10 , 12 , 13 ].…”

Section: Rotator Cuff Tearmentioning

confidence: 99%

“…In addition, MA and FI are important [ 10 ]. However, in RSA, the tendons of supraspinatus and infraspinatus can be removed, and MA and FI are not critical to clinical outcomes [ 12 ]. Moreover, superior rotator cuff removal could improve surgical field exposure and allows soft tissue release [ 12 , 31 ].…”

Section: Stiffnessmentioning

confidence: 99%

“…However, in RSA, the tendons of supraspinatus and infraspinatus can be removed, and MA and FI are not critical to clinical outcomes [ 12 ]. Moreover, superior rotator cuff removal could improve surgical field exposure and allows soft tissue release [ 12 , 31 ]. (2) Greater capacity of humeral bone cutting: in RSA compared to TSA, greater humeral head cutting is possible beyond the rotator cuff attachment.…”

Section: Stiffnessmentioning

confidence: 99%

“…Postoperative rotator cuff tear can cause instability, which can progress to glenoid loosening and failure. Preoperative rotator cuff tear, rotator cuff muscle atrophy (MA), and fatty infiltration (FI) are correlated with poor clinical results [1,9,[11][12][13]. In terms of bony architecture, uncorrectable glenoid deformities (e.g., glenoid retroversion, posterior erosion, and humeral head subluxation) are negative factors related with poor clinical results after TSA.…”

Section: Introductionmentioning

confidence: 99%

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When should reverse total shoulder arthroplasty be considered in glenohumeral joint arthritis?

Kim

Lee

2021

Clin Shoulder Elbow

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Anatomical total shoulder arthroplasty (TSA) has been used widely in treatment of glenohumeral osteoarthritis and provides excellent pain relief and functional results. Reverse total shoulder arthroplasty (RSA) was created to treat the complex problem of rotator cuff tear arthropathy. RSA also has been performed for glenohumeral osteoarthritis even in cases where the rotator cuff is preserved and has shown good results comparable with TSA. The indications for RSA are expanding to include tumors of the proximal humerus, revision of hemiarthroplasty to RSA, and revision of failed TSA to RSA. The purposes of this article were to describe comprehensively the conditions under which RSA should be considered in glenohumeral osteoarthritis, to explain its theoretical background, and to review the literature.

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