Prosthetic replacement of the shoulder for the treatment of defects in the rotator cuff and the surface of the glenohumeral joint.

Arntz, Craig T.; Jackins, Sarah E.; Matsen, Frederick A.

doi:10.2106/00004623-199304000-00002

Cited by 171 publications

(78 citation statements)

References 10 publications

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“…The joint is incongruent because of the destruction of the humeral and glenoid bone stock. Peri-glenohumeral calcifications were detected in this case complication rate [1,11,20,27]. In the study by Goldberg et al, 34 shoulders with CTA or osteoarthritis with massive rotator cuff tears were treated by hemiarthroplasty [11].…”

Section: Discussionmentioning

confidence: 72%

“…Especially in cases with pseudoparalysis and instability of the shoulder, this implant with its lowered and medialised centre of rotation increases the moment arm of the deltoid muscle and is therefore able to stabilise the joint and improve the range of motion. Significant pain relief and improvement of function have been reported in several studies [1,3,7,14,22]. However, complication rates up to 60% and revision rates as high as 50% have been described [2,8,14,15,22,24].…”

Section: Discussionmentioning

confidence: 99%

“…Hemiarthroplasty has been an established treatment for osteoarthritis of the shoulder with massive rotator cuff tears for several years [1,10,11,20,27]. Satisfactory results have been described with a low CS % Constant score adjusted for age and gender The variable pain did not reach the level of significance (p<0.05) and was excluded from the local tests Fig.…”

Section: Discussionmentioning

confidence: 99%

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A symptom-based classification for shoulders with massive rotator cuff defects

Loew

Raiss

2009

International Orthopaedics (SICOT)

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The aim of this prospective study was to propose a classification for shoulders with massive rotator cuff defects based on patients' clinical symptoms. A total of 100 shoulders with massive rotator cuff tears were evaluated clinically using the Constant score (CS) and with radiographs in two planes. Three types were defined and correlated with radiographic findings: (1) the arthritic type (type I), (2) the non-reactive type (type II) and (3) the necrotic type (type III). Significant differences in the overall CS (type I: 28.6 points, range: 4 -61; type II: 18.8 points, range: 6 -52; type III: 15.5 points, range: 6 -31) and its subgroups and in shoulder motion were found between types I and II and between types I and III (p< 0.05). This classification may be helpful for the decisionmaking process with regard to the appropriate form of shoulder replacement surgery in patients with massive rotator cuff defects.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A symptom-based classification for shoulders with massive rotator cuff defects

Loew

Raiss

2009

International Orthopaedics (SICOT)

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“…O resultado favorável da artroplastia parcial no tratamento da artrose do ombro associada à LMR depende principalmente da integridade do arco CA e da musculatura do deltóide intacta e funcional, condições que conferem estabilidade à prótese (1)(2)6,12,(15)(16)(17) .…”

Section: Discussionunclassified