Skip to main content
SpringerLink
Log in
Book cover

Reverse Shoulder Arthroplasty pp 309–320Cite as

Complications in Reverse Shoulder Arthroplasty: Focus on Comorbidities

  • Chapter
  • First Online:

  • 956 Accesses

Abstract

The number of RSA (reverse shoulder arthroplasty) implants is greatly increasing, along with the growing age of the population. Consequently, it can be argued that the population we are dealing with will have an increasing number of pathologies that can be considered as comorbidities and must be carefully pondered. Knowledge of comorbidities is therefore useful in assessing the risk/benefit ratio in the treatment of shoulder arthropathy.

For this reason, we believe it is essential to have an accurate preoperative medical history with a careful evaluation of the patient in order to proceed toward the correct decision-making process.

Comorbidity: the simultaneous presence of two chronic diseases or conditions in a patient.

(Oxford Dictionary)

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Feinstein AR. The pre-therapeutic classification of co-morbidity in chronic disease. J Chronic Dis. 1970;23(7):455–68.

    Article  CAS  Google Scholar 

  2. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373–83.

    Article  CAS  Google Scholar 

  3. Voskuijl T, Hageman M, Ring D. Higher Charlson Comorbidity Index Scores are associated with readmission after orthopaedic surgery. Clin Orthop Relat Res. 2014;472(5):1638–44. https://doi.org/10.1007/s11999-013-3394-8.

    Article  PubMed  Google Scholar 

  4. Singh JA, Sperling JW, Cofield RH. Ninety day mortality and its predictors after primary shoulder arthroplasty: an analysis of 4,019 patients from 1976-2008. BMC Musculoskelet Disord. 2011;12(12):231. https://doi.org/10.1186/1471-2474-12-231.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Chalmers PN, Gupta AK, Rahman Z, Bruce B, Romeo AA, Nicholson GP. Predictors of early complications of total shoulder arthroplasty. J Arthroplast. 2014;29(4):856–60. https://doi.org/10.1016/j.arth.2013.07.002.

    Article  Google Scholar 

  6. Dripps RD. New classification of physical status. Anesthesiol. 1963;24:111.

    Google Scholar 

  7. American Society of Anesthesiologists (ASA). ASA Physical Status Classification System. https://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. [Online].

  8. Ricchetti ET, Abboud JA, Kuntz AF, Ramsey ML, Glaser DL, Williams GR Jr. Total shoulder arthroplasty in older patients: increased perioperative morbidity? Clin Orthop Relat Res. 2011;469(4):1042–9. https://doi.org/10.1007/s11999-010-1582-3.

    Article  PubMed  Google Scholar 

  9. Dunn JC, Lanzi J, Kusnezov N, Bader J, Waterman BR, Belmont PJ Jr. Predictors of length of stay after elective total shoulder arthroplasty in the United States. J Shoulder Elbow Surg. 2015;24(5):754–9. https://doi.org/10.1016/j.jse.2014.11.042.

    Article  PubMed  Google Scholar 

  10. Shields E, Iannuzzi JC, Thorsness R, Noyes K, Voloshin I. Postoperative morbidity by procedure and patient factors influencing major complications within 30 days following shoulder surgery. Orthop J Sports Med. 2014;2(10):2325967114553164. https://doi.org/10.1177/2325967114553164. eCollection 2014 Oct

    Article  PubMed  PubMed Central  Google Scholar 

  11. Singh JA, Sperling JW, Schleck C, Harmsen WS, Cofield RH. Periprosthetic infections after total shoulder arthroplasty: a 33-year perspective. J Shoulder Elb Surg. 2012;21(11):1534–41. https://doi.org/10.1016/j.jse.2012.01.006.

    Article  Google Scholar 

  12. Farng E, Zingmond D, Krenek L, Soohoo NF. Factors predicting complication rates after primary shoulder arthroplasty. J Shoulder Elb Surg. 2011;20(4):557–63. https://doi.org/10.1016/j.jse.2010.11.005.

    Article  Google Scholar 

  13. Davis DE, Paxton ES, Maltenfort M, Abboud J. Factors affecting hospital charges after total shoulder arthroplasty: an evaluation of the National Inpatient Sample database. J Shoulder Elb Surg. 2014;23(12):1860–6. https://doi.org/10.1016/j.jse.2014.04.002.

    Article  Google Scholar 

  14. Singh JA, Sperling JW, Cofield RH. Cardiopulmonary complications after primary shoulder arthroplasty: a cohort study. Semin Arthritis Rheum. 2012;41(5):689–97. https://doi.org/10.1016/j.semarthrit.2011.09.003.

    Article  PubMed  Google Scholar 

  15. Davis JM 3rd, Matteson EL, American College of Rheumatology; European League Against Rheumatism. My treatment approach to rheumatoid arthritis. Mayo Clin Proc. 2012;87(7):659–73. https://doi.org/10.1016/j.mayocp.2012.03.011.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Cuomo F, Greller MJ, Zuckerman JD. The rheumatoid shoulder. Rheum Dis Clin N Am. 1998;24(1):67–82.

    Article  CAS  Google Scholar 

  17. Weiss JJ, Thompson GR, Doust V, Burgener F. Rotator cuff tears in rheumatoid arthritis. Arch Intern Med. 1975;135(4):521–5.

    Article  CAS  Google Scholar 

  18. Germano V, Cattaruzza MS, Osborn J, Tarantino A, Di Rosa R, Salemi S, D’Amelio R. Infection risk in rheumatoid arthritis and spondyloarthropathy patients under treatment with DMARDs, corticosteroids and TNF-α antagonists. J Transl Med. 2014;12:77. https://doi.org/10.1186/1479-5876-12-77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Marchant MH Jr, Viens NA, Cook C, Vail TP, Bolognesi MP. The impact of glycemic control and diabetes mellitus on perioperative outcomes after total joint arthroplasty. J Bone Joint Surg Am. 2009;91(7):1621–9. https://doi.org/10.2106/JBJS.H.00116.

    Article  PubMed  Google Scholar 

  20. Jain NB, Guller U, Pietrobon R, Bond TK, Higgins LD. Comorbidities increase complication rates in patients having arthroplasty. Clin Orthop Relat Res. 2005;435:232–8.

    Article  Google Scholar 

  21. Ponce BA, Menendez ME, Oladeji LO, Soldado F. Diabetes as a risk factor for poorer early postoperative outcomes after shoulder arthroplasty. J Shoulder Elb Surg. 2014;23(5):671–8. https://doi.org/10.1016/j.jse.2014.01.046.

    Article  Google Scholar 

  22. Toor AS, Jiang JJ, Shi LL, Koh JL. Comparison of perioperative complications after total elbow arthroplasty in patients with and without diabetes. J Shoulder Elb Surg. 2014;23(11):1599–606. https://doi.org/10.1016/j.jse.2014.06.045.

    Article  Google Scholar 

  23. Hemmingsen B, Lund SS, Gluud C, Vaag A, Almdal T, Hemmingsen C, Wetterslev J. Targeting intensive glycaemic control versus targeting conventional glycaemic control for type 2 diabetes mellitus. Cochrane Database Syst Rev. 2011;6:CD008143. https://doi.org/10.1002/14651858.CD008143.pub2.

    Article  Google Scholar 

  24. Moutschen MP, Scheen AJ, Lefebvre PJ. Impaired immune responses in diabetes mellitus: analysis of the factors and mechanisms involved. Relevance to the increased susceptibility of diabetic patients to specific infections. Diabete Metab. 1992;18(3):187–201.

    CAS  PubMed  Google Scholar 

  25. Rask-Madsen C, King GL. Vascular complications of diabetes: mechanisms of injury and protective factors. Cell Metab. 2013;17(1):20–33. https://doi.org/10.1016/j.cmet.2012.11.012.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Bolognesi MP, Marchant MH Jr, Viens NA, Cook C, Pietrobon R, Vail TP. The impact of diabetes on perioperative patient outcomes after total hip and total knee arthroplasty in the United States. J Arthroplast. 2008;23(6 Suppl 1):92–8. https://doi.org/10.1016/j.arth.2008.05.012.

    Article  Google Scholar 

  27. Soohoo NF, Farng E, Lieberman JR, Chambers L, Zingmond DS. Factors that predict short-term complication rates after total hip arthroplasty. Clin Orthop Relat Res. 2010;468(9):2363–71. https://doi.org/10.1007/s11999-010-1354-0.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Beck JD, Irgit KS, Andreychik CM, Maloney PJ, Tang X, Harter GD. Reverse total shoulder arthroplasty in obese patients. J Hand Surg Am. 2013;38(5):965–70. https://doi.org/10.1016/j.jhsa.2013.02.025.

    Article  PubMed  Google Scholar 

  29. Garcia GH, Fu MC, Dines DM, Craig EV, Gulotta LV. Malnutrition: a marker for increased complications, mortality, and length of stay after total shoulder arthroplasty. J Shoulder Elb Surg. 2016;25(2):193–200. https://doi.org/10.1016/j.jse.2015.07.034.

    Article  Google Scholar 

  30. Anwar J, Mpofu E, Matthews LR, Shadoul AF, Brock KE. Reproductive health and access to healthcare facilities: risk factors for depression and anxiety in women with an earthquake experience. BMC Public Health. 2011;11:523. https://doi.org/10.1186/1471-2458-11-523.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Linton SJ, Halldén K. Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain. Clin J Pain. 1998;14(3):209–15.

    Article  CAS  Google Scholar 

  32. Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976). 2000;25(9):1148–56.

    Article  CAS  Google Scholar 

  33. Magni G, Marchetti M, Moreschi C, Merskey H, Luchini SR. Chronic musculoskeletal pain and depressive symptoms in the National Health and Nutrition Examination. I. Epidemiologic follow-up study. Pain. 1993;53(2):163–8.

    Article  CAS  Google Scholar 

  34. Magni G, Moreschi C, Rigatti-Luchini S, Merskey H. Prospective study on the relationship between depressive symptoms and chronic musculoskeletal pain. Pain. 1994;56(3):289–97.

    Article  CAS  Google Scholar 

  35. Bilberg R, Nørgaard B, Overgaard S, Roessler KK. Patient anxiety and concern as predictors for the perceived quality of treatment and patient reported outcome (PRO) in orthopaedic surgery. BMC Health Serv Res. 2012;12:244. https://doi.org/10.1186/1472-6963-12-244.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Bot AG, Menendez ME, Neuhaus V, Ring D. The influence of psychiatric comorbidity on perioperative outcomes after shoulder arthroplasty. J Shoulder Elb Surg. 2014;23(4):519–27. https://doi.org/10.1016/j.jse.2013.12.006.

    Article  Google Scholar 

  37. Fisher DA, Dierckman B, Watts MR, Davis K. Looks good but feels bad: factors that contribute to poor results after total knee arthroplasty. J Arthroplast. 2007;22(6 Suppl 2):39–42.

    Article  Google Scholar 

  38. Ring D, Kadzielski J, Fabian L, Zurakowski D, Malhotra LR, Jupiter JB. Self-reported upper extremity health status correlates with depression. J Bone Joint Surg Am. 2006;88(9):1983–8.

    PubMed  Google Scholar 

  39. Vissers MM, de Groot IB, Reijman M, Bussmann JB, Stam HJ, Verhaar JA. Functional capacity and actual daily activity do not contribute to patient satisfaction after total knee arthroplasty. BMC Musculoskelet Disord. 2010;11:121. https://doi.org/10.1186/1471-2474-11-121.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Vranceanu AM, Jupiter JB, Mudgal CS, Ring D. Predictors of pain intensity and disability after minor hand surgery. J Hand Surg Am. 2010;35(6):956–60. https://doi.org/10.1016/j.jhsa.2010.02.001.

    Article  PubMed  Google Scholar 

  41. Kowal SL, Dall TM, Chakrabarti R, Storm MV, Jain A. The current and projected economic burden of Parkinson’s disease in the United States. Mov Disord. 2013;28(3):311–8. https://doi.org/10.1002/mds.25292.

    Article  PubMed  Google Scholar 

  42. Leibson CL, Maraganore DM, Bower JH, Ransom JE, O’brien PC, Rocca WA. Comorbid conditions associated with Parkinson’s disease: a population-based study. Mov Disord. 2006;21(4):446–55.

    Article  Google Scholar 

  43. Burrus MT, Werner BC, Cancienne JM, Gwathmey FW, Brockmeier SF. Shoulder arthroplasty in patients with Parkinson’s disease is associated with increased complications. J Shoulder Elb Surg. 2015;24(12):1881–7. https://doi.org/10.1016/j.jse.2015.05.048.

    Article  Google Scholar 

  44. Koch LD, Cofield RH, Ahlskog JE. Total shoulder arthroplasty in patients with Parkinson’s disease. J Shoulder Elb Surg. 1997;6(1):24–8.

    Article  CAS  Google Scholar 

  45. Kryzak TJ, Sperling JW, Schleck CD, Cofield RH. Total shoulder arthroplasty in patients with Parkinson’s disease. J Shoulder Elb Surg. 2009;18(1):96–9. https://doi.org/10.1016/j.jse.2008.07.010.

    Article  Google Scholar 

  46. Choo QL, Kuo G, Weiner AJ, Overby LR, Bradley DW, Houghton M. Isolation of a cDNA clone derived from a blood-borne non-A, non-B viral hepatitis genome. Science. 1989;244(4902):359–62.

    Article  CAS  Google Scholar 

  47. Kuo G, Choo QL, Alter HJ, Gitnick GL, Redeker AG, Purcell RH, Miyamura T, Dienstag JL, Alter MJ, Stevens CE, et al. An assay for circulating antibodies to a major etiologic virus of human non-A, non-B hepatitis. Science. 1989;244(4902):362–4.

    Article  CAS  Google Scholar 

  48. Rosas S, Sabeh KG, Buller LT, Law TY, Kalandiak SP, Levy JC. Comorbidity effects on shoulder arthroplasty costs analysis of a nationwide private payer insurance data set. J Shoulder Elb Surg. 2017;26(7):e216–21. https://doi.org/10.1016/j.jse.2016.11.044.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. UOS Chirurgia della Spalla e del Gomito, Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy

    Roberto Leo & Valentina Fogliata

  2. UOC Ortopedia e Traumatologia 1, Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy

    Bruno Michele Marelli

Authors
  1. Roberto Leo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Valentina Fogliata
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Bruno Michele Marelli
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roberto Leo .

Editor information

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

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Leo, R., Fogliata, V., Marelli, B.M. (2019). Complications in Reverse Shoulder Arthroplasty: Focus on Comorbidities. In: Gumina, S., Grassi, F., Paladini, P. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-97743-0_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-97743-0_27

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97742-3

  • Online ISBN: 978-3-319-97743-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation