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Arthroscopic Treatment of the Failed Shoulder Arthroplasty

  • Ian A. Power
  • Thomas W. Throckmorton
Chapter

Abstract

Traditionally, treatment of failed shoulder arthroplasty has been limited to open procedures; however, as experience and comfort with shoulder arthroscopy have evolved, there has been growing interest in adapting its use to management of problems that occur after shoulder replacement. Diagnostic arthroscopy can be helpful to provide additional information when clinical examination, laboratory tests, and imaging are inconclusive. The most common indications for arthroscopy after failed shoulder arthroplasty include evaluation for pain without loss of motion, soft-tissue biopsy to rule out infection, evaluation of the rotator cuff, or evaluation for loosening of the glenoid component. Several pathologies can be treated successfully with arthroscopy, including rotator cuff impingement syndrome, loose body removal, loose glenoid component removal, rotator cuff tears, and arthrofibrosis. Before arthroscopy, the surgeon should have exhausted all nonoperative diagnostic measures and have a clear understanding of the treatment goals and must recognize the technical difficulties of arthroscopy in the setting of implanted prosthetic components.

Keywords

Failed shoulder arthroplasty Arthroscopy Diagnosis Treatment Outcomes 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ian A. Power
    • 1
  • Thomas W. Throckmorton
    • 1
  1. 1.University of Tennessee-Campbell Clinic, Department of Orthopaedic Surgery & Biomedical EngineeringMemphisUSA

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