Robert J Shelley1, Mikalyn T DeFoor2, Stephen A Parada1, Lynn A Crosby3. 1. Department of Orthopaedics, Medical College of Georgia at Augusta University Medical Center, Augusta, GA, USA. 2. School of Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA. 3. Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
Abstract
OBJECTIVE: Scapular notching is a unique radiographic sequela of reverse total shoulder arthroplasty (rTSA) with unclear long-term clinical consequences. METHODS: Our retrospective review of a single surgeon, single implant, primary rTSA database investigates the incidence of scapular notching at 2 and 5-year follow-up. Various patient outcome scores were also obtained. RESULTS: Of 158 primary rTSAs performed, 82 (52%) patients completed 2-year and subsequent 5-year follow-up. The incidence of scapular notching at 2 and 5-years was 11.9% and 19.5%, respectively. CONCLUSION: Scapular notching negatively affects validated post-operative outcome scores, active range of motion and total complications, and furthermore increases with time.
OBJECTIVE: Scapular notching is a unique radiographic sequela of reverse total shoulder arthroplasty (rTSA) with unclear long-term clinical consequences. METHODS: Our retrospective review of a single surgeon, single implant, primary rTSA database investigates the incidence of scapular notching at 2 and 5-year follow-up. Various patient outcome scores were also obtained. RESULTS: Of 158 primary rTSAs performed, 82 (52%) patients completed 2-year and subsequent 5-year follow-up. The incidence of scapular notching at 2 and 5-years was 11.9% and 19.5%, respectively. CONCLUSION: Scapular notching negatively affects validated post-operative outcome scores, active range of motion and total complications, and furthermore increases with time.
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