Management of intraoperative posterior decentering in shoulder arthroplasty using anteriorly eccentric humeral head components.

Abstract:

BACKGROUND:Posterior humeral decentering presents a challenge in glenohumeral arthroplasty. Soft tissue releases and osteophyte resection can lead to intraoperative decentering not evident preoperatively. Inferior outcomes result if decentering is not addressed as a part of the arthroplasty. When there is >50% posterior subluxation of the humeral head on passive elevation of the arm at surgery, we have used an anteriorly eccentric humeral head component to improve centering of the humeral articular surface on the glenoid. METHODS:We reviewed the 2-year outcomes for 33 shoulder arthroplasties in which anteriorly eccentric humeral heads were used to manage posterior decentering identified at surgery. Rotator interval plication was performed in 16 cases as an adjunctive stabilizing procedure. Shoulders were evaluated preoperatively and postoperatively with the Simple Shoulder Test (SST). Radiographic centering was characterized before surgery and at follow-up on standardized axillary radiographs with the arm held in a position of functional elevation. RESULTS:With the anteriorly eccentric head component, preoperative radiographic humeral decentering was reduced from 10.4% ± 7.9% to 0.9% ± 2.3% postoperatively (P < .001). SST scores improved from 4.8 ± 2.3 to 10.0 ± 2.3 (P < .001). Preoperative posterior humeral head decentering did not correlate with preoperative glenoid version. Glenoid retroversion was 19.8° ± 8.9° preoperatively and 15.5° ± 7.5° postoperatively. CONCLUSIONS:Posterior decentering identified at surgery when standard trial components are in place can be addressed by replacing the anatomic humeral head with an anteriorly eccentric humeral head component.

journal_name

J Shoulder Elbow Surg

authors

Hsu JE,Gee AO,Lucas RM,Somerson JS,Warme WJ,Matsen FA 3rd

doi

10.1016/j.jse.2016.02.027

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1980-1988

issue

12

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(16)00135-X

journal_volume

25

pub_type

杂志文章
  • Dynamic acromiohumeral interval changes in baseball players during scaption exercises.

    abstract:HYPOTHESIS:Elevation of the arm during a dynamic scaption exercise will result in a progressive narrowing of the acromiohumeral interval (AHI); however, the addition of a load will not significantly affect the AHI in healthy baseball players. MATERIALS AND METHODS:Thirteen healthy baseball players performed a seated s...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2010.07.012

    authors: Thompson MD,Landin D,Page PA

    更新日期:2011-03-01 00:00:00

  • Biomechanical evaluation of braces used for the treatment of epicondylitis.

    abstract::The purpose of the study was to investigate the biomechanical effects of different types of braces that are used in the treatment of patients with epicondylitis radialis. Vibration and acceleration of the forearm and the elbow were measured with sensors taped to defined anatomic points on the skin surface. The impact-...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1067/mse.2002.122623

    authors: Walther M,Kirschner S,Koenig A,Barthel T,Gohlke F

    更新日期:2002-05-01 00:00:00

  • Is radiographic measurement of acromiohumeral distance on anteroposterior view after reverse shoulder arthroplasty reliable?

    abstract:BACKGROUND:Reverse shoulder arthroplasty leads to arm lengthening. Different techniques have been described to determine postoperative lengthening. The purpose of this study was to evaluate the reliability of the acromiohumeral distance (AHD) in determining arm lengthening after reverse shoulder arthroplasty. METHODS:...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jse.2016.02.017

    authors: Werner BS,Jacquot A,Molé D,Walch G

    更新日期:2016-09-01 00:00:00

  • Involvement of synovial matrix degradation and angiogenesis in oxidative stress-exposed degenerative rotator cuff tears with osteoarthritis.

    abstract:BACKGROUND:Shoulder osteoarthritis is a gradual wearing of the articular cartilage concomitant with degenerative rotator cuff tears (RCTs). This pathologic disorder is related to inflammation, oxidative stress, and angiogenesis. Degenerative alterations may prompt production of cytokines and angiogenesis-related protei...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2017.08.007

    authors: Noh KC,Park SH,Yang CJ,Lee GW,Kim MK,Kang YH

    更新日期:2018-01-01 00:00:00

  • Clinical and radiological outcomes of eccentric glenosphere versus concentric glenosphere in reverse shoulder arthroplasty.

    abstract:BACKGROUND:The eccentric glenosphere (EG) has been proposed as a way to prevent scapular notching in reverse shoulder arthroplasty (RSA). The purpose of this study was to investigate whether the use of an EG decreases scapular notching compared to matched standard concentric glenosphere (CG) controls. METHODS:A retros...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2020.10.032

    authors: Collotte P,Erickson J,Vieira TD,Domos P,Walch G

    更新日期:2020-12-01 00:00:00

  • Subacromial space outlet in female patients with multidirectional instability based on hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder measured by ultrasound.

    abstract:OBJECTIVE:The objective of the study was to compare the acromiohumeral distance (AHD) between patients diagnosed with hypermobility type of the Ehlers-Danlos syndrome (hEDS) or hypermobility spectrum disorder (HSD) and healthy controls by evaluating the relative amount the tendon occupies in the subacromial area. Furth...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2019.08.003

    authors: Kjær BH,de Wandele I,Spanhove V,Juul-Kristensen B,Cools AM

    更新日期:2020-03-01 00:00:00

  • Semiconstrained total elbow arthroplasty in the context of treated previous infection.

    abstract::Previous infection has been considered a strict contraindication to implantation or reimplantation of an elbow prosthesis. The purpose of this study was to investigate whether these patients can in fact be successfully treated with a prosthetic arthroplasty given previous treatment of the infection. Ten consecutive pr...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/s1058-2746(99)90077-0

    authors: Yamaguchi K,Adams RA,Morrey BF

    更新日期:1999-09-01 00:00:00

  • Activities of daily living with reverse prostheses: importance of scapular compensation for functional mobility of the shoulder.

    abstract:HYPOTHESIS:The nonanatomical design of reverse shoulder prostheses induce medial displacement of the center of rotation, impingements and may reduce the mobility of the shoulder. The aim of this study is to test the hypothesis that during activities of daily living functional mobility of the shoulder can be restored by...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.09.014

    authors: Terrier A,Scheuber P,Pioletti DP,Farron A

    更新日期:2013-07-01 00:00:00

  • Pulsed radiofrequency applied to the suprascapular nerve in painful cuff tear arthropathy.

    abstract::The purpose of this study was to assess the efficacy of pulsed radiofrequency (PRF) applied to the suprascapular nerve for pain relief in medically unfit patients with painful cuff tear arthropathy. Twelve patients with chronic shoulder pain due to cuff tear arthropathy were recruited. The mean age was 68 years (range...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2007.10.007

    authors: Kane TP,Rogers P,Hazelgrove J,Wimsey S,Harper GD

    更新日期:2008-05-01 00:00:00

  • Outcomes and radiographic findings of anatomic press-fit radial head arthroplasty.

    abstract:BACKGROUND:Radial head arthroplasty (RHA) is a popular method of treatment for complex fractures of the radial head. The purpose of this study was to investigate patient outcomes and radiographic findings associated with a single anatomic monopolar press-fit radial head system commonly used for the treatment of radial ...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2015.11.014

    authors: Levy JC,Formaini NT,Kurowicki J

    更新日期:2016-05-01 00:00:00

  • Reverse shoulder arthroplasty versus hemiarthroplasty for acute proximal humeral fractures. A blinded, randomized, controlled, prospective study.

    abstract:BACKGROUND:There is no consensus on what type of arthroplasty is best for the treatment of complex proximal humeral fractures in elderly patients. The purpose of this prospective study was to compare the outcomes of reverse shoulder arthroplasty (RSA) and hemiarthroplasty (HA). METHODS:Sixty-two patients older than 70...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jse.2014.06.035

    authors: Sebastiá-Forcada E,Cebrián-Gómez R,Lizaur-Utrilla A,Gil-Guillén V

    更新日期:2014-10-01 00:00:00

  • Acromioclavicular reconstructions with hamstring tendon grafts: a comparative biomechanical study.

    abstract::The surgical treatment of chronic acromioclavicular injuries remains controversial. There is increasing use of autogenous tendon grafts to perform these reconstructions. This study examined the mechanical properties of differing configurations of these grafts. Mechanical testing of acromioclavicular joint reconstructi...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2008.01.143

    authors: Erak S,Pelletier MH,Woods KR,Smith PN,Walsh WR

    更新日期:2008-09-01 00:00:00

  • Proximal humerus cortical bone thickness correlates with bone mineral density and can clinically rule out osteoporosis.

    abstract:BACKGROUND:Bone mineral density measurements with dual-energy x-ray absorptiometry (DXA) are commonly used to diagnose osteoporosis and assess fracture risk. This study describes the association between radiographic measures of proximal humeral cortical bone thickness and bone mineral density measured by DXA. The study...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.08.018

    authors: Mather J,MacDermid JC,Faber KJ,Athwal GS

    更新日期:2013-06-01 00:00:00

  • The greater tuberosity angle: a new predictor for rotator cuff tear.

    abstract:BACKGROUND:The implication of scapular morphology in rotator cuff tears has been extensively studied. However, the role of the greater tuberosity (GT) should be of equal importance. The aim of this study was to propose a new radiographic marker, the GT angle (GTA), which measures the position of the GT in relation to t...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2018.02.051

    authors: Cunningham G,Nicodème-Paulin E,Smith MM,Holzer N,Cass B,Young AA

    更新日期:2018-08-01 00:00:00

  • Coronal plane radiographic evaluation of the single TightRope technique in the treatment of acute acromioclavicular joint injury.

    abstract:BACKGROUND:This study aimed to demonstrate the technical aspects of the single TightRope (Arthrex, Naples, FL, USA) procedure for acute acromioclavicular-coracoclavicular joint dislocation, identify the predictive factors influencing its outcome, and assess and validate the significance of specific radiologic parameter...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2015.02.022

    authors: Yi Y,Kim JW

    更新日期:2015-10-01 00:00:00

  • The effect of a local application of fibroblast growth factor-2 on tendon-to-bone remodeling in rats with acute injury and repair of the supraspinatus tendon.

    abstract:METHODS:We investigated the effect of application of fibroblast growth factor (FGF)-2 on the tendon-to-bone remodeling of repaired supraspinatus tendon in rats subjected to bilateral detachment. FGF-2 (100 mg/kg) in a fibrin sealant or sealant alone was applied on the right and left shoulders, respectively. Twelve anim...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2009.01.013

    authors: Ide J,Kikukawa K,Hirose J,Iyama K,Sakamoto H,Fujimoto T,Mizuta H

    更新日期:2009-05-01 00:00:00

  • Specific patient-related prognostic factors for rotator cuff repair: a systematic review.

    abstract:BACKGROUND:Many studies that describe factors affecting outcome in primary rotator cuff repair (RCR) have been published, but so far there is no review that summarizes them. This systematic review was conducted to identify prognostic factors influencing functional (clinical) outcome and radiologically proven cuff integ...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jse.2014.01.001

    authors: Lambers Heerspink FO,Dorrestijn O,van Raay JJ,Diercks RL

    更新日期:2014-07-01 00:00:00

  • Intratendinous strain fields of the supraspinatus tendon: effect of a surgically created articular-surface rotator cuff tear.

    abstract::Articular-surface partial-thickness rotator cuff tears play a significant role in shoulder pathology, but the role of the articular-surface tissue is poorly understood. This investigation assessed the effect of an articular-surface partial-thickness rotator cuff tear on intratendinous strain fields. A magnetic resonan...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1067/mse.2002.126767

    authors: Bey MJ,Ramsey ML,Soslowsky LJ

    更新日期:2002-11-01 00:00:00

  • Natural history of infraspinatus fatty infiltration in rotator cuff tears.

    abstract:BACKGROUND/HYPOTHESIS:Muscular fatty infiltration (FI) represents an important prognostic factor in rotator cuff repair. The goal of this study was to analyze the natural history of infraspinatus FI in rotator cuff tears to determine the timing of the appearance and the speed of progression of this phenomenon. METHOD:...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2009.12.002

    authors: Melis B,Wall B,Walch G

    更新日期:2010-07-01 00:00:00

  • Interscalene regional anesthesia for arthroscopic shoulder surgery: a safe and effective technique.

    abstract::There has been resistance to the use of interscalene regional block for arthroscopic shoulder surgery because of concerns about potential complications and failed blocks with the subsequent need for general anesthesia. The purpose of this study was to assess whether interscalene regional block is safe and effective an...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2006.01.009

    authors: Bishop JY,Sprague M,Gelber J,Krol M,Rosenblatt MA,Gladstone JN,Flatow EL

    更新日期:2006-09-01 00:00:00

  • Surgical release of elbow stiffness after internal fixation of intercondylar fracture of the distal humerus.

    abstract:BACKGROUND:Loss of motion is common after intercondylar fracture of the distal humerus despite proper management. The purpose of the current study was to report the results of contracture release for stiffness that developed after open reduction and internal fixation (ORIF) of distal humeral intercondylar fractures. M...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.10.024

    authors: Koh KH,Lim TK,Lee HI,Park MJ

    更新日期:2013-02-01 00:00:00

  • The TESS reverse shoulder arthroplasty without a stem in the treatment of cuff-deficient shoulder conditions: clinical and radiographic results.

    abstract:BACKGROUND:Reverse total shoulder arthroplasty (RSA) is a recent concept that enables good functional outcomes in cases of massive rotator cuff tear and cuff tear arthropathy. Design parameters influence the functional results and complications. The purpose of this study is to present the results of a novel RSA, the To...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2014.04.005

    authors: Teissier P,Teissier J,Kouyoumdjian P,Asencio G

    更新日期:2015-01-01 00:00:00

  • Surgical management of periprosthetic shoulder infections.

    abstract:BACKGROUND:The treatment of periprosthetic joint infection is a difficult challenge in shoulder arthroplasty. This study investigated 1-stage modular component exchange vs. 1-stage complete removal and reimplantation (CRR) vs. 2-stage revision arthroplasty for periprosthetic joint infection. METHODS:Between January 1,...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2016.11.054

    authors: Stone GP,Clark RE,O'Brien KC,Vaccaro L,Simon P,Lorenzetti AJ,Stephens BC,Frankle MA

    更新日期:2017-07-01 00:00:00

  • Passive tension in the supraspinatus musculotendinous unit after long-standing rupture of its tendon: a preliminary report.

    abstract::Incomplete functional recovery after rotator cuff surgery can be caused by rerupture or incomplete restoration of the contractile properties of the muscle-tendon-bone unit. We measured the passive tension generated in the supraspinatus musculotendinous unit at the time of repair of the supraspinatus tendon performed f...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s1058-2746(98)90030-1

    authors: Hersche O,Gerber C

    更新日期:1998-07-01 00:00:00

  • Correlation between modified trochleocapitellar index and post-traumatic elbow stiffness in type C2-3 distal humeral fractures among adults.

    abstract:BACKGROUND:The purpose of this study was to propose the modified trochleocapitellar index (mTCI), assess its reliability, and evaluate its correlation with post-traumatic elbow stiffness in type C2-3 distal humeral fractures among adults. METHODS:From January 2013 to June 2017, a total of 141 patients with type C2-3 d...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2020.02.016

    authors: Hua K,Ji S,Li T,Chen C,Zha Y,Gong M,Sun W,Lu S,Jiang X

    更新日期:2020-09-01 00:00:00

  • Application of the suture bridge method to olecranon fractures with a poor soft-tissue envelope around the elbow: Modification of the Cha-Bateman methods for elderly populations.

    abstract:BACKGROUND:We further modified the suture bridge method using suture anchors especially for olecranon fractures in elderly patients with a poor soft-tissue envelope and report the radiologic and clinical results through a retrospective study. METHODS:Our method was used in 13 patients with a mean age of 69.7 years. Al...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2016.02.011

    authors: Cha SM,Shin HD,Lee JW

    更新日期:2016-08-01 00:00:00

  • Measurement of the coracohumeral distance on magnetic resonance imaging in a large patient cohort.

    abstract:BACKGROUND:Coracoid impingement syndrome is an increasingly recognized etiology of anterior shoulder pain. Numerus studies have documented the coracohumeral distance (CHD) as a primary or secondary measurement in symptomatic individuals, but there lacks an evaluation of CHD in a large cohort of asymptomatic individuals...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2020.05.032

    authors: Hodax JD,Shah KN,Campbell SE,Cameron KL,Owens BD

    更新日期:2021-02-01 00:00:00

  • Long-term outcomes of humeral head replacement for the treatment of osteoarthritis; a report of 44 arthroplasties with minimum 10-year follow-up.

    abstract:BACKGROUND:Studies have demonstrated mixed results after humeral head replacement (HHR) for osteoarthritis at short- and medium-term follow-up intervals. The purpose of this study was to investigate the long-term outcomes (minimum 10 years) of HHR for the treatment of osteoarthritis. METHODS:This study included 44 sho...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2017.10.017

    authors: Robinson WA,Wagner ER,Cofield RH,Sánchez-Sotelo J,Sperling JW

    更新日期:2018-05-01 00:00:00

  • Osteonecrosis of the humeral head: results of replacement.

    abstract::One hundred twenty-seven shoulders treated with replacement arthroplasty for osteonecrosis of the humeral head were reviewed and assessed by mailed questionnaire for results, durability, and complications. These included 71 humeral head replacements and 56 total shoulder replacements. Thirty-six shoulders were lost to...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:

    authors: Hattrup SJ,Cofield RH

    更新日期:2000-05-01 00:00:00

  • Outcomes for subscapularis management techniques in shoulder arthroplasty: a systematic review.

    abstract:BACKGROUND:This systematic review aims to synthesize published data for the most common subscapularis takedown and repair to compare outcomes in the setting of shoulder arthroplasty. METHODS:Searches of MEDLINE and Cochrane Library databases identified studies that reported clinical or radiologic outcomes for subscapu...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jse.2017.08.003

    authors: Choate WS,Kwapisz A,Momaya AM,Hawkins RJ,Tokish JM

    更新日期:2018-02-01 00:00:00