Abstract
In recent years, the indications for reverse shoulder arthroplasty (RSA) have continued to expand. The utilization of RSA as a treatment option for comminuted proximal humerus fractures in the elderly patient population is one such area of growth. Historically, hemiarthroplasty has been the gold standard for the treatment of these severely comminuted fractures in this age-group and to date has yield mixed results. RSA may offer potential advantages over hemiarthroplasty, thus producing more consistent clinical outcomes for these patients. This chapter discusses the indications, surgical technique, postoperative management, and clinical outcomes of RSA in the setting of proximal humeral fractures.
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References
Baron JA, Barrett JA, Karagas MR. The epidemiology of peripheral fractures. Bone. 1996;18(3 Suppl):209S–13S.
Neer CS II. Displaced proximal humerus fractures I: classification and evaluation. J Bone Joint Surg Am. 1970;52(6):1077–89.
Mighell MA, Kolm GP, Collinge CA, Frankle MA. Outcomes of hemiarthroplasty for fractures of the proximal humerus. J Shoulder Elbow Surg. 2003;12:569–77.
Bigliani LU, Flatow EL, McCluskey GM, Fischer RA. Failed prosthetic replacement for displaced proximal humerus fractures. Orthop Trans. 1991;15:747–8.
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 Elbow Surg. 2002;11:401–12.
Robinson CM, Page RS, Hill RM, Sanders DL, Court-Brown DM, Wakefield AE. Primary hemiarthroplasty for the treatment of proximal humeral factures. J Bone Joint Surg Am. 2003;85-A(7):1215–1223.
Boyle MJ, Youn SM, Frampton CM, Ball CM. Functional outcome of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humerus fractures. J Shoulder Elbow Surg. 29 May 2012 [Epub ahead of print].
Bufquin T, Hersan A, Hubert L, Massin P. Reverse shoulder arthroplasty for the treatment of three- and four-part fractures of the proximal humerus in the elderly; a prospective review for 43 cases with short term follow up. J Bone Joint Surg Br. 2007;89:516–20.
Cazeneuve JF, Cristofari DJ. Grammont reversed prosthesis for acute complex fracture of the proximal humerus in an elderly population with 5 to 12 years follow-up. Rev Chir Orthop Reparatrice Appar Mot. 2006;92:543–8.
Klein M, Juschka M, Hinkenjann B, Scherger B, Ostermann PA. Treatment of comminuted fractures of the proximal humerus in elderly patients with the delta III reverse shoulder prosthesis. J Orthop Truama. 2008;22:698–704.
Levy JC, Badman B. Reverse shoulder prosthesis for acute four-part fracture: tuberosity fixation using a horseshoe graft. J Orthop Trauma. 2011;25:318–24.
Garrigues GE, Johnston PS, Pepe MD, Tucker BS, Ramsey ML, Austin LS. Hemiarthroplasty versus reverse shoulder arthroplasty for the treatment of acute proximal humeral fractures in elderly patients. Orthopaedics. 2012;5:703–708.
Frankle M, Levy JC, Pupello D, Siegal S, Saleem A, Mighell M, Vasey M. 44. The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency: a minimum two-year follow-up study of sixty patients surgical technique.
Visser CP, Coene LN, Brand R, Tavy DL. Nerve lesions in proximal humeral fractures. J Shoulder Elbow Surg. 2001;10(5):421–427.
McLaughlin JA, Light R, Lustrin L. Axillary artery injury as a complication of proximal humerus fractures. J Shoulder Elbow Surg. 1998;7(3):292–294.
Gallinet D, Clappaz P, Garbuio P, Tropet Y, Obert L. Three or four parts complex proximal humerus fractures; hemiarthroplasty versus reverse prosthesis: a comparative study of 40 cases. Orthop Traumatol Surg Res. 2009;95:48–55.
Cuff DJ, Pupello DR. Comparison of hemiarthroplasty and reverse shoulder arthroplasty for the treatment of proximal humeral fractures in elderly patients. J Bone Joint Surg Am. 2013;95(22):2050–5.
Sirveaux F, Navez GN, Favard L. Reverse prosthesis for acute proximal humerus fracture the multicentric study. Reverse Shoulder Arthroplasty, Clin Results-Complications-Revision. Montpellier, Fr Sauramps Med. 2006;73–80.
Wierks C, Skolasky RL, Ji JH, McFarland EG. Reverse total shoulder replacement: intraoperative and early post-operative complications. Clin Orthop Relat Res. 2009;467(1):225–34.
Scarlat MM. Complications with reverse total shoulder arthroplasty and recent evolutions. Int Orthop. 2013;37(5):843–51.
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Cuff, D. (2016). Reverse Shoulder Arthroplasty in the Setting of Proximal Humeral Fracture. In: Frankle, M., Marberry, S., Pupello, D. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-20840-4_16
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DOI: https://doi.org/10.1007/978-3-319-20840-4_16
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