Arthroscopic dynamic analysis of scapular notching in reverse shoulder arthroplasty

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Inferior glenosphere placement reduces scapular notching in reverse total shoulder arthroplasty.

Scapular notching is a common complication after reverse shoulder arthroplasty and has been associated with poor clinical outcomes. Factors associated with notching include neck shaft angle and glenosphere position. The goal of this study was to evaluate the incidence of notching with an eccentric glenosphere that allows for inferior offset as well as its effect on clinical outcome. The charts ...

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Prosthetic design of reverse shoulder arthroplasty contributes to scapular notching and instability

AIM To evaluate whether implant design, glenoid positioning, and other factors influenced instability and scapular notching in reverse total shoulder arthroplasty. METHODS We retrospectively reviewed records of patients who had undergone reverse total shoulder arthroplasty by the senior author from July 2004 through October 2011 and who had at least 24 mo of follow-up. The 58 patients who met...

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Scapular Notching on Kinematic Simulated Range of Motion After Reverse Shoulder Arthroplasty Is Not the Result of Impingement in Adduction

Impingement after reverse shoulder arthroplasty (RSA) is believed to occur from repetitive contact in adduction between the humeral component and the inferior scapular pillar. The primary purpose of this biomechanical study was to confirm the presence of different types of impingement and to examine which daily-life movements are responsible for them. A secondary aim was to provide recommendati...

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Late-Onset, Advanced Scapular Notching Associated with a Lateral Offset Reverse Arthroplasty Design - A Case Report

Reverse shoulder arthroplasty, introduced by Grammont et al. [1] in 1987, is commonly associated with scapular notching, [2] an impingement of the humeral cup against the scapula’s inferior border. Although the clinical significance of notching has been debated, 2 studies reported less successful clinical outcomes in its presence [2,3]. A laboratory study showed that a varus humeral neck-shaft ...

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Complications in reverse shoulder arthroplasty

The reported rate of complications of reverse shoulder arthroplasty (RSA) seems to be higher than the complication rate of anatomical total shoulder arthroplasty.The reported overall complication rate of primary RSA is approximately 15%; when RSA is used in the revision setting, the complication rate may approach 40%.The most common complications of RSA include instability, infection, notching,...

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ژورنال

عنوان ژورنال: Orthopaedics & Traumatology: Surgery & Research

سال: 2011

ISSN: 1877-0568

DOI: 10.1016/j.otsr.2011.07.014