A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging

Reverse shoulder arthroplasty patient personalized rehabilitation protocol. Preliminary results according to prognostic groups

“…X-ray exams were carried out at the immediate postoperative, at 1 months, 6 months and then yearly. Preoperative CT images were settled according to ordinary classification systems: glenoid Walch 16 and Favard 17 staging, Goutallier 18 muscle fatty infiltration grades, Levigne 19 shoulder Rheumatoid Arthritis. All radiographs were also analyzed for tuberosities resorptions, glenohumeral ossifications, scapular spurs and scapular notching according to Sirveaux-Nerot classification 8 .…”

“…Pazients affected by RA, Levigne stages seem to correlate with final functional outcomes; worse erosion is correlated to worse results 19 . The fatty infiltration of the supraspinatus, subscapularis, infraspinatus and teres minor atrophy, the degree of preoperative head subluxation and glenoid erosion is negatively correlated with the limitation of the preoperative ROM (elevation, abduction) 16,18 . After implantation of the reverse prosthesis in patients with RA, they have a significant improvement in functional outcomes 6 .…”

“…According to clinical diagnosis, radiographic preoperative data and intraoperative parameters that can lead to positive or negative results or facilitate the incidence of complications, we selected three groups of patients, dedicating each one a specific level of care, as follows 2,6,9,12,[15][16][17][18][19][20][21][22][23][24][25] . Group A (low care, n=52): diagnosis of Primary OA, CTA, massive rotator cuff tear, absence of hyperkyphosis or scapular dyskinesia, Glenoid assessment according to Walch 16 A1 or A2 and according to Favard 17 E0, E1 and E2, Infraspinatus and Teres minor fatty infiltration according to Goutallier 18,22 less than 3, no spine nonunion, not repaired SSC, no intraoperative complications or tendon transfers.…”

Reverse shoulder arthroplasty patient personalized rehabilitation protocol. Preliminary results according to prognostic groups

“…X-ray exams were carried out at the immediate postoperative, at 1 months, 6 months and then yearly. Preoperative CT images were settled according to ordinary classification systems: glenoid Walch 16 and Favard 17 staging, Goutallier 18 muscle fatty infiltration grades, Levigne 19 shoulder Rheumatoid Arthritis. All radiographs were also analyzed for tuberosities resorptions, glenohumeral ossifications, scapular spurs and scapular notching according to Sirveaux-Nerot classification 8 .…”

“…According to clinical diagnosis, radiographic preoperative data and intraoperative parameters that can lead to positive or negative results or facilitate the incidence of complications, we selected three groups of patients, dedicating each one a specific level of care, as follows 2,6,9,12,[15][16][17][18][19][20][21][22][23][24][25] 19 ) or/and intraoperative complications or/and tendon transfers associated procedures. Rehabilitation protocol adopted for each group is summarized in Table I.…”