Subscapularis insufficiency and the risk of shoulder dislocation after reverse shoulder arthroplasty

Edwards, T. Bradley; Williams, M. D.; Labriola, Joanne E.; Elkousy, Hussein; Gartsman, Gary M.; O’Connor, Daniel P.

doi:10.1016/j.jse.2008.12.013

Cited by 255 publications

(156 citation statements)

References 13 publications

(15 reference statements)

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“…Complication rates have been reported from 10% to 47% [12,14,20,26,32,54,57,60] and the dislocation rate is reportedly 0% to 9% [12,26,32,50,54,57]. The dislocation rate is nearly doubled in patients without a subscapularis tendon [17]. Scapular notching can be frequent with RTSA, although in most instances it does not appear to cause any clinical problems [6,7] and at least one series has reported no incidence of notching at two years after surgery [12].…”

Section: Discussionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

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206

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Background Reverse total shoulder arthroplasty (RTSA) was introduced to treat rotator cuff tear arthropathy but is now used to treat a variety of problems. Although its use has expanded substantially since the FDA's approval in 2004, the appropriateness in patients with rotator cuff disease is unclear. Questions/purposes We review the use of RTSA in patients with rotator cuff disease to (1) describe classification of rotator cuff tear reparability and the concept of a balanced shoulder; (2) explore the theory behind RTSA design relative to rotator cuff arthropathy; (3) discuss the indications and contraindications for RTSA; and (4) review published outcomes of RTSA for rotator cuff arthropathy.Methods We performed a selective review of the literature on the use of RTSA in the treatment of rotator cuff disease.Results Modern RTSA designs restore deltoid tension and a functional fulcrum to the rotator cuff deficient shoulder, which allows recovery of active shoulder elevation and effectively restores function in short-and mediumterm followup studies. Conclusions In short-term followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis (preserved deltoid contraction but loss of active elevation). Severely impaired deltoid function, an isolated supraspinatus tear, and the presence of full active shoulder elevation with a massive rotator cuff tear and arthritis are contraindications to RTSA. Clinical Relevance For properly selected patients who have symptomatic and disabling rotator cuff deficiency, RTSA can result in life-changing improvements in pain, motion, function, and patient satisfaction. Level of Evidence Level V therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

Self Cite

206

124

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“…Proper rehabilitation requires recovery times ranging from 3 to 6 months for patients in the Group A and B and up to 12 months for the most of cases in the Group C 27 . Indeed the final result is correlated to the rigidity of the capsular structures and muscle tendon at the time of surgery 21,14,26 . Recent studies demonstrate that improving the function seems to be stable for at least three years, although previous studies have shown that improvements can be maintained for much longer 5,9,24 .…”

Section: Atmentioning

confidence: 99%

Reverse shoulder arthroplasty patient personalized rehabilitation protocol. Preliminary results according to prognostic groups

Am¹,

Oliva

Nastrucci³

et al. 2017

MLTJ

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“…In 2005, Boileau et al proposed that an anterosuperior transdeltoid method may reduce instability after RSA because the subscapularis is preserved (12). Using the Aequalis reversed system, Edwards et al recently revealed that the risk of dislocation after RSA was almost twice as high (relative risk, 1.90) in cases with an unrepaired subscapularis tendon vs. those with a repaired subscapularis tendon (52). It is proposed that RSP dislocation merely occurs in the anterior direction (53, 54).…”

Section: Dislocationmentioning

confidence: 99%

A brief Review of Reverse Shoulder Prosthesis: Arthroplasty, Complications, Revisions, and Development

Özada¹,

Yazdi²,

Khandan³

et al. 2017

Trauma Mon

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Human shoulder is considered to be an important flexible and movable part in the human body. However, it is a wobble joint as its range of motion (ROM) is high. This unstable status causes the rate of joint injury. The processes leading to shoulder joint dysfunction are arthritis, hemiarthroplasty failure, and pseudoparalysis; in turn, one of the main factors contributing to these problems is rotator cuff tear (RCT). Reverse shoulder arthroplasty (RSA) may be a proper treatment for shoulder dysfunction and pain. This treatment that elevates shoulder movement has been augmented by recent advances in the development of the reverse shoulder prosthesis (RSP) design. The current review highlights the recent developments, revisions, and complications. The review of the published literature has been done to determine the overall rates of problems, complications, reoperations, and revisions after RSA. Furthermore, this review discusses the problems concerning RSP, shoulder joint replacement, and improvement in shoulder joint movement after arthroplasty. Ultimately, an outcome of different endeavors of the researcher was summarized. The endeavor of the current review indicates that RSA is a valuable alternative that can increase forward elevation, improve function, and relieve pain.

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Subscapularis insufficiency and the risk of shoulder dislocation after reverse shoulder arthroplasty

Cited by 255 publications

References 13 publications

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Reverse shoulder arthroplasty patient personalized rehabilitation protocol. Preliminary results according to prognostic groups

A brief Review of Reverse Shoulder Prosthesis: Arthroplasty, Complications, Revisions, and Development

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