2020
DOI: 10.1007/s40122-020-00186-0
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Management of Painful Shoulder Arthroplasty: A Narrative Review

Abstract: Despite the recent advances in surgical techniques, the percentage of painful shoulder arthroplasties is still high (more than 10%). The causes of residual pain after shoulder arthroplasty, and the resulting treatment solutions, are many and different. The most common complications of shoulder prosthesis are infections, aseptic loosening, modular components disassembling, metal hypersensitivity, and instability. There are also implant-related complications such as glenoid wear in hemiarthroplasty, rotator cuff… Show more

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Cited by 9 publications
(10 citation statements)
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“…Timing of pain can help narrow the differential. Pain at rest may be associated with infection or neuropathic pain, while pain with range of motion and/or activity suggests structural sources of pain, such as component impingement, component loosening, tendinopathy, and fracture ( 2 , 6 ). Time since surgery is a helpful tool in assessing the integrity of components.…”
Section: Evaluation Algorithm ( Figure 1 )mentioning
confidence: 99%
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“…Timing of pain can help narrow the differential. Pain at rest may be associated with infection or neuropathic pain, while pain with range of motion and/or activity suggests structural sources of pain, such as component impingement, component loosening, tendinopathy, and fracture ( 2 , 6 ). Time since surgery is a helpful tool in assessing the integrity of components.…”
Section: Evaluation Algorithm ( Figure 1 )mentioning
confidence: 99%
“…Hematoma is seen at a greater rate in rTSA than in aTSA. There can be increased dead space between soft tissue planes in rTSA with many rTSA procedures being performed in patients with poor or torn rotator cuff tissue in combination with a larger acromiohumeral interval due to humeral distalization ( 2 ). Management of this complication is initially with observation.…”
Section: Sources Of Pain In Tsamentioning
confidence: 99%
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“…Multiple studies have elaborated on potential etiologies of pain specific to RSA, which include instability, scapular notching, acromial/scapular spine fractures, and anterior shoulder pain/subcoracoid pain. 7 , 9 , 11 Anterior shoulder pain after RSA is not well defined. It has been postulated to be secondary to coracoid fracture, 2 subcoracoid adhesions in the setting of multiple surgeries causing stiffness, excessive distalization of the humerus leading to tendinitis of the biceps brachii and coracobrachialis tendon, 24 and subcoracoid impingement due to the abutment of the humeral prosthesis.…”
mentioning
confidence: 99%