Functional analysis of shoulder arthrodesis

Nagy, Ladislav; Koch, Peter P.; Gerber, Christian

doi:10.1016/j.jse.2004.01.024

Cited by 23 publications

(9 citation statements)

References 41 publications

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“…Several authors have reported on function after shoulder joint arthrodesis (Rowe 1974, 1983, Cofield and Briggs 1979, Richards et al 1985, 1988, Rühmann et al 1999, Diaz et al 2003, Nagy et al 2004), but measures in terms of standardized function scores are rarely given. We report the objective and subjective long-term results of shoulder arthrodesis for 18 patients.…”

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confidence: 99%

Long-term outcome of shoulder arthrodesis performed with plate fixation: 18 patients examined after 3–15 years

Dimmen

Madsen

2007

Acta Orthopaedica

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Background and purpose There have been few reports on the long-term function after shoulder arthrodesis. We report the outcome after shoulder arthrodesis with plate fixation in 18 patients who were followed for 3-15 years.Methods 25 patients with a median age of 64 (19-75) years were operated with a shoulder arthrodesis between 1982 and 2003. Standard AO surgical technique with plating was used in all patients. 18 of the patients were examined retrospectively after a mean of 8 (3-15) years. 6 of the other patients had died and 1 refused examination.Results Radiologically, all but two arthrodeses fused completely. The remaining two were partially fused, within the glenohumeral joint or between humerus and acromion. The mean Oxford shoulder score was 32 and the mean ASES shoulder index was 59. Nine patients had intermittent or continuous pain; their mean pain score on a visual analog scale was 3. One patient had been re-operated after 4 months because of severe pain and 1 was operated due to a humeral shaft fracture after 8 months. 1 patient suffered from a complex regional pain syndrome. No infections occurred.Interpretation In this patient series there were few complications after shoulder arthrodesis, and the longterm functional results were acceptable.

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confidence: 99%

Long-term outcome of shoulder arthrodesis performed with plate fixation: 18 patients examined after 3–15 years

Dimmen

Madsen

2007

Acta Orthopaedica

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“…Like Rowe (1974), we used the spine median line as a landmark to position the humerus when performing the arthrodesis. While many surgeons fix the glenohumeral joint at 30° flexion, abduction, and internal rotation (Richards et al., 1988), others adapt the position to each patient’s specific functional demands (Nagy et al., 2004), provided the shoulder is in a comfortable and painless position and the scapula does not protrude (Rowe, 1974). As our patients mainly lacked shoulder external rotation, we fixed the joint in neutral rotation.…”

Section: Discussionmentioning

confidence: 99%

Glenohumeral fusion in adults with sequelae of obstetrical brachial plexus injury: a report of eight cases

Belkheyar

Djeffel

2018

J Hand Surg Eur Vol

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The purpose of this study was to assess the outcomes of glenohumeral fusion performed in adulthood in patients with poor recovery after obstetric brachial plexus injury. We reviewed eight patients with obstetrical brachial plexus injury who had undergone shoulder arthrodesis. The mean age was 28 years (range 16 to 55). All of the patients had active periscapular and elbow flexor muscles. At an average follow-up of 20 months, the active range of abduction and external rotation of the affected shoulder was 67° (range 50° to 85°) and 21° (range 0° to 40°), respectively. All of the patients were satisfied with the outcome of the intervention. Fusion was obtained between 3 and 6 months, and none of the patients experienced residual pain. Shoulder fusion improved the active shoulder abduction and external rotation in adults with residual obstetrical brachial plexus paralysis. Level of evidence: IV

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“…Various studies [12,13] found that abduction and flexion over 40° forced the scapula to rotate and wing excessively producing pain, especially when the shoulder was at rest with the arm at the side. Richards et al recommended a position of 30° abduction, forward flexion and internal rotation, enabling patients to reach their mouth and perform toilet hygiene [14]. Nagy et al tried to find an optimal position for performing a shoulder arthrodesis [15]. They found no single optimal position using clinical examination and computed tomography scans.…”

Section: Discussionmentioning

confidence: 99%

Shoulder Arthrodesis: Functional Outcome and Morbidity after Combined Plate/screw Fixation versus Screw Fixation Alone

et al. 2012

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Background Shoulder arthrodesis is a unique procedure, which has shifted from a well‐established procedure for osteoarthritis to a salvage procedure. In the present retrospective study, functional outcome and morbidity in shoulder arthrodesis using combined plate/screw fixation versus screw fixation alone were evaluated. Materials and methods Shoulder arthrodesis was performed on 28 shoulders: 16 cases with only cancellous screws and 12 cases with combined plate/screw fixation. At a mean follow‐up of 6.8 years (range 1 years to 20.4 years), patients were invited for clinical follow‐up, with evaluations of visual analogue scale for pain, function and satisfaction, Constant–Murley scores, and recorded complications. Results All patients had severe limitations in the use of their shoulder, although they had little pain and were satisfied. The overall Constant–Murley score increased significantly from 33.4 to 52.2. In eight cases with combined plate/screw arthrodesis and nine with screw arthrodesis, there was persistent pain, which resolved after removal of osteosynthesis material. Non‐union was only found in five patients with screw arthrodesis. Conclusions Although the risk of a second operation for removal of osteosynthesis material in combined plate/screw arthrodesis is equal to screw fixation alone, for complete glenohumeral fusion, a combined plate/screw fixation appears to be superior to screw fixation alone.

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Functional analysis of shoulder arthrodesis

Cited by 23 publications

References 41 publications

Long-term outcome of shoulder arthrodesis performed with plate fixation: 18 patients examined after 3–15 years

Long-term outcome of shoulder arthrodesis performed with plate fixation: 18 patients examined after 3–15 years

Glenohumeral fusion in adults with sequelae of obstetrical brachial plexus injury: a report of eight cases

Shoulder Arthrodesis: Functional Outcome and Morbidity after Combined Plate/screw Fixation versus Screw Fixation Alone

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