Shoulder arthroplasty is one of the fastest-growing fields in orthopedic surgery. Deficiency of the glenoid or humeral bone stock is a major challenge that can result from degenerative arthritis, component loosening or extraction, fracture, or malignancy. Approximately 15% of primary reconstructions will require bone grafting, and the rate is higher for revisions. The authors present a systemat...

A 73-year-old woman with rheumatoid arthritis presented to our institution with infection of her right total hip arthroplasty. On admission, a draining sinus tract over the hip and a palpable mass in the left lower posterior region of the neck were detected. The contrast CT scan showed a large abscess in the trapezius muscle and multiple abscesses involving muscle of the neck and right shoulder...

BACKGROUND Very little data exist regarding patients' preoperative expectations of the outcome of total shoulder arthroplasty. We hypothesized that younger patients and patients with worse function and worse general health would have greater expectations of total shoulder arthroplasty. METHODS Ninety-eight patients who underwent unilateral primary total shoulder arthroplasty at one institutio...

HYPOTHESIS Glenoid erosion and medial migration of the humeral head prosthesis have been observed after most types of shoulder arthroplasty. A method of measuring the change in humeral head position with time after shoulder prosthetic arthroplasty was applied it to 14 shoulders that underwent humeral hemiarthroplasty with concentric glenoid reaming. We hypothesized that the measurement techniqu...

BACKGROUND Anatomical shoulder replacement for rheumatoid arthritis (RA) is complicated by a high incidence of rotator cuff tears and glenoid erosion. This can lead to poor function and early failure. Reverse shoulder arthroplasty (RSA) has gained popularity as an alternative. This systematic review attempts to further define the role of RSA in RA. METHODS A systematic review identified seven...

HYPOTHESIS The purposes of this study were to determine the incidence of blood transfusion after revision shoulder arthroplasty and to assess risk factors associated with an increased risk of transfusion. MATERIALS AND METHODS Between 1994 and 2008, 566 consecutive revision shoulder procedures were performed at our institution, which formed the basis of this study. The patient's age, sex, bod...

Glenoid morphology has an important impact on outcomes and complication rates after shoulder arthroplasty for primary glenohumeral arthritis. The B2 glenoid, or a biconcave glenoid with posterior humeral head subluxation, in particular has been associated with a poorer outcome with shoulder arthroplasty compared with other glenoid types. A variety of techniques may be used to address the bone d...