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General Approach to the Painful Shoulder Arthroplasty

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Book cover Complex and Revision Shoulder Arthroplasty

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Abstract

Shoulder arthroplasty is an effective treatment for arthritis that improves pain, function, and quality of life. National trends in utilization of arthroplasty indicate that the number of shoulder arthroplasties is increasing steadily with more arthroplasties being performed in younger and more active patients. Because of the rising utilization, there is a downstream effect of a growing burden of complexity of revision surgery. This chapter will provide a general overview on the approach to the management of the painful shoulder arthroplasty.

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References

  1. Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil. 2014;95:986–95. e981.

    Article  Google Scholar 

  2. Jain NB, Higgins LD, Guller U, Pietrobon R, Katz JN. Trends in the epidemiology of total shoulder arthroplasty in the United States from 1990-2000. Arthritis Rheum. 2006;55:591–7.

    Article  Google Scholar 

  3. Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011;93:2249–54.

    Article  Google Scholar 

  4. Dillon MT, Chan PH, Inacio MCS, Singh A, Yian EH, Navarro RA. Yearly trends in elective shoulder arthroplasty, 2005–2013. Arthritis Care Res (Hoboken). 2017;69:1574–81.

    Article  Google Scholar 

  5. Schwartz BE, Savin DD, Youderian AR, Mossad D, Goldberg BA. National trends and perioperative outcomes in primary and revision total shoulder arthroplasty: trends in total shoulder arthroplasty. Int Orthop. 2015;39:271–6.

    Article  Google Scholar 

  6. Jain NB, Yamaguchi K. The contribution of reverse shoulder arthroplasty to utilization of primary shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1905–12.

    Article  Google Scholar 

  7. Trofa D, Rajaee SS, Smith EL. Nationwide trends in total shoulder arthroplasty and hemiarthroplasty for osteoarthritis. Am J Orthop (Belle Mead NJ). 2014;43:166–72.

    Google Scholar 

  8. Hasan SS, Leith JM, Smith KL, Matsen FA 3rd. The distribution of shoulder replacement among surgeons and hospitals is significantly different than that of hip or knee replacement. J Shoulder Elb Surg. 2003;12:164–9.

    Article  Google Scholar 

  9. Bansal A, Khatib ON, Zuckerman JD. Revision total joint arthroplasty: the epidemiology of 63,140 cases in New York state. J Arthroplast. 2014;29:23–7.

    Article  Google Scholar 

  10. Day JS, Lau E, Ong KL, Williams GR, Ramsey ML, Kurtz SM. Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015. J Shoulder Elb Surg. 2010;19:1115–20.

    Article  Google Scholar 

  11. Denard PJ, Raiss P, Sowa B, Walch G. Mid- to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. J Shoulder Elb Surg. 2013;22:894–900.

    Article  Google Scholar 

  12. Walch G, Young AA, Melis B, Gazielly D, Loew M, Boileau P. Results of a convex-back cemented keeled glenoid component in primary osteoarthritis: multicenter study with a follow-up greater than 5 years. J Shoulder Elb Surg. 2011;20:385–94.

    Article  Google Scholar 

  13. Lo IK, Litchfield RB, Griffin S, Faber K, Patterson SD, Kirkley A. Quality-of-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis. A prospective, randomized trial. J Bone Joint Surg Am. 2005;87:2178–85.

    PubMed  Google Scholar 

  14. Deshmukh AV, Koris M, Zurakowski D, Thornhill TS. Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life. J Shoulder Elb Surg. 2005;14:471–9.

    Article  Google Scholar 

  15. Torchia ME, Cofield RH, Settergren CR. Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elb Surg. 1997;6:495–505.

    Article  CAS  Google Scholar 

  16. Hawkins RJ, Bell RH, Jallay B. Total shoulder arthroplasty. Clin Orthop Relat Res. 1989;242:188–94.

    Google Scholar 

  17. Carter MJ, Mikuls TR, Nayak S, Fehringer EV, Michaud K. Impact of total shoulder arthroplasty on generic and shoulder-specific health-related quality-of-life measures: a systematic literature review and meta-analysis. J Bone Joint Surg Am. 2012;94:e127.

    Article  Google Scholar 

  18. Franta AK, Lenters TR, Mounce D, Neradilek B, Matsen FA 3rd. The complex characteristics of 282 unsatisfactory shoulder arthroplasties. J Shoulder Elb Surg. 2007;16:555–62.

    Article  Google Scholar 

  19. Bohsali KI, Bois AJ, Wirth MA. Complications of shoulder arthroplasty. J Bone Joint Surg Am. 2017;99:256–69.

    Article  Google Scholar 

  20. Bohsali KI, Wirth MA, Rockwood CA Jr. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88:2279–92.

    PubMed  Google Scholar 

  21. Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Mole D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elb Surg. 2002;11:401–12.

    Article  CAS  Google Scholar 

  22. Boileau P. Complications and revision of reverse total shoulder arthroplasty. Orthop Traumatol Surg Res. 2016;102:S33–43.

    Article  CAS  Google Scholar 

  23. Otto RJ, Virani NA, Levy JC, Nigro PT, Cuff DJ, Frankle MA. Scapular fractures after reverse shoulder arthroplasty: evaluation of risk factors and the reliability of a proposed classification. J Shoulder Elb Surg. 2013;22:1514–21.

    Article  Google Scholar 

  24. Gyftopoulos S, Rosenberg ZS, Roberts CC, Bencardino JT, Appel M, Baccei SJ, et al. ACR appropriateness criteria imaging after shoulder arthroplasty. J Am Coll Radiol. 2016;13:1324–36.

    Article  Google Scholar 

  25. Wiater BP, Moravek JE Jr, Wiater JM. The evaluation of the failed shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:745–58.

    Article  Google Scholar 

  26. Sheridan BD, Ahearn N, Tasker A, Wakeley C, Sarangi P. Shoulder arthroplasty. Part 2: normal and abnormal radiographic findings. Clin Radiol. 2012;67:716–21.

    Article  CAS  Google Scholar 

  27. Alolabi B, Youderian AR, Napolitano L, Szerlip BW, Evans PJ, Nowinski RJ, et al. Radiographic assessment of prosthetic humeral head size after anatomic shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1740–6.

    Article  Google Scholar 

  28. Ladermann A, Williams MD, Melis B, Hoffmeyer P, Walch G. Objective evaluation of lengthening in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2009;18:588–95.

    Article  Google Scholar 

  29. Sofka CM, Adler RS. Original report. Sonographic evaluation of shoulder arthroplasty. AJR Am J Roentgenol. 2003;180:1117–20.

    Article  Google Scholar 

  30. Gregory T, Hansen U, Khanna M, Mutchler C, Urien S, Amis AA, et al. A CT scan protocol for the detection of radiographic loosening of the glenoid component after total shoulder arthroplasty. Acta Orthop. 2014;85:91–6.

    Article  Google Scholar 

  31. Arican P, Okudan Tekin B, Sefizade R, Naldoken S, Bastug A, Ozkurt B. The role of bone SPECT/CT in the evaluation of painful joint prostheses. Nucl Med Commun. 2015;36:931–40.

    Article  CAS  Google Scholar 

  32. Mallo GC, Burton L, Coats-Thomas M, Daniels SD, Sinz NJ, Warner JJ. Assessment of painful total shoulder arthroplasty using computed tomography arthrography. J Shoulder Elb Surg. 2015;24:1507–11.

    Article  Google Scholar 

  33. Yian EH, Werner CM, Nyffeler RW, Pfirrmann CW, Ramappa A, Sukthankar A, et al. Radiographic and computed tomography analysis of cemented pegged polyethylene glenoid components in total shoulder replacement. J Bone Joint Surg Am. 2005;87:1928–36.

    Article  Google Scholar 

  34. Pessis E, Sverzut JM, Campagna R, Guerini H, Feydy A, Drape JL. Reduction of metal artifact with dual-energy CT: virtual monospectral imaging with fast kilovoltage switching and metal artifact reduction software. Semin Musculoskelet Radiol. 2015;19:446–55.

    Article  Google Scholar 

  35. Vidil A, Valenti P, Guichoux F, Barthas JH. CT scan evaluation of glenoid component fixation: a prospective study of 27 minimally cemented shoulder arthroplasties. Eur J Orthop Surg Traumatol. 2013;23:521–5.

    Article  CAS  Google Scholar 

  36. Huang JY, Kerns JR, Nute JL, Liu X, Balter PA, Stingo FC, et al. An evaluation of three commercially available metal artifact reduction methods for CT imaging. Phys Med Biol. 2015;60:1047–67.

    Article  Google Scholar 

  37. Shim E, Kang Y, Ahn JM, Lee E, Lee JW, Oh JH, et al. Metal artifact reduction for orthopedic implants (O-MAR): usefulness in CT evaluation of reverse total shoulder arthroplasty. AJR Am J Roentgenol. 2017;209:860–6.

    Article  Google Scholar 

  38. Jungmann PM, Agten CA, Pfirrmann CW, Sutter R. Advances in MRI around metal. J Magn Reson Imaging. 2017;46:972–91.

    Article  Google Scholar 

  39. Petscavage-Thomas J. Preoperative planning and postoperative imaging in shoulder arthroplasty. Semin Musculoskelet Radiol. 2014;18:448–62.

    Article  Google Scholar 

  40. Sperling JW, Potter HG, Craig EV, Flatow E, Warren RF. Magnetic resonance imaging of painful shoulder arthroplasty. J Shoulder Elb Surg. 2002;11:315–21.

    Article  Google Scholar 

  41. Aldinger PR, Raiss P, Rickert M, Loew M. Complications in shoulder arthroplasty: an analysis of 485 cases. Int Orthop. 2010;34:517–24.

    Article  Google Scholar 

  42. Gonzalez JF, Alami GB, Baque F, Walch G, Boileau P. Complications of unconstrained shoulder prostheses. J Shoulder Elb Surg. 2011;20:666–82.

    Article  Google Scholar 

  43. Lynch NM, Cofield RH, Silbert PL, Hermann RC. Neurologic complications after total shoulder arthroplasty. J Shoulder Elb Surg. 1996;5:53–61.

    Article  CAS  Google Scholar 

  44. Barco R, Savvidou OD, Sperling JW, Sanchez-Sotelo J, Cofield RH. Complications in reverse shoulder arthroplasty. EFORT Open Rev. 2016;1:72–80.

    Article  Google Scholar 

  45. Ladermann A, Edwards TB, Walch G. Arm lengthening after reverse shoulder arthroplasty: a review. Int Orthop. 2014;38:991–1000.

    Article  Google Scholar 

  46. Ladermann A, Lubbeke A, Melis B, Stern R, Christofilopoulos P, Bacle G, et al. Prevalence of neurologic lesions after total shoulder arthroplasty. J Bone Joint Surg Am. 2011;93:1288–93.

    Article  CAS  Google Scholar 

  47. Dodson CC, Craig EV, Cordasco FA, Dines DM, Dines JS, Dicarlo E, et al. Propionibacterium acnes infection after shoulder arthroplasty: a diagnostic challenge. J Shoulder Elb Surg. 2010;19:303–7.

    Article  Google Scholar 

  48. Shields MV, Abdullah L, Namdari S. The challenge of Propionibacterium acnes and revision shoulder arthroplasty: a review of current diagnostic options. J Shoulder Elb Surg. 2016;25:1034–40.

    Article  Google Scholar 

  49. Topolski MS, Chin PY, Sperling JW, Cofield RH. Revision shoulder arthroplasty with positive intraoperative cultures: the value of preoperative studies and intraoperative histology. J Shoulder Elb Surg. 2006;15:402–6.

    Article  Google Scholar 

  50. Villacis D, Merriman JA, Yalamanchili R, Omid R, Itamura J, Rick Hatch GF 3rd. Serum interleukin-6 as a marker of periprosthetic shoulder infection. J Bone Joint Surg Am. 2014;96:41–5.

    Article  Google Scholar 

  51. Pottinger P, Butler-Wu S, Neradilek MB, Merritt A, Bertelsen A, Jette JL, et al. Prognostic factors for bacterial cultures positive for Propionibacterium acnes and other organisms in a large series of revision shoulder arthroplasties performed for stiffness, pain, or loosening. J Bone Joint Surg Am. 2012;94:2075–83.

    Article  Google Scholar 

  52. Grosso MJ, Frangiamore SJ, Ricchetti ET, Bauer TW, Iannotti JP. Sensitivity of frozen section histology for identifying Propionibacterium acnes infections in revision shoulder arthroplasty. J Bone Joint Surg Am. 2014;96:442–7.

    Article  Google Scholar 

  53. Chalmers P, Sumner S, Romeo A, Tashjian R. Do elevated inflammatory markers associate with infection in revision shoulder arthroplasty? J Shoulder Elbow Arthroplasty. 2018;2:1–5.

    Article  Google Scholar 

  54. Frangiamore SJ, Saleh A, Grosso MJ, Kovac MF, Higuera CA, Iannotti JP, et al. Alpha-Defensin as a predictor of periprosthetic shoulder infection. J Shoulder Elb Surg. 2015;24:1021–7.

    Article  Google Scholar 

  55. Frangiamore SJ, Gajewski ND, Saleh A, Farias-Kovac M, Barsoum WK, Higuera CA. Alpha-Defensin accuracy to diagnose Periprosthetic joint infection-best available test? J Arthroplast. 2016;31:456–60.

    Article  Google Scholar 

  56. Berbari E, Mabry T, Tsaras G, Spangehl M, Erwin PJ, Murad MH, et al. Inflammatory blood laboratory levels as markers of prosthetic joint infection: a systematic review and meta-analysis. J Bone Joint Surg Am. 2010;92:2102–9.

    Article  Google Scholar 

  57. Bravo D, Wagner ER, Larson DR, Davis MP, Pagnano MW, Sierra RJ. No increased risk of knee arthroplasty failure in patients with positive skin patch testing for metal hypersensitivity: a matched cohort study. J Arthroplast. 2016;31:1717–21.

    Article  Google Scholar 

  58. Ko JK, Nicholson TA, Hoffler CE, Williams G Jr, Getz C. Metal allergy as a cause of implant failure in shoulder arthroplasty. Orthopedics. 2017;40:e844–8.

    Article  Google Scholar 

  59. Teo WZW, Schalock PC. Metal hypersensitivity reactions to orthopedic implants. Dermatol Ther (Heidelb). 2017;7:53–64.

    Article  Google Scholar 

  60. Morwood MP, Garrigues GE. Shoulder arthroplasty in the patient with metal hypersensitivity. J Shoulder Elb Surg. 2015;24:1156–64.

    Article  Google Scholar 

  61. Ince A, Seemann K, Frommelt L, Katzer A, Loehr JF. One-stage exchange shoulder arthroplasty for peri-prosthetic infection. J Bone Joint Surg Br. 2005;87:814–8.

    Article  CAS  Google Scholar 

  62. Coste JS, Reig S, Trojani C, Berg M, Walch G, Boileau P. The management of infection in arthroplasty of the shoulder. J Bone Joint Surg Br. 2004;86:65–9.

    Article  CAS  Google Scholar 

  63. Dilisio MF, Miller LR, Warner JJ, Higgins LD. Arthroscopic tissue culture for the evaluation of periprosthetic shoulder infection. J Bone Joint Surg Am. 2014;96:1952–8.

    Article  Google Scholar 

  64. Gee AO, Angeline ME, Dines JS, Dines DM. Shoulder instability after total shoulder arthroplasty: a case of arthroscopic repair. HSS J. 2014;10:88–91.

    Article  Google Scholar 

  65. Tashjian RZ, Granger EK, Zhang Y. Utility of prerevision tissue biopsy sample to predict revision shoulder arthroplasty culture results in at-risk patients. J Shoulder Elb Surg. 2017;26:197–203.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA

    Vahid Entezari & Surena Namdari

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  1. Vahid Entezari
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  2. Surena Namdari
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Correspondence to Surena Namdari .

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Editors and Affiliations

  1. Department of Orthopedics, University of Utah, Salt Lake City, UT, USA

    Robert Z. Tashjian

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Entezari, V., Namdari, S. (2019). General Approach to the Painful Shoulder Arthroplasty. In: Tashjian, R. (eds) Complex and Revision Shoulder Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-02756-8_8

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  • DOI: https://doi.org/10.1007/978-3-030-02756-8_8

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