The treatment of proximal humeral bone loss with its associated pain and loss of function continues to be a challenge for the orthopaedic surgeon. Current options for this condition include hemiarthroplasty or total shoulder arthroplasty with the addition of bone grafting. Unfortunately, due to residual instability, these options have not given the desired results. Reverse shoulder arthroplasty...

Introduction Intra-articular fractures of the humerus at the shoulder or elbow are common yet difficult injuries to address in elderly patients with osteoporotic bone. In this patient population, poor bone quality often precludes rigid fracture fixation. As such, joint replacement options may provide more predictable functional outcomes for many of these injuries. Articular insufficiency fractu...

BACKGROUND To evaluate the clinical outcome of revision of primary shoulder replacement by using reverse total shoulder arthroplasty (RTSA). METHODS Seven patients underwent revision RTSA with a mean follow-up of 22.1 months (range, 12 to 54 months). Their mean age at the time of operation was 75.5 years (range, 70 to 80 years). Assessments were performed on the preoperative and postoperative...

HYPOTHESIS Shoulder arthroplasty is being performed with increasing frequency, and patients' athletic participation after shoulder arthroplasty is on the rise. However, little data exist regarding appropriate long-term activity restrictions. We hypothesize that European and North American surgeons both recommend increasing long-term activity restrictions, moving from hemiarthroplasty to total s...

Tribocorrosion in taper junctions of retrieved anatomic shoulder arthroplasty implants was evaluated. A comparison of the tribocorrosion between cobalt-chromium and titanium alloy stems was conducted and the observations were correlated with the individual's clinical data. Adverse effects caused by metal debris and subsequent elevated serum metal ion levels are frequently reported in total hip ...

Massive irreparable rotator cuff tears cause significant shoulder pain and dysfunction. Physical therapy (PT), arthroscopic debridement with biceps tenotomy (AD-BT), and hemiarthroplasty (HA) are treatments shown to reduce pain and improve quality of life. Reverse total shoulder arthroplasty (RTSA) is a newer surgical treatment option that may offer improved function. A cost-effectiveness analy...

HYPOTHESIS Distal peripheral neuropathy (DPN) is an under-reported complication after anatomic total shoulder arthroplasty (TSA), reverse shoulder arthroplasty (RSA), and arthroscopic rotator cuff repair (RCR). METHODS We conducted a retrospective review of patients undergoing shoulder arthroplasty or arthroscopic RCR by 4 shoulder surgeons during a 2-year period. The primary outcome measure ...

INTRODUCTION The purpose of this study is to analyze national and institutional trends in shoulder arthroplasty utilization by race. METHODS The Nationwide Inpatient Sample (NIS) was analyzed to determine racial trends in shoulder arthroplasty utilization nationally. An institutional database was then utilized to retrospectively identify all patients undergoing shoulder arthr...

BACKGROUND Reverse total shoulder arthroplasty is the accepted method of treatment for selected shoulder disorders. The purpose of this study was to compare primary reverse shoulder arthroplasty surgical techniques as well as clinical and radiographic outcomes in patients with acquired glenoid bone defects and in those with normal glenoid morphology. METHODS Preoperative three-dimensional com...