A 53-year-old woman presented with 10-year history of pain and limited range of motion in both shoulders. Radiographs of both shoulders showed severe shoulder osteoarthritis with glenoid bone defect. Very thin rotator cuff and superior migration of the humerus were also observed on computed tomography images. We performed bony increased-offset reverse total shoulder arthroplasty on her both shoulders. The patient had a good clinical outcome without any particular complication.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197586 | PMC |
| http://dx.doi.org/10.1016/j.aott.2015.03.002 | DOI Listing |
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CHP Saint Grégoire, 6 Boulevard de la Boutière, 35760 Saint-Grégoire, France.
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Article Synopsis
- The study investigates how the healing of the subscapularis tendon affects the restoration of internal rotation behind the back (IR1) in patients who have undergone reverse shoulder arthroplasty (RSA), along with other influencing factors like anterior scapular tilt and passive internal rotation at abduction (IR2).
- A total of 77 patients were reviewed, and over three years, it was found that successful healing of the subscapularis tendon was linked to significantly better IR1 outcomes, with a 85% success rate compared to 53% in unhealed cases.
- Multivariate analysis indicated that better functional IR1 is independently associated with subscapularis healing, increased anterior tilt of the scapula
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