Harshvardhan Chawla1, Seth Gamradt2. 1. Sports Medicine Service, Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA, 90033, USA. 2. Sports Medicine Service, Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA, 90033, USA. seth.gamradt@med.usc.edu.
Abstract
PURPOSE OF REVIEW: The goal of this review is to introduce surgical decision-making pearls for reverse shoulder arthroplasty and describe optimization of surgical exposure for reverse shoulder arthroplasty. RECENT FINDINGS: While the technology of reverse shoulder replacement and the associated prosthetic options have expanded, the principles involved in successfully exposing the humerus and glenoid in arthroplasty remain the same. Reverse shoulder replacement should be considered in arthroplasty situations with rotator cuff disease, deformity, bone loss, and instability as part of the diagnosis. Optimal exposure in reverse shoulder arthroplasty can be obtained by (1) releasing deltoid adhesions, (2) removal of humeral osteophytes, (3) generous humeral head cuts, (4) thorough humeral and glenoid capsular release and (5) optimal glenoid retractor placement. Neuromuscular paralysis can also aid glenoid exposure.
PURPOSE OF REVIEW: The goal of this review is to introduce surgical decision-making pearls for reverse shoulder arthroplasty and describe optimization of surgical exposure for reverse shoulder arthroplasty. RECENT FINDINGS: While the technology of reverse shoulder replacement and the associated prosthetic options have expanded, the principles involved in successfully exposing the humerus and glenoid in arthroplasty remain the same. Reverse shoulder replacement should be considered in arthroplasty situations with rotator cuff disease, deformity, bone loss, and instability as part of the diagnosis. Optimal exposure in reverse shoulder arthroplasty can be obtained by (1) releasing deltoid adhesions, (2) removal of humeral osteophytes, (3) generous humeral head cuts, (4) thorough humeral and glenoid capsular release and (5) optimal glenoid retractor placement. Neuromuscular paralysis can also aid glenoid exposure.
Authors: J Michael Wiater; James E Moravek; Matthew D Budge; Denise M Koueiter; David Marcantonio; Brett P Wiater Journal: J Shoulder Elbow Surg Date: 2014-02-20 Impact factor: 3.019
Authors: Gabriel Venne; Brian J Rasquinha; David Pichora; Randy E Ellis; Ryan Bicknell Journal: J Shoulder Elbow Surg Date: 2015-01-01 Impact factor: 3.019
Authors: Timothy W Grosel; Darren R Plummer; Joel L Mayerson; Thomas J Scharschmidt; Jonathan D Barlow Journal: J Surg Oncol Date: 2018-08-28 Impact factor: 3.454
Authors: Sameer H Nagda; Kenneth J Rogers; Anthony K Sestokas; Charles L Getz; Matthew L Ramsey; David L Glaser; Gerald R Williams Journal: J Shoulder Elbow Surg Date: 2006-07-26 Impact factor: 3.019