Shoulder arthroplasty for rheumatoid arthritis: 303 consecutive cases with minimum 5-year follow-up

Barlow, Jonathan D.; Yuan, Brandon J.; Schleck, Cathy D.; Harmsen, William S.; Cofield, Robert H.; Sperling, John W.

doi:10.1016/j.jse.2013.09.016

Cited by 46 publications

(33 citation statements)

References 28 publications

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“…We found an overall decrease in the rate of instability (1% [35 of 3,360 shoulders 9,20,21, 32,40,41,43,52,55,62,68,71,72,74,[76][77][78]83,87,103,106,108,[112][113][114][115][116]118,119,[121][122][123][124] ] in the current study compared with 4.9% [124 of 2,540 shoulders] in the earlier study 1 ). Component malposition (nonanatomic humeral and glenoid retroversion) and rotator cuff deficiency may lead to adverse kinematics of the glenohumeral joint, subsequent instability, edge loading of the glenoid component, and premature loosening 1,133 .…”

Section: Anatomic Tsacontrasting

confidence: 43%

“…The most common complications with RSA (in order of decreasing (664 complications in 4,124 shoulders) 3,6-8,10-14,16-18,23-30,33-39,44-48,50,51,53,54,56-59,61,64,65,67,69,70,73,75,79,81,88-102,104, 105,109-112,117,120 and 10.3% for anatomic TSA (345 complications in 3,360 shoulders) 9,20,21,32,40,41,43,52,55,62,68,71,72,74,76-78,83,87,103,106,108,113-116,118,119,121-124 . The previous analysis demonstrated 16 studies with a minimum follow-up of 5 years after anatomic TSA 1 . The current analysis revealed 6 studies (532 shoulders) with a minimum follow-up of 5 years 31,40,52,68,76,122 . One study demonstrated a high percentage of humeral and glenoid radiolucent lines after TSA and glenoid wear after hemiarthroplasty at the time of the latest follow-up (mean, 13.8 years) 40 .…”

mentioning

confidence: 94%

“…The current analysis revealed 6 studies (532 shoulders) with a minimum follow-up of 5 years 31,40,52,68,76,122 . One study demonstrated a high percentage of humeral and glenoid radiolucent lines after TSA and glenoid wear after hemiarthroplasty at the time of the latest follow-up (mean, 13.8 years) 40 . The paucity of long-term data in our review is a concern.…”

mentioning

confidence: 94%

“…Efficacy regarding these surgical techniques remains largely unproven.loosening made up a majority of these events (217 [82%] of 264 shoulders) . Glenoid implant failure comprised 37.7%(130) of 345 complications after TSA 9,20,21,32,40,41,43,52,55,62,68,71,72,74,[76][77][78]83,87,103,106,108,[112][113][114][115][116]118,119,[121][122][123][124] …”

mentioning

confidence: 99%

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Complications of Shoulder Arthroplasty

Bohsali

Bois

Wirth³

2017

The Journal of Bone and Joint Surgery

296

199

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d The most common complications after reverse shoulder arthroplasty in order of decreasing frequency included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE).d The most common complications after anatomic total shoulder arthroplasty (TSA) in order of decreasing frequency were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE.d Glenoid component wear and loosening remain a common cause of failure after anatomic TSA, despite advances in surgical technique and implant design.d Diagnostic confirmation of infection after shoulder arthroplasty remains a challenge. In the setting of a painful and stiff shoulder after arthroplasty, the surgeon should have a heightened suspicion for infection. Inflammatory markers may be normal, radiographs may be inconclusive, and prosthetic joint aspiration may be negative for a causative organism.Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked "yes" to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work and "yes" to indicate that the author had a patent and/or copyright, planned, pending, or issued, broadly relevant to this work. 99:256-69 d http://dx.doi.org/10.2106/JBJS.16.00935 frequency) included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE)The most common complications after anatomic TSA (in order of decreasing frequency) were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE (

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Section: Anatomic Tsacontrasting

confidence: 43%

mentioning

confidence: 94%

mentioning

confidence: 94%

mentioning

confidence: 99%

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Complications of Shoulder Arthroplasty

Bohsali

Bois

Wirth³

2017

The Journal of Bone and Joint Surgery

296

199

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“…In May 2015, because of her new job stress, she had got a three-month history of fatigue, tension and insomnia, then her hand and feet got pain again, followed by wrists and ankles, elbows, knees and shoulders [35]. In October 2015, she …”

Section: Discussionmentioning

confidence: 99%

Five Balances in the Management of Rheumatoid Arthritis

Zou¹

2017

JBM

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Rheumatoid arthritis (RA) is the most common chronic autoimmune joint disease. The etiology of RA is complex, and then it is impossible to cure completely today and it should be individualized treatment. Immune system is complex. Existing statistical techniques based on reductionism cannot discover many relevant disease risk factors and complex interaction relationship. The disease network model based on complex network is important for the analysis and treatment of RA disease. In this Review, we have found five important layers of RA complex network and presented five balances regulating strategy in the management of RA. We have followed up one RA patient (wife of the author) for one year using this strategy, and the management effect is good. This Review argues RA is self-limiting to some extent, and good management with five balances regulating strategy would have positive significance, among which the balance between neuroendocrine system and immune system is the most important. During the day, glucocorticoid plays an important role in controlling inflammation, and human growth hormone plays an important role in eliminating inflammation during the slow-wave sleep at night. Five balances core concepts can shed light on the management of other causes of arthritis.

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