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As reverse shoulder replacement has become more popular, the indications have expanded to include shoulder “pseudoparalysis” due to massive rotator cuff tears, shoulder fractures, severe bone loss on the scapula or humerus precluding the use of standard implants and failed prior shoulder replacement procedures. [6]
National joint registries have reported 10-year survivorship for the diagnosis of rotator cuff arthropathy of 94.1%. Increasing surgeon experience with the reverse prosthesis has seen a decrease in complications and a change in the indications for surgery. An early expanded indication was primary osteoarthritis with loss of rotator cuff function.
Shoulder surgery is a means of treating injured shoulders. Many surgeries have been developed to repair the muscles, connective tissue, or damaged joints that can arise from traumatic or overuse injuries to the shoulder.
Rotator cuff tendinopathy is a process of senescence. The pathophysiology is mucoid degeneration. [4] Most people develop rotator cuff tendinopathy within their lifetime. [5] As part of rotator cuff tendinopathy, the tendon can thin and develop a defect. This defect is often referred to as a rotator cuff tear.
Bankart lesion, Hill-Sachs lesion, rotator cuff tear, axillary nerve injury [1] Types: Anterior, posterior, inferior, superior [2] [1] Causes: Fall onto an outstretched arm or the shoulder. [3] Diagnostic method: Based on symptoms, X-rays [2] Treatment: Shoulder reduction, arm sling [1] [2] Medication: Procedural sedation and analgesia ...
The rotator cuff compresses the glenohumeral joint during abduction of the arm, an action known as concavity compression, in order to allow the large deltoid muscle to further elevate the arm. In other words, without the rotator cuff, the humeral head would ride up partially out of the glenoid fossa, lessening the efficiency of the deltoid muscle.
Acromioplasty is an arthroscopic surgical procedure involving the acromion, a bony process of the shoulder blade.. Generally, it implies removal of a small piece of the surface of the acromion that is in contact with a tendon of the rotator cuff causing, by friction, damage to the tendon.
Arthroscopy is commonly used for treatment of diseases of the shoulder including subacromial impingement, acromioclavicular osteoarthritis, rotator cuff tears, frozen shoulder (adhesive capsulitis), chronic tendonitis, removal of loose bodies and partial tears of the long biceps tendon, SLAP lesions and shoulder instability. The most common ...