Effect of the critical shoulder angle on severe cranialization following total shoulder arthroplasty.

J Orthop

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Germany.

Published: March 2020

Purpose: This study assesses the relationship of CSA, cranialization and radiographic glenoid loosening following TSA in the long-term follow-up.

Methods: 26 shoulders with TSA were examined radiographically postoperatively and after a mean 12.6 years. Severe cranialization was defined as direct humeral contact with the acromion and/or acetabularization of the acromion.

Results: A CSA ≥35° was associated with severe cranialization. Glenoid loosening was present in 6/24 shoulders (25%). Severe cranialization was associated with glenoid loosening (p = 0.003).

Conclusion: A postoperative CSA ≥ 35° was associated with severe humeral cranialization after TSA in the long-term follow-up. Severe cranialization correlated with glenoid loosening.Level of evidence IV - retrospective cohort study.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136606PMC
http://dx.doi.org/10.1016/j.jor.2020.03.024DOI Listing

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