The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part I

Shah, Sarav S.; Gaal, Benjamin T.; Roche, Alexander M; Namdari, Surena; Grawe, Brian M.; Lawler, Macy; Dalton, Stewart; King, Joseph J.; Helmkamp, Joshua; Garrigues, Grant E.; Wright, Thomas W.; Schoch, Bradley S.; Flik, Kyle R.; Otto, Randall J.; Jones, Richard B.; Jawa, Andrew; McCann, Peter D; Abboud, Joseph A.; Horneff, John G.; Ross, Glen; Friedman, Richard J.; Ricchetti, Eric T.; Boardman, Douglas N; Tashjian, Robert Z.; Gulotta, Lawrence V.

doi:10.1016/j.jseint.2020.07.017

Cited by 57 publications

(52 citation statements)

References 216 publications

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“…Dislocation is a common complication after RSA and requires surgical intervention in the early period (<2 years) [ 3 , 5 , 6 , 9 ]. The incidence of dislocation was reported to be 4.7% by Zumstein et al [ 6 ].…”

Section: Dislocationmentioning

confidence: 99%

“…Reverse shoulder arthroplasty (RSA) was developed initially as a salvage procedure for cuff tear arthropathy; however, its use has been extended to other shoulder conditions, such as irreparable rotator cuff tear, glenohumeral osteoarthritis, proximal humerus fracture, and failed anatomical shoulder arthroplasty [1]. The surgical outcome of RSA is promising, and the technique has been increasingly used [2,3]. However, with increasing application of RSA, the number of complications has increased, which 2011, the most common complication of RSA is instability (6.9%), followed by infection (5.6%), aseptic glenoid loosening (5.0%), acromion/scapular spine fracture (2.2%), glenoid or humeral disassembly (2.2%), humeral fracture (2.1%), humeral loosening (1.9%), and neurologic complications (1.7%).…”

Section: Introductionmentioning

confidence: 99%

“…The surgical outcome of RSA is promising, and the technique has been increasingly used [ 2 , 3 ]. However, with increasing application of RSA, the number of complications has increased, which occasionally requires interventions [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The rate of complications with RSA is approximately 15%–24% [ 3 - 6 ]. The complication rate differs among studies because of different definitions of complications and different prostheses used [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Some authors reported only major complications that affect the clinical outcome. Other studies reported both major and minor complications, including reversible neurologic deficit and minimal scapular notching [ 3 , 6 - 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Complications of Reverse Shoulder Arthroplasty: A Concise Review

Kim

Jang

et al. 2021

Clin Shoulder Elbow

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Reverse shoulder arthroplasty is an ideal treatment for glenohumeral dysfunction due to cuff tear arthropathy. As the number of patients treated with reverse shoulder arthroplasty is increasing, the incidence of complications after this procedure also is increasing. The rate of complications in reverse shoulder arthroplasty was reported to be 15%–24%. Recently, the following complications have been reported in order of frequency: periprosthetic infection, dislocation, periprosthetic fracture, neurologic injury, scapular notching, acromion or scapular spine fracture, and aseptic loosening of prosthesis. However, the overall complication rate has varied across studies because of different prosthesis used, improvement of implant and surgical skills, and different definitions of complications. Some authors included complications that affect the clinical outcomes of the surgery, while others reported minor complications that do not affect the clinical outcomes such as minor reversible neurologic deficit or minimal scapular notching. This review article summarizes the processes related to diagnosis and treatment of complications after reverse shoulder arthroplasty with the aim of helping clinicians reduce complications and perform appropriate procedures if/when complications occur.

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