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Reverse Shoulder Arthroplasty for Massive Rotator Cuff Tears Without Glenohumeral Arthritis

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Reverse Shoulder Arthroplasty

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Abstract

Reverse shoulder arthroplasty (RSA) can be an effective surgical option to restore function and relieve pain in patients with massive rotator cuff tears, and the indications of RSA have moved beyond cuff tear arthropathy to patients with rotator cuff pathology without glenohumeral arthritis (Hamada stage 1, 2, or 3). Successful results have been reported in patients of this population with painful pseudoparalysis, but outcomes are less predictable in patients with preserved overhead forward elevation. In this chapter, we present a technique for RSA in patients with massive rotator cuff tears without glenohumeral arthritis. Axillary nerve identification and protection is paramount in order to perform the appropriate releases for adequate humeral and glenoid exposure. Preoperative planning of the humeral cut and the conglomeration of intra-operative findings such as ease of reducibility and the motion once reduced are all taken into effect when determining the size of the components.

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References

  1. Neer CS 2nd, Craig EV, Fukuda H. Cuff-tear arthropathy. J Bone Joint Surg Am. 1983;65(9):1232–44.

    PubMed  Google Scholar 

  2. 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 Elbow Surg. 2006;15:527–40.

    Article  PubMed  Google Scholar 

  3. Wall B, Nové-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(7):1476–85.

    Article  PubMed  Google Scholar 

  4. 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(8):1697–705.

    Article  PubMed  Google Scholar 

  5. Field LD, Dines DM, Zabinski SJ, Warren RF. Hemiarthroplasty of the shoulder for rotator cuff arthropathy. J Shoulder Elbow Surg. 1997;6(1):18–23.

    Article  CAS  PubMed  Google Scholar 

  6. Simone JP, Streubel PH, Athwal GS, Sperling JW, Schleck CD, Cofield RH. Anatomical total shoulder replacement with rotator cuff repair for osteoarthritis of the shoulder. Bone Joint J. 2014 Feb;96-B(2):224–8.

    Google Scholar 

  7. Franklin JL, Barrett WP, Jackins SE, Matsen FA 3rd. Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplasty. 1988;3(1):39–46.

    Article  CAS  PubMed  Google Scholar 

  8. Grammont P, Trouilloud P, Laffay JP, Deries X. Etude et re’alisation d’une nouvelle prothe’se d’e’paule. Rhumatologie. 1987;39:17–22.

    Google Scholar 

  9. Walker M, Brooks J, Willis M, Frankle M. How reverse shoulder arthroplasty works. Clin Orthop Relat Res. 2011;469(9):2440–51.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive totator cuff tears a long term observation. Clin Orthop. 1990;254:92–6.

    PubMed  Google Scholar 

  11. Hamada K, Yamanaka K, Uchiyama Y, Mikasa T, Mikasa M. A radiographic classification of massive rotator cuff tear arthritis. Clin Orthop Relat Res. 2011;469(9):2452–60.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Walch G, Edwards TB, Boulahia A, Nové-Josserand L, Neyton L, Szabo I. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. J Shoulder Elbow Surg. 2005;14(3):238–46.

    Article  PubMed  Google Scholar 

  13. Boileau P, Gonzalez JF, Chuinard C, Bicknell R, Walch G. Reverse total shoulder arthroplasty after failed rotator cuff surgery. J Shoulder Elbow Surg. 2009;18(4):600–6.

    Article  PubMed  Google Scholar 

  14. Mulieri P, Dunning P, Klein S, Pupello D, Frankle M. Reverse shoulder arthroplasty for the treatment of irreparable rotator cuff tear without glenohumeral arthritis. J Bone Joint Surg Am. 2010;92(15):2544–56.

    Article  PubMed  Google Scholar 

  15. Affonso J, Nicholson GP, Frankle MA, Walch G, Gerber C, Garzon-Muvdi J, McFarland EG. Complications of the reverse prosthesis: prevention and treatment. Instr Course Lect. 2012;61:157–68.

    PubMed  Google Scholar 

  16. Cheung E, Willis M, Walker M, Clark R, Frankle MA. Complications in reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2011;19(7):439–49.

    PubMed  Google Scholar 

  17. Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2011;20(1):146–57.

    Article  PubMed  Google Scholar 

  18. Wierks C, Skolasky RL, Ji JH, McFarland EG. Reverse total shoulder replacement: intraoperative and early postoperative complications. Clin Orthop Relat Res. 2009;467(1):225–34.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Rittmeister M, Kerschbaumer F. Grammont reverse total shoulder arthroplasty in patients with rheumatoid arthritis and nonreconstructible rotator cuff lesions. J Shoulder Elbow Surg. 2001;10(1):17–22.

    Article  CAS  PubMed  Google Scholar 

  20. 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(7):1476–86.

    Article  CAS  PubMed  Google Scholar 

  21. Sirveaux F, Favard L, Oudet D, Huguet D, Walch G. Mole´ D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. J Bone Joint Surg Br. 2004;86:388–95.

    Article  CAS  PubMed  Google Scholar 

  22. Walch G, Boulahia A, Calderone S, Robinson AH. The ‘dropping’ and ‘hornblower’s’ signs in evaluation of rotator cuff tears. J Bone Joint Surg Br. 1998;80:624–8.

    Article  CAS  PubMed  Google Scholar 

  23. Boileau P, Chuinard C, Roussanne Y, Neyton L, Trojani C. Modified latissimus dorsi and teres major transfer through a single delto-pectoral approach for external rotation deficit of the shoulder: as an isolated procedure or with a reverse arthroplasty. J Shoulder Elbow Surg. 2007;16(6):671–82.

    Article  PubMed  Google Scholar 

  24. Boileau P, Rumian AP, Zumstein MA. Reversed shoulder arthroplasty with modified L’Episcopo for combined loss of active elevation and external rotation. J Shoulder Elbow Surg. 2010;19(2 Suppl):20–30.

    Article  PubMed  Google Scholar 

  25. Puskas GJ, Catanzaro S, Gerber C. Clinical outcome of reverse total shoulder arthroplasty combined with latissimus dorsi transfer for the treatment of chronic combined pseudoparesis of elevation and external rotation of the shoulder. J Shoulder Elbow Surg. 2014;23(1):49–57.

    Article  PubMed  Google Scholar 

  26. Favre P, Loeb MD, Helmy N, Gerber C. Latissimus dorsi transfer to restore external rotation with reverse shoulder arthroplasty: a biomechanical study. J Shoulder Elbow Surg. 2008;17(4):650–8.

    Article  PubMed  Google Scholar 

  27. 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(5):940–7.

    Article  PubMed  Google Scholar 

  28. Pearle AD, Kelly BT, Voos JE, Chehab EL, Warren RL. Surgical technique and anatomic study of latissimus dorsi and terese major transfers. J Bone Joint Surg Am. 2006;88:1524–31.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, Massachusetts General Hospital, 55 Fruit St, Yawkey 3G, Boston, MA, 02114, USA

    Matthew F. Dilisio, Stephen A. Parada & Jon J. P. Warner

  2. Department of Orthopaedics, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115, USA

    Laurence D. Higgins

  3. Creighton University Orthopaedics/CHI Health Alegent Creighton, Clinic. 601 N 30th St #2300, Omaha, NE, 68131, USA

    Matthew F. Dilisio

  4. Department of Orthopaedics, Eisenhower Army Medical Center, 300 E. Hospital Rd, Ft Gordon, GA, 30905, USA

    Stephen A. Parada

Authors
  1. Matthew F. Dilisio
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  2. Stephen A. Parada
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  3. Jon J. P. Warner
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  4. Laurence D. Higgins
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Corresponding author

Correspondence to Stephen A. Parada .

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Editors and Affiliations

  1. Florida Orthopedic Institute, Tampa, Florida, USA

    Mark Frankle

  2. Foundation for Orthopedic Research and Education, Tampa, Florida, USA

    Scott Marberry

  3. Foundation for Orthopedic Research and Education, Tampa, Florida, USA

    Derek Pupello

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© 2016 Springer International Publishing Switzerland

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Dilisio, M.F., Parada, S.A., Warner, J.J.P., Higgins, L.D. (2016). Reverse Shoulder Arthroplasty for Massive Rotator Cuff Tears Without Glenohumeral Arthritis. In: Frankle, M., Marberry, S., Pupello, D. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-20840-4_13

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  • DOI: https://doi.org/10.1007/978-3-319-20840-4_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20839-8

  • Online ISBN: 978-3-319-20840-4

  • eBook Packages: MedicineMedicine (R0)

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