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Biomechanic Principles of Reverse Shoulder Prosthesis

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Reverse Shoulder Arthroplasty

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Abstract

This chapter will analyze the different aspects of the reverse shoulder prosthesis biomechanics from the beginning, when it was developed in the 1970s by Grammont, to the latest designs through the different models proposed by surgeons worldwide. Many aspects of this innovative system are important to give good function to the shoulder and to avoid a number of complications linked to this surgery. Prosthesis design, component position, and soft tissue management will be described in order to understand how this “unanatomical” system could give a new function to a shoulder with cuff tear arthropathy or complex fracture.

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References

  1. Boyle MJ, Youn SM, Frampton CM, Ball CM. Functional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures. J Shoulder Elb Surg. 2013;22:32–7.

    Article  Google Scholar 

  2. Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am. 2006;88:1742–7.

    Article  Google Scholar 

  3. Hattrup SJ, Sanchez-Sotelo J, Sperling JW, Cofield RH. Reverse shoulder replacement for patients with inflammatory arthritis. J Hand Surg Am. 2012;37:1888–94.

    Article  Google Scholar 

  4. Wall B, Nove-Josserand L, O’Connor DP, Edwards TB, Walch G. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am. 2007;89:1476–85.

    PubMed  Google Scholar 

  5. Bodey WN, Yeoman PM. Prosthetic arthroplasty of the shoulder. Acta Orthop Scand. 1983;54:900–3.

    Article  CAS  Google Scholar 

  6. Buechel FF, Pappas MJ, DePalma AF. ‘Floating-socket’ total shoulder replacement: anatomical, biomechanical, and surgical rationale. J Biomed Mater Res. 1978;12:89–114.

    Article  CAS  Google Scholar 

  7. Fenlin JM Jr. Total glenohumeral joint replacement. Orthop Clin North Am. 1975;6:565–83.

    PubMed  Google Scholar 

  8. Bayley J, Kessel L. The Kessel total shoulder replacement. In: Bayley I, Kessel L, editors. Shoulder surgery. New York: Springer-Verlag; 1982. p. 160–4.

    Chapter  Google Scholar 

  9. Nyffeler RW, Werner CML, Simmen BR, Gerber C. Analysis of a retrieved Delta III total shoulder prosthesis. J Bone Joint Surg Br. 2004;86:1187–91.

    Article  CAS  Google Scholar 

  10. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993;16:65–8.

    CAS  PubMed  Google Scholar 

  11. Gerber C, Pennington SD, Lingenfelter EJ, Sukthankar A. Reverse Delta-III total shoulder replacement combined with latissimus dorsi transfer. A preliminary report. J Bone Joint Surg Am. 2007;89:940–7.

    Article  Google Scholar 

  12. Fischer L, Carret J, Gonon G, Dimnet J. Etude cinematique des mouvements de l’articulation scapulo-humerale. Rev Chir Orthop Reparatrice Appar Mot. 1977;63:108–15.

    PubMed  Google Scholar 

  13. Kontaxis A, Johnson GR. The biomechanics of reverse anatomy shoulder replacement–a modelling study. Clin Biomech (Bristol, Avon). 2009;24:254–60.

    Article  CAS  Google Scholar 

  14. Boileau P, Watkinson D, Hatzidakis AM, Hovorka I. Neer Award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elb Surg. 2006;15:527–40.

    Article  Google Scholar 

  15. Levigne C, Boileau P, Favard L, Garaud P, Mole D, Sirveaux F, et al. Scapular notching in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2008;17:925–35.

    Article  Google Scholar 

  16. De Wilde LF, Poncet D, Middernacht B, Ekelund A. Prosthetic overhang is the most effective way to prevent scapular conflict in a reverse total shoulder prosthesis. Acta Orthop. 2010;81:719–26.

    Article  Google Scholar 

  17. Nyffeler RW, Werner CM, Gerber C. Biomechanical relevance of glenoid component positioning in the reverse Delta III total shoulder prosthesis. J Shoulder Elb Surg. 2005;14:524–8.

    Article  Google Scholar 

  18. Edwards TB, Trappey GJ, Riley C, O’Connor DP, Elkousy HA, Gartsman GM. Inferior tilt of the glenoid component does not decrease scapular notching in reverse shoulder arthroplasty: results of a prospective randomized study. J Shoulder Elb Surg. 2012;21:641–6.

    Article  Google Scholar 

  19. Harman M, Frankle M, Vasey M, Banks S. Initial glenoid component fixation in “reverse” total shoulder arthroplasty: a biomechanical evaluation. J Shoulder Elb Surg. 2005;14(Suppl S):162S–7S.

    Article  Google Scholar 

  20. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am. 2005;87:1697–705.

    PubMed  Google Scholar 

  21. Herrmann S, Konig C, Heller M, Perka C, Greiner S. Reverse shoulder arthroplasty leads to significant biomechanical changes in the remaining rotator cuff. J Orthop Surg Res. 2011;6:42.

    Article  Google Scholar 

  22. De Biase CF, Delcogliano M, Borroni M, Castagna A. Reverse total shoulder arthroplasty: radiological and clinical result using an eccentric glenosphere. Musculoskelet Surg. 2012;96(Suppl 1):S27–34.

    Article  Google Scholar 

  23. Gutierrez S, Levy JC, Frankle MA, Cuff D, Keller TS, Pupello DR, et al. Evaluation of abduction range of motion and avoidance of inferior scapular impingement in a reverse shoulder model. J Shoulder Elb Surg. 2008;17:608–15.

    Article  Google Scholar 

  24. Stephenson DR, Oh JH, McGarry MH, Rick Hatch GF 3rd, Lee TQ. Effect of humeral component version on impingement in reverse total shoulder arthroplasty. J Shoulder Elb Surg. 2011;20:652–8.

    Article  Google Scholar 

  25. Erickson BJ, Frank RM, Harris JD, Mall N, Romeo AA. The influence of humeral head inclination in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elb Surg. 2015;24:988–93.

    Article  Google Scholar 

  26. Boileau P, Moineau G, Roussanne Y, O’Shea K. Bony increased-offset reversed shoulder arthroplasty: minimizing scapular impingement while maximizing glenoid fixation. Clin Orthop Relat Res. 2011;469:2558–67.

    Article  Google Scholar 

  27. Matsen FA 3rd, Boileau P, Walch G, Gerber C, Bicknell RT. The reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2007;89:660–7.

    Article  Google Scholar 

  28. Favre P, Sussmann PS, Gerber C. The effect of component positioning on intrinsic stability of the reverse shoulder arthroplasty. J Shoulder Elb Surg. 2010;19:550–6.

    Article  Google Scholar 

  29. Gutierrez S, Keller TS, Levy JC, Lee WE 3rd, Luo ZP. Hierarchy of stability factors in reverse shoulder arthroplasty. Clin Orthop Relat Res. 2008;466:670–6.

    Article  Google Scholar 

  30. Berton A, Gulotta LV, Petrillo S, Florio P, Longo UG, Denaro V, Kontaxis A. The effect of humeral version on teres minor muscle moment arm, length, and impingement in reverse shoulder arthroplasty during activities of daily living. J Shoulder Elb Surg. 2015;24:578–86.

    Article  Google Scholar 

  31. Clouthier AL, Hetzler MA, Fedorak G, Bryant JT, Deluzio KJ, Bicknell RT. Factors affecting the stability of reverse shoulder arthroplasty: a biomechanical study. J Shoulder Elb Surg. 2013;22:439–44.

    Article  Google Scholar 

  32. Terrier A, Reist A, Merlini F, Farron A. Simulated joint and muscle forces in reversed and anatomic shoulder prostheses. J Bone Joint Surg Br. 2008;90:751–6.

    Article  CAS  Google Scholar 

  33. Ackland DC, Roshan-Zamir S, Richardson M, Pandy MG. Moment arms of the shoulder musculature after reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2010;92:1221–30.

    Article  Google Scholar 

  34. Henninger HB, Barg A, Anderson AE, Bachus KN, Tashjian RZ, Burks RT. Effect of deltoid tension and humeral version in reverse total shoulder arthroplasty: a biomechanical study. J Shoulder Elb Surg. 2012;21:483–90.

    Article  Google Scholar 

  35. Ackland DC, Roshan-Zamir S, Richardson M, Pandy MG. Muscle and joint-contact loading at the glenohumeral joint after reverse total shoulder arthroplasty. J Orthop Res. 2011;29:1850–8.

    Article  Google Scholar 

  36. Werner CM, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am. 2005;87:1476–86.

    CAS  PubMed  Google Scholar 

  37. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004;86:388–95.

    Article  CAS  Google Scholar 

  38. Favre P, Loeb MD, Helmy N, Gerber C. Latissimus dorsi transfer to restore external rotation with reverse shoulder arthroplasty: a biomechanical study. J Shoulder Elb Surg. 2008;17:650–8.

    Article  Google Scholar 

  39. Chou J, Malak SF, Anderson IA, Astley T, Poon PC. Biomechanical evaluation of different designs of glenospheres in the SMR reverse total shoulder prosthesis: range of motion and risk of scapular notching. J Shoulder Elb Surg. 2009;18:354–9.

    Article  Google Scholar 

  40. Berhouet J, Garaud P, Favard L. Evaluation of the role of glenosphere design and humeral component retroversion in avoiding scapular notching during reverse shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:151–8.

    Article  Google Scholar 

  41. Gulotta LV, Choi D, Marinello P, Knutson Z, Lipman J, Wright T, et al. Humeral component retroversion in reverse total shoulder arthroplasty: a biomechanical study. J Shoulder Elb Surg. 2012;21(9):1121–7.

    Article  Google Scholar 

  42. Boyle S, Watts A, Trail I. Periprosthetic fractures around the shoulder. Shoulder Elbow. 2012;4(1):1–10.

    Article  Google Scholar 

  43. Levy O, Narvani A, Hous N, Abraham R, Relwani J, Pradhan R, Bruguera J, Sforza G, Atoun E. Reverse shoulder arthroplasty with a cementless short metaphyseal humeral implant without a stem: clinical and radiologic outcomes in prospective 2- to 7-year follow-up study. J Shoulder Elb Surg. 2016;25(8):1362–70.

    Article  Google Scholar 

  44. Hopkins AR, Hansen UN, Bull AM, Emery R, Amis AA. Fixation of the reversed shoulder prosthesis. J Shoulder Elb Surg. 2008;17:974–80.

    Article  Google Scholar 

  45. Humphrey CS, Kelly JD 2nd, Norris TR. Optimizing glenosphere position and fixation in reverse shoulder arthroplasty, part two: the three-column concept. J Shoulder Elb Surg. 2008;17:595–601.

    Article  Google Scholar 

  46. Chebli C, Huber P, Watling J, Bertelsen A, Bicknell RT, Matsen F 3rd. Factors affecting fixation of the glenoid component of a reverse total shoulder prothesis. J Shoulder Elb Surg. 2008;17:323–7.

    Article  Google Scholar 

  47. Codsi MJ, Bennetts C, Powell K, Iannotti JP. Locations for screw fixation beyond the glenoid vault for fixation of glenoid implants into the scapula: an anatomic study. J Shoulder Elb Surg. 2007;16:S84–9.

    Article  Google Scholar 

  48. Hart ND, Clark JC, Wade Krause FR, Kissenberth MJ, Bragg WE, Hawkins RJ. Glenoid screw position in the encore reverse shoulder prosthesis: an anatomic dissection study of screw relationship to surrounding structures. J Shoulder Elb Surg. 2013;22:814–20.

    Article  Google Scholar 

  49. Denard PJ, Walch G. Current concepts in the surgical management of primary glenohumeral arthritis with a biconcave glenoid. J Shoulder Elb Surg. 2013;22:1589–98.

    Article  Google Scholar 

  50. Neyton L, Boileau P, Nové-Josserand L, Edwards TB, Walch G. Glenoid bone grafting with a reverse design prosthesis. J Shoulder Elb Surg. 2007;16(3 Suppl):S71–8.

    Article  Google Scholar 

  51. Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast. 1999;14:756–60.

    Article  CAS  Google Scholar 

  52. Jones RB, Wright TW, Zuckerman JD. Reverse total shoulder arthroplasty with structural bone grafting of large glenoid defects. J Shoulder Elb Surg. 2016;25:1425–32.

    Article  Google Scholar 

  53. Boileau P, Morin-Salvo N, Gauci MO, Seeto BL, Chalmers PN, Holzer N, Walch G. Angled BIO-RSA (bony-increased offset–reverse shoulder arthroplasty): a solution for the management glenoid bone loss and erosion. J Shoulder Elbow Surg. 2017;26(12):2133–42.

    Article  Google Scholar 

  54. Klein M, Juschka M, Hinkenjann B, Scherger B, Ostermann PA. Treatment of comminuted fractures of the proximal humerus in elderly patients with the Delta III reverse shoulder prosthesis. J Orthop Trauma. 2008;22:698–704.

    Article  Google Scholar 

  55. Tischer T, Rose T, Imhoff AB. The reverse shoulder prosthesis for primary and secondary treatment of proximal humeral fractures: a case report. Arch Orthop Trauma Surg. 2008;128(9):973–8.

    Article  Google Scholar 

  56. Gallinet D, Adam A, Gasse N, Rochet S, Obert L. Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty. J Shoulder Elb Surg. 2012;22:38–44.

    Article  Google Scholar 

  57. Boileau P, Walch G, Krishnan S. Tuberosity osteosynthesis and hemiarthroplasty for four-part fractures of the proximal humerus. Tech Shoulder Elbow Surg. 2000;1:96–109.

    Article  Google Scholar 

  58. Ladermann A, Walch G, Lubbeke A, Drake GN, Melis B, Bacle G, et al. Influence of arm lengthening in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2012;21:336–41.

    Article  Google Scholar 

  59. Brems JJ. Shoulder arthroplasty in the face of acute fracture: puzzle pieces. J Arthroplast. 2002;17:32–5.

    Article  Google Scholar 

  60. Russo R, Cautiero F, Fontanarosa A, Della Rotonda G, Valerio G. Reconstruction techniques in comparison for reverse shoulder trauma prosthesis in the elderly: a follow-up between 2 and 4 years. Arch Orthop Trauma Surg. 2015;135(7):905–12.

    Article  Google Scholar 

  61. Bufquin T, Hersan A, Hubert L, Massin P. Reverse shoulder arthroplasty for the treatment of three- and four-part fractures of the proximal humerus in the elderly: a prospective review of 43 cases with a short-term follow-up. J Bone Joint Surg Br. 2007;89:516–20.

    Article  CAS  Google Scholar 

  62. Parsons BO, Gruson KI, Accousti KJ, Klug RA, Flatow EL. Optimal rotation and screw positioning for initial glenosphere baseplate fixation in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2009;18:886–91.

    Article  Google Scholar 

  63. Werner BS, Ascione F, Bugelli G, Walch G. Does arm lengthening affect the functional outcome in onlay reverse shoulder arthroplasty? J Shoulder Elb Surg. 2017;26(12):2152–7. pii: S1058-2746(17)30307-5

    Article  Google Scholar 

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Authors and Affiliations

  1. Department Orthopedics and Traumatology, Institution Pineta Grande Hospital, Castelvolturno, Italy

    Raffaele Russo, Michele Ciccarelli & Giuseppe Della Rotonda

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  1. Raffaele Russo
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  2. Michele Ciccarelli
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  3. Giuseppe Della Rotonda
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Editors and Affiliations

  1. Department of Orthopaedics and Traumatology, Sapienza University of Rome, Rome, Italy

    Stefano Gumina

  2. Department of Orthopaedics and Traumatology, University of East Piedmont, Hospital “Maggiore della Carità”, Novara, Italy

    Federico Alberto Grassi

  3. Department of Shoulder and Elbow Surgery, Ospedale Cervesi di Cattolica, Cattolica, Italy

    Paolo Paladini

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Russo, R., Ciccarelli, M., Rotonda, G.D. (2019). Biomechanic Principles of Reverse Shoulder Prosthesis. In: Gumina, S., Grassi, F., Paladini, P. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-97743-0_3

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  • DOI: https://doi.org/10.1007/978-3-319-97743-0_3

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  • Print ISBN: 978-3-319-97742-3

  • Online ISBN: 978-3-319-97743-0

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