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Reverse Shoulder Arthroplasty in the Setting of Proximal Humeral Bone Loss

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Reverse Shoulder Arthroplasty

Abstract

Bone loss of the proximal humerus presents a unique and difficult problem. The loss of rotator cuff attachment sites causes dysfunction that can be successfully treated with reverse shoulder arthroplasty (RSA). However, significant bone loss can be detrimental to implant stability and function. Surgical options for shoulder reconstruction become increasingly more complex with increasing severity of proximal humeral bone deficiency.

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References

  1. Jarrett CD, Brown BT, Schmidt CC. Reverse shoulder arthroplasty. Orthop Clin North Am. 2013;44(3):389–408.

    Article  PubMed  Google Scholar 

  2. Patel DN, Young B, Onyekwelu I, Zuckerman JD, Kwon YW. Reverse total shoulder arthroplasty for failed shoulder arthroplasty. J Shoulder Elbow Surg. 2012;21(11):1478–83.

    Article  PubMed  Google Scholar 

  3. Kelly JD, Zhao JX, Hobgood ER, Norris TR. Clinical results of revision shoulder arthroplasty using the reverse prosthesis. J Shoulder Elbow Surg. 2012;21(11):1516–25.

    Article  PubMed  Google Scholar 

  4. Boileau P, Melis B, Duperron D, Moineau G, Rumian AP, Han Y. Revision surgery of reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2013;22(10):1359–70.

    Article  PubMed  Google Scholar 

  5. Wall B. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg (Am). 2007;89(7):1476.

    Article  Google Scholar 

  6. Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2011;20:146–57.

    Article  PubMed  Google Scholar 

  7. 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 Elbow Surg. 2010;19(8):1115–20.

    Article  PubMed  Google Scholar 

  8. Matsen FA III, Boileau P, Walch G, Gerber C, Bicknell RT. The reverse total shoulder arthroplasty. J Bone Joint Surg (Am). 2007;89(3):660–7.

    Google Scholar 

  9. Gutiérrez S, Keller TS, Levy JC, Lee WE, Luo Z-P. Hierarchy of stability factors in reverse shoulder arthroplasty. Clin Orthop Relat Res. 2008;466(3):670–6.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Frankle MA. Revision of reverse shoulder arthroplasty. In: Cofield RH, editor. Revision and complex shoulder arthroplasty. Philadelphia: Wolters Kluwer/Lippincott William & Wilkins; 2010. p. 138–56.

    Google Scholar 

  11. Norris TR, Kelly JD, Humphrey CS. Management of glenoid bone defects in revision shoulder arthroplasty: a new application of the reverse total shoulder prosthesis. Tech Shoulder Elbow Surg. 2007;8(1):37–46.

    Article  Google Scholar 

  12. Cuff D, Levy JC, Gutiérrez S, Frankle MA. Torsional stability of modular and non-modular reverse shoulder humeral components in a proximal humeral bone loss model. J Shoulder Elbow Surg. 2011;20(4):646–51.

    Article  PubMed  Google Scholar 

  13. Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total shoulder arthroplasty survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg (Am). 2006;88(8):1742–7.

    Article  Google Scholar 

  14. Budge MD, Moravek JE, Zimel MN, Nolan EM, Wiater JM. Reverse total shoulder arthroplasty for the management of failed shoulder arthroplasty with proximal humeral bone loss: is allograft augmentation necessary? J Shoulder Elbow Surg. 2013;22(6):739–44.

    Article  PubMed  Google Scholar 

  15. De Wilde L, Walch G. Humeral prosthetic failure of reversed total shoulder arthroplasty: a report of three cases. J Shoulder Elbow Surg. 2006;15(2):260–4.

    Article  PubMed  Google Scholar 

  16. Edwards TB (2013) Pre-operative and intra-operative decisions to minimize component malposition. In: Craig EV, editor. Eight common pitfalls in shoulder arthroplasty (AAOS annual meeting symposium); 2013.

    Google Scholar 

  17. Abdeen A, Hoang BH, Athanasian EA, Morris CD, Boland PJ, Healey JH. Allograft-prosthesis composite reconstruction of the proximal part of the humerus: functional outcome and survivorship. J Bone Joint Surg (Am). 2009;91(10):2406–15.

    Article  Google Scholar 

  18. Kassab M, Dumaine V, Babinet A, Ouaknine M, Tomeno B, Anract P. Twenty nine shoulder reconstructions after resection of the proximal humerus for neoplasm with mean 7-year follow-up [French]. Rev Chir Orthop Reparatrice Appar Mot. 2005;91(1):15–23.

    Article  CAS  PubMed  Google Scholar 

  19. Dick HM, Steinman SP, Cannot RM. Limb salvage for malignant tumors of the shoulder girdle. Orthop Trans. 1991;15:702.

    Google Scholar 

  20. Chacon A, Virani N, Shannon R, Levy JC, Pupello D, Frankle M. Revision arthroplasty with use of a reverse shoulder prosthesis-allograft composite. J Bone Joint Surg (Am). 2009;91(1):119.

    Article  Google Scholar 

  21. Levy J, Frankle M, Mighell M, Pupello D. The use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty for proximal humeral fracture. J Bone and Joint Surg (Am). 2007;89(2):292–300.

    Article  Google Scholar 

  22. Carroll RM, Izquierdo R, Vazquez M, Blaine TA, Levine WN, Bigliani LU. Conversion of painful hemiarthroplasty to total shoulder arthroplasty: long-term results. J Shoulder Elbow Surg. 2004;13:599–603.

    Article  PubMed  Google Scholar 

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Correspondence to Daphne Pinkas .

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Pinkas, D., Carpenter, S., Michael Wiater, J. (2016). Reverse Shoulder Arthroplasty in the Setting of Proximal Humeral Bone Loss. In: Frankle, M., Marberry, S., Pupello, D. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-20840-4_21

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  • DOI: https://doi.org/10.1007/978-3-319-20840-4_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20839-8

  • Online ISBN: 978-3-319-20840-4

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