Shoulder arthroplasty for locked posterior dislocation of the shoulder

Sperling, John W.; Pring, Maya E.; Antuña, Samuel; Cofield, Robert H.

doi:10.1016/j.jse.2004.02.012

Cited by 72 publications

(50 citation statements)

References 6 publications

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“…Our results (with the majority of cases being hemiarthroplasties) for function are less good than the successful hemiarthroplasties for osteoarthritis (although there is a range of function and pain related to the underlying disease, age of the patient, function before operation and duration of symptoms), but comparable to that of other authors for arthroplasty for the chronically locked posterior dislocations [3,7,11,16]. Better results for pain and function could have been expected with a higher number of total shoulder arthroplasties compared to hemiarthroplasties [8,15,17,20].…”

Section: Discussionsupporting

confidence: 66%

“…The different treatment options, such as supervised neglect, closed reduction [14], transfer of the subscapularis tendon [9], transfer of the lesser tuberosity [7], rotational osteotomy of the humerus [10,18], allograft reconstruction [5], hemiarthroplasty and total shoulder arthroplasty, depend on the duration of the dislocation, the extend of the damage of the articular surface and the whole humeral head, the condition of the glenoid and the general health of the patient [2,3,7,11,14,16].…”

Section: Introductionmentioning

confidence: 99%

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Chronic locked posterior shoulder dislocation with severe head involvement

Gavriilidis¹,

Magosch²,

Lichtenberg³

et al. 2009

International Orthopaedics (SICOT)

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Arthroplasty is the treatment of choice for severely damaged humeral heads in chronic locked posterior dislocation of the shoulder. We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4±16.8 months. Mean postoperative Constant score (CS) was 59.4±21.6 (normative age and gender-related CS 67.1±24). There was a significant improvement in range of motion for flexion, abduction and external rotation. There was negative correlation (Pearson's coefficient) between the related CS and number of previous operations, pain and duration of symptoms. One patient underwent revision surgery 36 months postoperatively with polyethylene insert exchange. There were two patients with mild and one with severe migration of the humeral head. Shoulder arthroplasty resulted in good midterm results for this patient group with benefits for range of motion, pain and patient satisfaction.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Chronic locked posterior shoulder dislocation with severe head involvement

Gavriilidis¹,

Magosch²,

Lichtenberg³

et al. 2009

International Orthopaedics (SICOT)

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“…However, fixed anterior glenohumeral dislocation in combination with large humeral defects is a rare condition. The above-mentioned studies [14,21] also presented low numbers with a maximum of 11 [14] patients for anterior dislocation and 12 patients [21] for posterior dislocation treated with shoulder arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

“…As an alternative treatment option, filling of the defect with humeral allograft has been proposed [5,18]. In the treatment of larger defects caused by anterior or posterior dislocation of the humeral head, hemi-or total shoulder arthroplasty has already been described [1,6,14,17,19,21]. Until now, there is no standard procedure for these types of lesions.…”

Section: Discussionmentioning

confidence: 99%

“…These include reorientation of the humeral head [9,23], filling the defect with humeral allograft [18] to restore joint congruency, and bone transfer techniques [4,7,11,24]. Shoulder replacement for fixed shoulder dislocation has been discussed extensively as new implants were developed in shoulder arthroplasty in recent years [1,14,17,19,21]. Resurfacing arthroplasty is an established bone preserving alternative treatment option for shoulder hemiarthroplasty [12,13] and could be an option for patients with fixed shoulder dislocation in combination with large humeral head defects.…”

Section: Introductionmentioning

confidence: 99%

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Humeral head resurfacing for fixed anterior glenohumeral dislocation

Raiss

Aldinger

Kasten

et al. 2007

International Orthopaedics (SICOT)

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The purpose of this prospective study was to describe cementless humeral surface replacement arthroplasty (CHSRA) as a bone preserving treatment option for patients with fixed anterior glenohumeral dislocation. Ten patients with post-traumatic fixed anterior glenohumeral dislocation underwent CHSRA with a mean follow-up of 24 months. All patients were evaluated clinically using the Constant score and with radiographs in two planes. There were two reoperations: one patient developed glenoid erosion and was revised and in another case redislocation occurred. Clinical or radiographical signs of implant loosening were not found. The humeral head centred in the glenoid in nine out of ten cases radiographically. The Constant score increased from 20 points preoperatively to 61 points postoperatively (p<0.007). CHSRA is a viable treatment option for elderly patients with fixed anterior glenohumeral dislocation and bone defects of the humeral head. Good clinical results and a moderate complication rate were found in the short term.Résumé Le sujet de cette étude prospective était de montrer que le resurfaçage sans ciment au niveau de l'épaule est un option permettant la préservation du capital osseux pour des patients avec une luxation antérieure chronique de l'épaule. Dix patients avec une luxation gléno humérale antérieure fixée ont subi un resurfaçage sans ciment avec un suivi moyen de 24 mois. Tous les patients ont été évalués cliniquement à l'aide du score de Constant et des radiographies dans deux plans. Deux réinterventions ont été nécessaires. Un patient a développé une érosion glénoïdienne nécessitant un changement de prothèse et un patient a récidivé sa luxation. Il n'y avait pas de signe clinique ou radiographique de descellement des implants. La tête humérale était centrée dans la glène dans 9 cas sur 10. Le score de constant s'est accru de 20 points en préopératoire à 61 points en post opératoire (p<0.007). Le resurfaçage huméral sans ciment est donc une solution fiable pour les patients âgés avec une luxation antérieure chronique et une encoche au niveau de la tête humérale. De bons résultats clinique et un taux de complications modéré ont été retrouvés à court terme.

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Indications for Reverse Shoulder Arthroplasty

Ryan¹

2020

Shoulder Arthroplasty

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Shoulder arthroplasty for locked posterior dislocation of the shoulder

Cited by 72 publications

References 6 publications

Chronic locked posterior shoulder dislocation with severe head involvement

Chronic locked posterior shoulder dislocation with severe head involvement

Humeral head resurfacing for fixed anterior glenohumeral dislocation

Indications for Reverse Shoulder Arthroplasty

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