Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up
Background Little information is available on the long-term outcome of shoulder arthroplasty in young patients. The purpose of this study was to report the results, complications, and revision rate of total shoulder arthroplasties (TSAs) in patients younger than 50 years at a minimum 20-year follow-...
Gespeichert in:
| Veröffentlicht in: | Journal of shoulder and elbow surgery 2015-05, Vol.24 (5), p.705-710 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 710 |
|---|---|
| container_issue | 5 |
| container_start_page | 705 |
| container_title | Journal of shoulder and elbow surgery |
| container_volume | 24 |
| creator | Schoch, Bradley, MD Schleck, Cathy, BS Cofield, Robert H., MD Sperling, John W., MD, MBA |
| description | Background Little information is available on the long-term outcome of shoulder arthroplasty in young patients. The purpose of this study was to report the results, complications, and revision rate of total shoulder arthroplasties (TSAs) in patients younger than 50 years at a minimum 20-year follow-up. Materials and methods Between 1976 and 1985, a single surgeon performed 78 Neer hemiarthroplasties (HAs) and 36 Neer TSAs in patients < 50 years. Fifty-six HAs and 19 TSAs with a minimum 20-year follow-up, or follow-up until reoperation, were analyzed for clinical, radiographic and survivorship outcomes. Results Both HA and TSA showed significant improvements in pain scores ( P |
| doi_str_mv | 10.1016/j.jse.2014.07.016 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1675878703</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1058274614004273</els_id><sourcerecordid>1675878703</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-808c54a414e985282950594c49f0407dac3cd39d07f0fbb1452d12899bf40163</originalsourceid><addsrcrecordid>eNp9kd-K1TAQh4Mo7rr6AN5IL71pnaRJ0ygIy-I_WPDi7H3ISaee1LSpSav0bXwWn8yUs3rhhVczDN_8YL4h5DmFigJtXg3VkLBiQHkFssqTB-SSipqVjQB4mHsQbckkby7Ik5QGAFAc2GNywUQNDVfNJTkcTmH1HcbCxOUUw-xNWrbCTcVsFofTkootrNOXDCwnMxUCfv3c0MT0uhjd5MZ1LBiU-6Tog_fhR7nOT8mj3viEz-7rFbl7_-7u5mN5-_nDp5vr29JyyZeyhdYKbjjlqFrBWqYECMUtVz1wkJ2xte1q1YHsoT8eKReso6xV6tjzfGt9RV6eY-cYvq2YFj26ZNF7M2FYk6aNFK1sJdQZpWfUxpBSxF7P0Y0mbpqC3lXqQWeVelepQepz_Iv7-PU4Yvd344-7DLw5A5hv_O4w6mSzMYudi2gX3QX33_i3_2xbn4Va47_ihmkIa5yyPE11Yhr0Yf_l_krKATiTdf0bFL2Yag</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1675878703</pqid></control><display><type>article</type><title>Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up</title><source>MEDLINE</source><source>ScienceDirect Pay Per View(PPV) Titles</source><creator>Schoch, Bradley, MD ; Schleck, Cathy, BS ; Cofield, Robert H., MD ; Sperling, John W., MD, MBA</creator><creatorcontrib>Schoch, Bradley, MD ; Schleck, Cathy, BS ; Cofield, Robert H., MD ; Sperling, John W., MD, MBA</creatorcontrib><description>Background Little information is available on the long-term outcome of shoulder arthroplasty in young patients. The purpose of this study was to report the results, complications, and revision rate of total shoulder arthroplasties (TSAs) in patients younger than 50 years at a minimum 20-year follow-up. Materials and methods Between 1976 and 1985, a single surgeon performed 78 Neer hemiarthroplasties (HAs) and 36 Neer TSAs in patients < 50 years. Fifty-six HAs and 19 TSAs with a minimum 20-year follow-up, or follow-up until reoperation, were analyzed for clinical, radiographic and survivorship outcomes. Results Both HA and TSA showed significant improvements in pain scores ( P < .001), abduction ( P < .01), and external rotation ( P = .02). Eighty-one percent of shoulders were rated much better or better than preoperatively. Modified Neer ratings were similar between groups ( P = .41). Unsatisfactory ratings in HA were due to reoperations in 25 (glenoid arthrosis in 16) and limited motion, pain, or dissatisfaction in 11. Unsatisfactory ratings in TSA were due to reoperations in 6 (component loosening in 4) and limited motion in 5. Estimated 20-year survival was 75.6% (confidence interval, 65.9-86.5) for HAs and 83.2% (confidence interval, 70.5-97.8) for TSAs. Discussion At long-term follow-up, both HA and TSA continue to provide lasting pain relief and improved range of motion. However, there are a large number of unsatisfactory Neer ratings. Whereas both groups have survivorship in excess of 75% at 20 years, surgeons should remain cautious in performing shoulder arthroplasty in the young patient.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2014.07.016</identifier><identifier>PMID: 25306496</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Arthritis, Rheumatoid - surgery ; Female ; Follow-Up Studies ; hemiarthroplasty ; Hemiarthroplasty - adverse effects ; Hemiarthroplasty - methods ; Humans ; long-term follow-up ; Male ; Middle Aged ; Orthopedics ; Osteoarthritis - surgery ; Pain Measurement ; Patient Satisfaction ; Radiography ; Range of Motion, Articular ; Reoperation ; Retrospective Studies ; Rotation ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - physiopathology ; Shoulder Joint - surgery ; Shoulder Pain - surgery ; Time Factors ; Total shoulder arthroplasty ; Treatment Outcome</subject><ispartof>Journal of shoulder and elbow surgery, 2015-05, Vol.24 (5), p.705-710</ispartof><rights>Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2015 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-808c54a414e985282950594c49f0407dac3cd39d07f0fbb1452d12899bf40163</citedby><cites>FETCH-LOGICAL-c474t-808c54a414e985282950594c49f0407dac3cd39d07f0fbb1452d12899bf40163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1058274614004273$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25306496$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schoch, Bradley, MD</creatorcontrib><creatorcontrib>Schleck, Cathy, BS</creatorcontrib><creatorcontrib>Cofield, Robert H., MD</creatorcontrib><creatorcontrib>Sperling, John W., MD, MBA</creatorcontrib><title>Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Background Little information is available on the long-term outcome of shoulder arthroplasty in young patients. The purpose of this study was to report the results, complications, and revision rate of total shoulder arthroplasties (TSAs) in patients younger than 50 years at a minimum 20-year follow-up. Materials and methods Between 1976 and 1985, a single surgeon performed 78 Neer hemiarthroplasties (HAs) and 36 Neer TSAs in patients < 50 years. Fifty-six HAs and 19 TSAs with a minimum 20-year follow-up, or follow-up until reoperation, were analyzed for clinical, radiographic and survivorship outcomes. Results Both HA and TSA showed significant improvements in pain scores ( P < .001), abduction ( P < .01), and external rotation ( P = .02). Eighty-one percent of shoulders were rated much better or better than preoperatively. Modified Neer ratings were similar between groups ( P = .41). Unsatisfactory ratings in HA were due to reoperations in 25 (glenoid arthrosis in 16) and limited motion, pain, or dissatisfaction in 11. Unsatisfactory ratings in TSA were due to reoperations in 6 (component loosening in 4) and limited motion in 5. Estimated 20-year survival was 75.6% (confidence interval, 65.9-86.5) for HAs and 83.2% (confidence interval, 70.5-97.8) for TSAs. Discussion At long-term follow-up, both HA and TSA continue to provide lasting pain relief and improved range of motion. However, there are a large number of unsatisfactory Neer ratings. Whereas both groups have survivorship in excess of 75% at 20 years, surgeons should remain cautious in performing shoulder arthroplasty in the young patient.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>hemiarthroplasty</subject><subject>Hemiarthroplasty - adverse effects</subject><subject>Hemiarthroplasty - methods</subject><subject>Humans</subject><subject>long-term follow-up</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis - surgery</subject><subject>Pain Measurement</subject><subject>Patient Satisfaction</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Rotation</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - physiopathology</subject><subject>Shoulder Joint - surgery</subject><subject>Shoulder Pain - surgery</subject><subject>Time Factors</subject><subject>Total shoulder arthroplasty</subject><subject>Treatment Outcome</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd-K1TAQh4Mo7rr6AN5IL71pnaRJ0ygIy-I_WPDi7H3ISaee1LSpSav0bXwWn8yUs3rhhVczDN_8YL4h5DmFigJtXg3VkLBiQHkFssqTB-SSipqVjQB4mHsQbckkby7Ik5QGAFAc2GNywUQNDVfNJTkcTmH1HcbCxOUUw-xNWrbCTcVsFofTkootrNOXDCwnMxUCfv3c0MT0uhjd5MZ1LBiU-6Tog_fhR7nOT8mj3viEz-7rFbl7_-7u5mN5-_nDp5vr29JyyZeyhdYKbjjlqFrBWqYECMUtVz1wkJ2xte1q1YHsoT8eKReso6xV6tjzfGt9RV6eY-cYvq2YFj26ZNF7M2FYk6aNFK1sJdQZpWfUxpBSxF7P0Y0mbpqC3lXqQWeVelepQepz_Iv7-PU4Yvd344-7DLw5A5hv_O4w6mSzMYudi2gX3QX33_i3_2xbn4Va47_ihmkIa5yyPE11Yhr0Yf_l_krKATiTdf0bFL2Yag</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Schoch, Bradley, MD</creator><creator>Schleck, Cathy, BS</creator><creator>Cofield, Robert H., MD</creator><creator>Sperling, John W., MD, MBA</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150501</creationdate><title>Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up</title><author>Schoch, Bradley, MD ; Schleck, Cathy, BS ; Cofield, Robert H., MD ; Sperling, John W., MD, MBA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-808c54a414e985282950594c49f0407dac3cd39d07f0fbb1452d12899bf40163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>hemiarthroplasty</topic><topic>Hemiarthroplasty - adverse effects</topic><topic>Hemiarthroplasty - methods</topic><topic>Humans</topic><topic>long-term follow-up</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis - surgery</topic><topic>Pain Measurement</topic><topic>Patient Satisfaction</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Rotation</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Shoulder Joint - physiopathology</topic><topic>Shoulder Joint - surgery</topic><topic>Shoulder Pain - surgery</topic><topic>Time Factors</topic><topic>Total shoulder arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schoch, Bradley, MD</creatorcontrib><creatorcontrib>Schleck, Cathy, BS</creatorcontrib><creatorcontrib>Cofield, Robert H., MD</creatorcontrib><creatorcontrib>Sperling, John W., MD, MBA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schoch, Bradley, MD</au><au>Schleck, Cathy, BS</au><au>Cofield, Robert H., MD</au><au>Sperling, John W., MD, MBA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>24</volume><issue>5</issue><spage>705</spage><epage>710</epage><pages>705-710</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Background Little information is available on the long-term outcome of shoulder arthroplasty in young patients. The purpose of this study was to report the results, complications, and revision rate of total shoulder arthroplasties (TSAs) in patients younger than 50 years at a minimum 20-year follow-up. Materials and methods Between 1976 and 1985, a single surgeon performed 78 Neer hemiarthroplasties (HAs) and 36 Neer TSAs in patients < 50 years. Fifty-six HAs and 19 TSAs with a minimum 20-year follow-up, or follow-up until reoperation, were analyzed for clinical, radiographic and survivorship outcomes. Results Both HA and TSA showed significant improvements in pain scores ( P < .001), abduction ( P < .01), and external rotation ( P = .02). Eighty-one percent of shoulders were rated much better or better than preoperatively. Modified Neer ratings were similar between groups ( P = .41). Unsatisfactory ratings in HA were due to reoperations in 25 (glenoid arthrosis in 16) and limited motion, pain, or dissatisfaction in 11. Unsatisfactory ratings in TSA were due to reoperations in 6 (component loosening in 4) and limited motion in 5. Estimated 20-year survival was 75.6% (confidence interval, 65.9-86.5) for HAs and 83.2% (confidence interval, 70.5-97.8) for TSAs. Discussion At long-term follow-up, both HA and TSA continue to provide lasting pain relief and improved range of motion. However, there are a large number of unsatisfactory Neer ratings. Whereas both groups have survivorship in excess of 75% at 20 years, surgeons should remain cautious in performing shoulder arthroplasty in the young patient.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25306496</pmid><doi>10.1016/j.jse.2014.07.016</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1058-2746 |
| ispartof | Journal of shoulder and elbow surgery, 2015-05, Vol.24 (5), p.705-710 |
| issn | 1058-2746 1532-6500 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1675878703 |
| source | MEDLINE; ScienceDirect Pay Per View(PPV) Titles |
| subjects | Adult Age Factors Arthritis, Rheumatoid - surgery Female Follow-Up Studies hemiarthroplasty Hemiarthroplasty - adverse effects Hemiarthroplasty - methods Humans long-term follow-up Male Middle Aged Orthopedics Osteoarthritis - surgery Pain Measurement Patient Satisfaction Radiography Range of Motion, Articular Reoperation Retrospective Studies Rotation Shoulder Joint - diagnostic imaging Shoulder Joint - physiopathology Shoulder Joint - surgery Shoulder Pain - surgery Time Factors Total shoulder arthroplasty Treatment Outcome |
| title | Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T15%3A48%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Shoulder%20arthroplasty%20in%20patients%20younger%20than%2050%C2%A0years:%20minimum%2020-year%20follow-up&rft.jtitle=Journal%20of%20shoulder%20and%20elbow%20surgery&rft.au=Schoch,%20Bradley,%20MD&rft.date=2015-05-01&rft.volume=24&rft.issue=5&rft.spage=705&rft.epage=710&rft.pages=705-710&rft.issn=1058-2746&rft.eissn=1532-6500&rft_id=info:doi/10.1016/j.jse.2014.07.016&rft_dat=%3Cproquest_cross%3E1675878703%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1675878703&rft_id=info:pmid/25306496&rft_els_id=1_s2_0_S1058274614004273&rfr_iscdi=true |