Philippe Valenti1, Leila Oryadi Zanjani1,2, Bradley S Schoch3, Efi Kazum4,5, Jean David Werthel1,6. 1. Paris Shoulder Unit, Clinique Bizet, 22 rue Georges Bizet, 75116, Paris, France. 2. Shariati Hospital, District 6, Tehran, Tehran Province, 1313514117, Iran. 3. Mayo Clinic, Jacksonville, FL, 32224, USA. 4. Paris Shoulder Unit, Clinique Bizet, 22 rue Georges Bizet, 75116, Paris, France. efikazum@gmail.com. 5. Orthopedic Surgery Division, Tel Aviv Sourasky Medical Center, Weizmann St 6, 6423906, Tel Aviv, Israel. efikazum@gmail.com. 6. Hopital Ambroise Pare, 9 Avenue Charles de Gaulle, 92100, Boulogne-Billancourt, France.
Abstract
AIM: The objective of this study was to describe the outcome of reverse shoulder arthroplasty (RSA) combined with modified L'Episcopo procedure at long-term follow-up (5 to 12 years). METHODS: A retrospective review of 17 RSAs (mean age 67.2 years) with the modified L'Episcopo procedure conducted between 2006 and 2016 was performed. All patients had a combined loss of active elevation and external rotation with an irreparable posterosuperior rotator cuff tear. Clinical assessment was performed with a minimum follow-up of five years (mean 97.3 months). Outcome measures included range of motion, subjective shoulder value (SSV), visual analogue scale (VAS), and Constant-Murley scores. RESULTS: All patients (16) demonstrated a significant improvement in all clinical and functional parameters. VAS pain scores improved from 6 ± 2.6 to 1 ± 1; SSV improved from 35 ± 14 to 72 ± 10; active forward elevation increased from 66° ± 34 to 125° ± 29; and active external rotation arm at the body increased from -11° ± 22 to 21° ±11 and in 90° of abduction from -10° ± 17 to 37° ± 24. The mean Constant score improved from 25 ± 11 to 59 ± 8. Active internal rotation did not significantly change (p = 0.332). CONCLUSION: At long-term follow-up, RSA combined with modified L'Episcopo procedure resulted in significant improvements in pain, range of motion, and functional scores for patients with shoulder pseudoparalysis and a lack of active external rotation caused by a massive posterosuperior cuff tear with a teres minor deficiency.
AIM: The objective of this study was to describe the outcome of reverse shoulder arthroplasty (RSA) combined with modified L'Episcopo procedure at long-term follow-up (5 to 12 years). METHODS: A retrospective review of 17 RSAs (mean age 67.2 years) with the modified L'Episcopo procedure conducted between 2006 and 2016 was performed. All patients had a combined loss of active elevation and external rotation with an irreparable posterosuperior rotator cuff tear. Clinical assessment was performed with a minimum follow-up of five years (mean 97.3 months). Outcome measures included range of motion, subjective shoulder value (SSV), visual analogue scale (VAS), and Constant-Murley scores. RESULTS: All patients (16) demonstrated a significant improvement in all clinical and functional parameters. VAS pain scores improved from 6 ± 2.6 to 1 ± 1; SSV improved from 35 ± 14 to 72 ± 10; active forward elevation increased from 66° ± 34 to 125° ± 29; and active external rotation arm at the body increased from -11° ± 22 to 21° ±11 and in 90° of abduction from -10° ± 17 to 37° ± 24. The mean Constant score improved from 25 ± 11 to 59 ± 8. Active internal rotation did not significantly change (p = 0.332). CONCLUSION: At long-term follow-up, RSA combined with modified L'Episcopo procedure resulted in significant improvements in pain, range of motion, and functional scores for patients with shoulder pseudoparalysis and a lack of active external rotation caused by a massive posterosuperior cuff tear with a teres minor deficiency.
Authors: Reinhold Ortmaier; Herbert Resch; Wolfgang Hitzl; Michael Mayer; Martina Blocher; Imre Vasvary; Georg Mattiassich; Ottokar Stundner; Mark Tauber Journal: Int Orthop Date: 2013-10-17 Impact factor: 3.075
Authors: Derek D Berglund; Samuel Rosas; Jacob J Triplet; Jennifer Kurowicki; Brandon Horn; Jonathan C Levy Journal: JB JS Open Access Date: 2018-04-19
Authors: Stefan Bauer; Taro Okamoto; Stephanie M Babic; Jonathon C Coward; Charline M P L Coron; William G Blakeney Journal: EFORT Open Rev Date: 2022-03-17