Shoulder Arthroplasty with or without Resurfacing of the Glenoid in Patients Who Have Osteoarthritis*

Gartsman, Gary M.; Roddey, Toni S.; Hammerman, Steven M.

doi:10.2106/00004623-200001000-00004

Cited by 359 publications

(222 citation statements)

References 17 publications

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“…Shoulder arthroplasty provides reliable pain relief and restoration of function [3,5,19]. The majority of patients maintain their improvements over the long term; however, complications and failures do occur, and these have been associated with component malposition, glenoid failure, and glenohumeral malalignment [4].…”

Section: Introductionmentioning

confidence: 99%

Rotator Cuff Fatty Infiltration and Atrophy Are Associated With Functional Outcomes in Anatomic Shoulder Arthroplasty

Lapner

Jiang

Zhang

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Shoulder arthroplasty provides reliable pain relief and restoration of function. However, the effects of fatty infiltration and atrophy in the supraspinatus and infraspinatus muscles on functional outcomes are not well understood. Questions/purposes The purposes of this study were to (1) compare preoperative with postoperative fatty infiltration and atrophy of the supraspinatus and infraspinatus muscles after primary shoulder arthroplasty; and (2) identify any associations between these variables and outcome measures.Methods A retrospective analysis was undertaken of 62 patients with a mean age of 67 years (range, 34-90 years) who underwent shoulder arthroplasty. CT scans were conducted preoperatively and at 12 months postoperatively. Outcome variables included the degree of supraspinatus and infraspinatus fatty infiltration (percent fatty infiltration and Goutallier grade), muscle area (percent muscle area and Warner atrophy grade), shoulder strength, and the Western Ontario Osteoarthritis Score (WOOS), American Shoulder and Elbow Surgeons score, and Constant outcome score. Results Preoperatively, the mean percent fatty infiltration (FI) within the supraspinatus and infraspinatus was identical at 14%. One year after shoulder arthroplasty, both muscles had less fatty infiltration (6% and 7%, respectively; p \ 0.001). Similarly, the Goutallier grade significantly improved postoperatively for the supraspinatus (p = 0.0037) and infraspinatus (p = 0.0007). Conversely, measures of muscle atrophy remained unchanged postoperatively (p [ 0.251). Preoperatively, greater supraspinatus percent FI was negatively associated with preoperative shoulder strength (r = 0.37, p = 0.001) and Constant score (r = 0.38, p = 0.001). Postoperative infraspinatus percent FI was negatively associated with postoperative strength (r = 0.3, p = 0.021) and Constant score (r = 0.3, p = 0.04). Multivariable regression One of the authors (GSA) received research funding support from

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Section: Introductionmentioning

confidence: 99%

Rotator Cuff Fatty Infiltration and Atrophy Are Associated With Functional Outcomes in Anatomic Shoulder Arthroplasty

Lapner

Jiang

Zhang

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…HSA is less invasive, faster, and cheaper. It is also less technically demanding and some studies have shown quality of life outcomes equivalent to that of TSA [8,23]. However, more recent randomized controlled trials, multicenter studies, and meta-analyses have concluded that TSA achieves superior pain relief, function, ROM, strength, and patient satisfaction [4,5,20,21,27].…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that some of the HSAs may have been performed in patients who did not have sufficient glenoid bone stock to enable TSA. Also, in some cases, the choice of HSA over TSA may have been driven by the shorter operating time and decreased blood loss associated with HSA [8]. We were not able to account for these factors in our analysis.…”

Section: Discussionmentioning

confidence: 99%

“…The choice between HSA and TSA has been a topic of debate, with proponents of HSA arguing that it is a less invasive, faster, cheaper, and technically less demanding procedure, with quality of life outcomes equivalent to those of TSA. Though there is evidence to support these claims [4,8,16], more recent randomized controlled trials, multicenter studies, and meta-analyses have concluded that TSA is superior to HSA for treatment of primary glenohumeral osteoarthritis in terms of pain relief, function, ROM, strength, and patient satisfaction [4,5,8,20,21,27]. Furthermore, based on studies from 2003 and 2005, the American Academy of Orthopaedic Surgeons (AAOS), in its clinical practice guidelines from 2009 [13], recommend using TSA over HSA because it achieves superior pain relief, better global health assessment scores, and lower revision rates.…”

Section: Introductionmentioning

confidence: 99%

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High Incidence of Hemiarthroplasty for Shoulder Osteoarthritis Among Recently Graduated Orthopaedic Surgeons

Mann

Baumhauer

O’Keefe

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Primary glenohumeral osteoarthritis is a common indication for shoulder arthroplasty. Historically, both total shoulder arthroplasty (TSA) and hemi-shoulder arthroplasty (HSA) have been used to treat primary glenohumeral osteoarthritis. The choice between procedures is a topic of debate, with HSA proponents arguing that it is less invasive, faster, less expensive, and technically less demanding, with quality of life outcomes equivalent to those of TSA. More recent evidence suggests TSA is superior in terms of pain relief, function, ROM, strength, and patient satisfaction. We therefore investigated the practice of recently graduated orthopaedic surgeons pertaining to the surgical treatment of this disease. Questions/purposes We hypothesized that (1) recently graduated, board eligible, orthopaedic surgeons with fellowship training in shoulder surgery are more likely to perform TSA than surgeons without this training; (2) younger patients are more likely to receive HSA than TSA; (3) patient sex affects the choice of surgery; (4) US geographic region affects practice patterns; and (5) complication rates for HSA and TSA are not different.

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“…However, the most frequent indication for shoulder arthroplasty in non-traumatic cases is osteoarthrosis (2)(3)(4)(5) . Degenerative abnormalities of the shoulder are associated with incapacitating pain and decreased range of motion.…”

Section: Introductionmentioning

confidence: 99%

Artroplastia de superfície no tratamento da osteoartrose primária e/ou secundária do ombro pelo sistema HemiCAP-Arthrosurface®

Visco¹,

Vieira²,

Gonçalves³

et al. 2011

Rev. bras. ortop.

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Shoulder Arthroplasty with or without Resurfacing of the Glenoid in Patients Who Have Osteoarthritis*

Cited by 359 publications

References 17 publications

Rotator Cuff Fatty Infiltration and Atrophy Are Associated With Functional Outcomes in Anatomic Shoulder Arthroplasty

Rotator Cuff Fatty Infiltration and Atrophy Are Associated With Functional Outcomes in Anatomic Shoulder Arthroplasty

High Incidence of Hemiarthroplasty for Shoulder Osteoarthritis Among Recently Graduated Orthopaedic Surgeons

Artroplastia de superfície no tratamento da osteoartrose primária e/ou secundária do ombro pelo sistema HemiCAP-Arthrosurface®

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