Reverse Shoulder Arthroplasty

WAIKOLOA, Hawaii — Outcomes and return to sport in patients with posterior-superior rotator cuff deficiency and related shoulder problems are better with reverse shoulder arthroplasty than other contemporary procedures, a presenter said.

Compared with cemented humeral stems, uncemented stems yielded similar functional outcomes, pain, range of motion and tuberosity healing in patients undergoing reverse shoulder arthroplasty for proximal humerus fractures.

SAN DIEGO — A study that identified the incidence and predictors of scapular fractures in patients after primary reverse shoulder arthroplasty showed an estimated incidence of 6.9% and that hypothyroidism was among the fracture predictors.

SAN DIEGO — Delaying reverse total shoulder arthroplasty for treatment of proximal humeral fractures could result in additional surgery and potentially poor outcomes, according to a presenter.

Reverse total shoulder arthroplasty is an acceptable option for low-demand patients aged 75 years or older; however, yielded the highest percentage of patients who achieved substantial clinical benefit.

Humeral inclination angle has no effect on clinical outcomes, pain or complications after reverse total shoulder arthroplasty; however, an angle of 155° was associated with high rates of scapular notching.

WAILEA, Hawaii — In this video from Orthopedics Today Hawaii 2021, Anthony A. Romeo, MD, spoke about the factors to consider in reverse shoulder arthroplasty for younger patients.

Patients with Parkinson’s disease who undergo reverse total shoulder arthroplasty may experience more complications and revisions than neurologically healthy patients, according to published results.

Despite pain reduction and functional improvements, revision reverse shoulder arthroplasty to treat the loosening of an anatomical polyethylene glenoid component was “not universally successful,” according to published results.

Results showed patients with metabolic syndrome were more likely to have complications after reverse shoulder arthroplasty, despite no increase in complications, reoperation or revision surgery in primary shoulder arthroplasty.