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Glenohumeral Arthropathy in Patients with Healthy Rotator Cuff

  • Angelo De Carli
  • Antonio Vadalà
  • Lorenzo Proietti
Chapter

Abstract

Sequelae of fractures of the proximal humerus represent some of the most difficult situations to treat in shoulder reconstruction. Patients who develop nonunion or malunion typically report pain, stiffness, and disability associated with shoulder dysfunction. Experience with treating proximal humerus fracture sequelae with reverse total shoulder arthroplasty is limited; however reverse shoulder arthroplasty seems to improve range of movement and functional outcome following proximal humerus fracture sequelae compared to unconstrained arthroplasty and also seems the best surgical treatment in patients with healthy rotator cuff. With this technique, it is possible to reduce the worsening effects of tuberosity malunions or nonunions succeeding cuff deficiency.

Keywords

Reverse shoulder arthroplasty Fracture sequelae Proximal humerus Rotator cuff 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Angelo De Carli
    • 1
  • Antonio Vadalà
    • 1
  • Lorenzo Proietti
    • 1
  1. 1.Orthopaedic Unit, Kirk Kilgour Sports Injury CenterLa SapienzaRomeItaly

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