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Complications in Shoulder Arthroscopy

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Shoulder Arthroscopy

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Abstract

Arthroscopic surgery of the shoulder is an efficient and safe procedure and is rapidly gaining popularity, but it is not free of complications. These complications can be divided into general complications, complications generic to all shoulder procedures, and complications specific to the type of procedure performed and anatomical failure of the repair is overall the most frequently reported complication.

Complications related to shoulder arthroscopy can be clinically relevant and symptoms can be worse than the preoperative ones.

Proper patient selection, attention to operative detail, and careful postoperative monitoring can minimize the morbidity associated with these complications.

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References

  1. Iannotti Joseph P, Gerald R, Williams AMJDZ. In: Iannotti Joseph P, Gerald R, Williams J, editors. Disorders of the shoulder: diagnosis and management. 3rd ed. Baltimore, MD: Wolters Kluwer/Lippincott Williams & Wilkins; 2014.

    Google Scholar 

  2. Jain NB, Higgins LD, Losina E, Collins J, Blazar PE, Katz JN. Epidemiology of musculoskeletal upper extremity ambulatory surgery in the United States. BMC Musculoskelet Disord 2014;15:(4). https://doi.org/10.1186/1471-2474-15-4. PMID: 24397703; PMCID: PMC3893587.

  3. Randelli P, Spennacchio P, Ragone V, Arrigoni P, Casella A, Cabitza P. Complications associated with arthroscopic rotator cuff repair: a literature review Musculoskelet Surg 2012;96(1):9–16. https://doi.org/10.1007/s12306-011-0175-y. Epub 2011 Dec 29. PMID: 22205384.

  4. Mansat P, Cofield RH, Kersten TE, Rowland CM. Complications of rotator cuff repair. Orthop Clin North Am 1997;28(2):205–13. https://doi.org/10.1016/s0030-5898(05)70280-7. PMID: 9113716.

  5. Weber SC, Abrams JS, Nottage WM. Complications associated with arthroscopic shoulder surgery. Arthroscopy 2002;18(2 Suppl 1):88–95. https://doi.org/10.1053/jars.2002.31801. PMID: 11828349.

  6. de Darren SA, Sheean AJ, Morales-Restrepo A, Dombrowski M, Kay J, Vyas D. Patient positioning in arthroscopic management of posterior-inferior shoulder instability: a systematic review comparing beach chair and lateral decubitus approaches Arthroscopy Surg 2019;35(1):214–24.e3. https://doi.org/10.1016/j.arthro.2018.06.057. Epub 2018 Nov 16. PMID: 30455085.

  7. Alyea E, Gaston T, Austin LS, Wowkanech C, Cypel B, Pontes M, et al. The effectiveness of aspirin for venous thromboembolism prophylaxis for patients undergoing arthroscopic rotator cuff repair. Orthopedics 2019;42(2):e187-e192. https://doi.org/10.3928/01477447-20181227-05. Epub 2019 Jan 3. PMID: 30602049.

  8. Randelli P, Castagna A, Cabitza F, Cabitza P, Arrigoni P, Denti M, et al. Infectious and thromboembolic complications of arthroscopic shoulder surgery. J Shoulder Elb Surg [Internet]. 2010;19(1):97–101. Available from:. https://doi.org/10.1016/j.jse.2009.04.009.

    Article  Google Scholar 

  9. Cancienne JM, Brockmeier SF, Carson EW, Werner BC. Risk factors for infection after shoulder arthroscopy in a large Medicare population. Am J Sports Med 2018;46(4):809–14. https://doi.org/10.1177/0363546517749212. Epub 2018 Jan 8. PMID: 29309200.

  10. Parnes N, DeFranco M, Wells JH, Higgins LD, Warner JJP. Complications after arthroscopic revision rotator cuff repair. Arthrosc - J Arthrosc Relat Surg. 2013;29(9):1479–86.

    Article  Google Scholar 

  11. Patel A, Calfee RP, Plante M, Fischer SA, Green A. Propionibacterium acnes colonization of the human shoulder. J Shoulder Elb Surg 2009;18(6):897–902. https://doi.org/10.1016/j.jse.2009.01.023. Epub 2009 Apr 11. PMID: 19362854.

  12. Millett PJ, Yen YM, Price CS, Horan MP, Van Der Meijden OA, Elser F. Propionobacter acnes infection as an occult cause of postoperative shoulder pain: a case series. Clin Orthop Relat Res 2011;469(10):2824–30. https://doi.org/10.1007/s11999-011-1767-4. Epub 2011 Jan 15. PMID: 21240577; PMCID: PMC3171528

  13. Saltzman MD, Nuber GW, Gryzlo SM, Marecek GS, Koh JL. Efficacy of surgical preparation solutions in shoulder surgery. J Bone Jt Surg - Ser A 2009;91(8):1949–53. https://doi.org/10.2106/JBJS.H.00768. PMID: 19651954.

  14. Cuff DJ, Virani NA, Levy J, Frankle MA, Derasari A, Hines B, et al. The treatment of deep shoulder infection and glenohumeral instability with debridement, reverse shoulder arthroplasty and post-operative antibiotics. J Bone Jt Surg - Ser B. 2008;90(3):336–42. https://doi.org/10.1302/0301-620X.90B3.19408. PMID: 18310757.

  15. Mirzayan R, Itamura JM, Vangsness J, Holtom PD, Sherman R, Patzakis MJ. Management of chronic deep infection following rotator cuff repair. J Bone Jt Surg - Ser A. 2000;82(8):1115–21. https://doi.org/10.2106/00004623-200008000-00008. PMID: 10954101.

  16. Cuéllar A, Cuéllar R, Heredia JD, Cuéllar A, Ruiz-Ibán MA. Effect of patient positioning in axillary nerve safety during arthroscopic inferior glenohumeral ligament plication. Knee Surg Sport Traumatol Arthrosc. 2017;25(10):3279–84. https://doi.org/10.1007/s00167-016-4193-z. Epub 2016 Jun 14. Erratum in: Knee Surg Sports Traumatol Arthrosc. 2017 Nov 16;: PMID: 27299449.

  17. Gumina S, Albino P, Giaracuni M, Vestri A, Ripani M, Postacchini F. The safe zone for avoiding suprascapular nerve injury during shoulder arthroscopy: an anatomical study on 500 dry scapulae. J Shoulder Elb Surg 2011;20(8):1317–22. https://doi.org/10.1016/j.jse.2011.01.033. Epub 2011 Apr 13. PMID: 21493105.

  18. Vad VB, Southern D, Warren RF, Altchek DW, Dines D. Prevalence of peripheral neurologic injuries in rotator cuff tears with atrophy. J Shoulder Elb Surg 2003;12(4):333–6. https://doi.org/10.1016/s1058-2746(03)00040-5. PMID: 12934025.

  19. Albritton MJ, Graham RD, Richards RS, Basamania CJ. An anatomic study of the effects on the suprascapular nerve due to retraction of the supraspinatus muscle after a rotator cuff tear. J Shoulder Elb Surg 2003;12(5):497–500. https://doi.org/10.1016/s1058-2746(03)00182-4. PMID: 14564276.

  20. Itoi E, Arce G, Bain GI, Diercks RL, Guttmann D, Imhoff AB, et al. Shoulder stiffness: current concepts and concerns. Arthrosc - J Arthrosc Relat Surg [Internet]. 2016;32(7):1402–14. Available from:. https://doi.org/10.1016/j.arthro.2016.03.024.

    Article  Google Scholar 

  21. Su WR, Budoff JE, Luo ZP. The effect of coracoacromial ligament excision and acromioplasty on superior and anterosuperior glenohumeral stability. Arthrosc - J Arthrosc Relat Surg. 2009;25(1):13–8. https://doi.org/10.1016/j.arthro.2008.10.004. PMID: 19111213.

  22. Neer 2nd. CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Jt Surg - Ser A. 1972;54(1):41–50. PMID: 5054450.

    Google Scholar 

  23. Lazarus MD, Chansky HA, Misra S, Williams GR, Iannotti JP. Comparison of open and arthroscopic subacromial decompression. J Shoulder Elb Surg 1994;3(1):1–11. https://doi.org/10.1016/S1058-2746(09)80001-3. Epub 2009 Feb 13. PMID: 22959606.

  24. Berg EE, Ciullo JV. Heterotopic ossification after acromioplasty and distal clavicle resection. J Shoulder Elb Surg 1995;4(3):188–93. https://doi.org/10.1016/s1058-2746(05)80050-3. PMID: 7552676.

  25. Benson EC, MacDermid JC, Drosdowech DS, Athwal GS. The incidence of early metallic suture anchor pullout after arthroscopic rotator Cuff repair. Arthrosc - J Arthrosc Relat Surg. 2010;26(3):310–5. https://doi.org/10.1016/j.arthro.2009.08.015. Epub 2010 Jan 25. PMID: 20206039.

  26. Burkhart SS. Suture anchor insertion angle and the Deadman theory. Arthroscopy 2009;25(12):1365–6. https://doi.org/10.1016/j.arthro.2009.10.006. PMID: 19962059.

  27. Bynum CK, Lee S, Mahar A, Tasto J, Pedowitz R. Failure mode of suture anchors as a function of insertion depth. Am J Sports Med 2005;33(7):1030–4. https://doi.org/10.1177/0363546504271746. Epub 2005 May 11. PMID: 15888723.

  28. Barber FA, Coons DA, Ruiz-Suarez M. Cyclic load testing and ultimate failure strength of biodegradable glenoid anchors. Arthrosc - J Arthrosc Relat Surg 2008;24(2):224–8. https://doi.org/10.1016/j.arthro.2007.08.011. Epub 2007 Nov 5. PMID: 18237708.

  29. Tingart MJ, Apreleva M, Lehtinen J, Zurakowski D, Warner JJP. Anchor design and bone mineral density affect the pull-out strength of suture anchors in rotator cuff repair: which anchors are best to use in patients with low bone quality? Am J Sports Med 2004;32(6):1466-73. https://doi.org/10.1177/0363546503262644. Epub 2004 Jul 20. PMID: 15310572.

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Authors and Affiliations

  1. Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy

    Randelli Pietro & Compagnoni Riccardo

  2. 1° Clinica Ortopedica, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy

    Randelli Pietro, Compagnoni Riccardo & Zanini Beatrice

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  1. Randelli Pietro
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  2. Compagnoni Riccardo
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  3. Zanini Beatrice
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Editor information

Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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Pietro, R., Riccardo, C., Beatrice, Z. (2023). Complications in Shoulder Arthroscopy. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_13

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_13

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  • Online ISBN: 978-3-662-66868-9

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