A radiographic analysis of the effects of prosthesis design on scapular notching following reverse total shoulder arthroplasty
Background Scapular notching is a well-recognized complication of reverse total shoulder arthroplasty (RTSA). This paper analyzes the effects of prosthesis design on scapular notching in RTSA. Methods From a database of all RTSA performed by the senior author, shoulders with minimum 12-month follow-...
Gespeichert in:
| Veröffentlicht in: | Journal of shoulder and elbow surgery 2011-06, Vol.20 (4), p.571-576 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 576 |
|---|---|
| container_issue | 4 |
| container_start_page | 571 |
| container_title | Journal of shoulder and elbow surgery |
| container_volume | 20 |
| creator | Kempton, Laurence B., MD Balasubramaniam, Mamtha, MS Ankerson, Elizabeth, BS Wiater, J. Michael, MD |
| description | Background Scapular notching is a well-recognized complication of reverse total shoulder arthroplasty (RTSA). This paper analyzes the effects of prosthesis design on scapular notching in RTSA. Methods From a database of all RTSA performed by the senior author, shoulders with minimum 12-month follow-up were included (65 shoulders). Notching in shoulders with a prosthesis neck-shaft angle of 155° and no center-of-rotation (COR) offset (group 1) was compared to notching in shoulders with a neck-shaft angle of 143° and 2.5-mm COR offset (group 2). P values less than .05 were considered significant. Results The notching grade was significantly higher in group 1 than in group 2, even after statistically adjusting for differences in length of follow-up ( P = .0081). The incidence of notching in group 1 at 60.7% was significantly higher than the 16.2% incidence in group 2 ( P = .0107). Conclusion Using prostheses with a smaller neck-shaft angle and increased COR offset can significantly reduce scapular notching in RTSA at 1 year, possibly improving prosthesis survival. |
| doi_str_mv | 10.1016/j.jse.2010.08.024 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_867324067</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1058274610003812</els_id><sourcerecordid>867324067</sourcerecordid><originalsourceid>FETCH-LOGICAL-c437t-d455ad2621bdb682ebfedc59a27fb7267ea7ca67b5e257b2798b9a398219db2c3</originalsourceid><addsrcrecordid>eNp9kk2P1DAMhisEYpeBH8AF5YI4dUjcj7RCQlqtlg9pJQ7AOUoTd5qSaYa4XTQXfvumzAASBy6Jnbx24sfOsueCbwUX9etxOxJugSefN1sO5YPsUlQF5HXF-cNk86rJQZb1RfaEaOSctyWHx9kFCFFLWcrL7OcVi9q6sIv6MDjD9KT9kRyx0LN5QIZ9j2b-5R5ioHS0Xtq07iYWJkZGHxavI5vCbAY37VgfvA8_ViviHUZCNodZe0ZDWLzFyHSchxgOXtN8fJo96rUnfHbeN9nXdzdfrj_kt5_ef7y-us1NWcg5t2VVaQs1iM52dQPY9WhN1WqQfSehlqil0bXsKoRKdiDbpmt10TYgWtuBKTbZq1PeVMT3BWlWe0cGvdcThoVUU8sCSp7WTSZOSpPKpYi9OkS31_GoBFcrdTWqRF2t1BVvVKKeYl6csy_dHu2fiN-Yk-DlWaATMN9HPRlHf3UlFE0JVdK9OekwsbhzGBUZh5NB62Jqg7LB_fcbb_-JNt5NLj34DY9IY1hi6i4poQgUV5_X8VinQ6TBKBoBxT09Pbef</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>867324067</pqid></control><display><type>article</type><title>A radiographic analysis of the effects of prosthesis design on scapular notching following reverse total shoulder arthroplasty</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Kempton, Laurence B., MD ; Balasubramaniam, Mamtha, MS ; Ankerson, Elizabeth, BS ; Wiater, J. Michael, MD</creator><creatorcontrib>Kempton, Laurence B., MD ; Balasubramaniam, Mamtha, MS ; Ankerson, Elizabeth, BS ; Wiater, J. Michael, MD</creatorcontrib><description>Background Scapular notching is a well-recognized complication of reverse total shoulder arthroplasty (RTSA). This paper analyzes the effects of prosthesis design on scapular notching in RTSA. Methods From a database of all RTSA performed by the senior author, shoulders with minimum 12-month follow-up were included (65 shoulders). Notching in shoulders with a prosthesis neck-shaft angle of 155° and no center-of-rotation (COR) offset (group 1) was compared to notching in shoulders with a neck-shaft angle of 143° and 2.5-mm COR offset (group 2). P values less than .05 were considered significant. Results The notching grade was significantly higher in group 1 than in group 2, even after statistically adjusting for differences in length of follow-up ( P = .0081). The incidence of notching in group 1 at 60.7% was significantly higher than the 16.2% incidence in group 2 ( P = .0107). Conclusion Using prostheses with a smaller neck-shaft angle and increased COR offset can significantly reduce scapular notching in RTSA at 1 year, possibly improving prosthesis survival.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2010.08.024</identifier><identifier>PMID: 21167747</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement - adverse effects ; Arthroplasty, Replacement - methods ; Biological and medical sciences ; Diseases of the osteoarticular system ; Female ; Humans ; Joint Prosthesis ; Male ; Medical sciences ; Middle Aged ; neck-shaft angle ; Orthopedics ; Osteoarthritis - surgery ; Prosthesis Design ; Range of Motion, Articular ; Reoperation ; Reverse shoulder arthroplasty ; Rotator Cuff Injuries ; Rupture ; scapular notching ; Shoulder Joint - physiopathology</subject><ispartof>Journal of shoulder and elbow surgery, 2011-06, Vol.20 (4), p.571-576</ispartof><rights>Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2011 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-d455ad2621bdb682ebfedc59a27fb7267ea7ca67b5e257b2798b9a398219db2c3</citedby><cites>FETCH-LOGICAL-c437t-d455ad2621bdb682ebfedc59a27fb7267ea7ca67b5e257b2798b9a398219db2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jse.2010.08.024$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24238425$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21167747$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kempton, Laurence B., MD</creatorcontrib><creatorcontrib>Balasubramaniam, Mamtha, MS</creatorcontrib><creatorcontrib>Ankerson, Elizabeth, BS</creatorcontrib><creatorcontrib>Wiater, J. Michael, MD</creatorcontrib><title>A radiographic analysis of the effects of prosthesis design on scapular notching following reverse total shoulder arthroplasty</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Background Scapular notching is a well-recognized complication of reverse total shoulder arthroplasty (RTSA). This paper analyzes the effects of prosthesis design on scapular notching in RTSA. Methods From a database of all RTSA performed by the senior author, shoulders with minimum 12-month follow-up were included (65 shoulders). Notching in shoulders with a prosthesis neck-shaft angle of 155° and no center-of-rotation (COR) offset (group 1) was compared to notching in shoulders with a neck-shaft angle of 143° and 2.5-mm COR offset (group 2). P values less than .05 were considered significant. Results The notching grade was significantly higher in group 1 than in group 2, even after statistically adjusting for differences in length of follow-up ( P = .0081). The incidence of notching in group 1 at 60.7% was significantly higher than the 16.2% incidence in group 2 ( P = .0107). Conclusion Using prostheses with a smaller neck-shaft angle and increased COR offset can significantly reduce scapular notching in RTSA at 1 year, possibly improving prosthesis survival.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement - adverse effects</subject><subject>Arthroplasty, Replacement - methods</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Prosthesis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>neck-shaft angle</subject><subject>Orthopedics</subject><subject>Osteoarthritis - surgery</subject><subject>Prosthesis Design</subject><subject>Range of Motion, Articular</subject><subject>Reoperation</subject><subject>Reverse shoulder arthroplasty</subject><subject>Rotator Cuff Injuries</subject><subject>Rupture</subject><subject>scapular notching</subject><subject>Shoulder Joint - physiopathology</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk2P1DAMhisEYpeBH8AF5YI4dUjcj7RCQlqtlg9pJQ7AOUoTd5qSaYa4XTQXfvumzAASBy6Jnbx24sfOsueCbwUX9etxOxJugSefN1sO5YPsUlQF5HXF-cNk86rJQZb1RfaEaOSctyWHx9kFCFFLWcrL7OcVi9q6sIv6MDjD9KT9kRyx0LN5QIZ9j2b-5R5ioHS0Xtq07iYWJkZGHxavI5vCbAY37VgfvA8_ViviHUZCNodZe0ZDWLzFyHSchxgOXtN8fJo96rUnfHbeN9nXdzdfrj_kt5_ef7y-us1NWcg5t2VVaQs1iM52dQPY9WhN1WqQfSehlqil0bXsKoRKdiDbpmt10TYgWtuBKTbZq1PeVMT3BWlWe0cGvdcThoVUU8sCSp7WTSZOSpPKpYi9OkS31_GoBFcrdTWqRF2t1BVvVKKeYl6csy_dHu2fiN-Yk-DlWaATMN9HPRlHf3UlFE0JVdK9OekwsbhzGBUZh5NB62Jqg7LB_fcbb_-JNt5NLj34DY9IY1hi6i4poQgUV5_X8VinQ6TBKBoBxT09Pbef</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Kempton, Laurence B., MD</creator><creator>Balasubramaniam, Mamtha, MS</creator><creator>Ankerson, Elizabeth, BS</creator><creator>Wiater, J. Michael, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>20110601</creationdate><title>A radiographic analysis of the effects of prosthesis design on scapular notching following reverse total shoulder arthroplasty</title><author>Kempton, Laurence B., MD ; Balasubramaniam, Mamtha, MS ; Ankerson, Elizabeth, BS ; Wiater, J. Michael, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-d455ad2621bdb682ebfedc59a27fb7267ea7ca67b5e257b2798b9a398219db2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement - adverse effects</topic><topic>Arthroplasty, Replacement - methods</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Prosthesis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>neck-shaft angle</topic><topic>Orthopedics</topic><topic>Osteoarthritis - surgery</topic><topic>Prosthesis Design</topic><topic>Range of Motion, Articular</topic><topic>Reoperation</topic><topic>Reverse shoulder arthroplasty</topic><topic>Rotator Cuff Injuries</topic><topic>Rupture</topic><topic>scapular notching</topic><topic>Shoulder Joint - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kempton, Laurence B., MD</creatorcontrib><creatorcontrib>Balasubramaniam, Mamtha, MS</creatorcontrib><creatorcontrib>Ankerson, Elizabeth, BS</creatorcontrib><creatorcontrib>Wiater, J. Michael, MD</creatorcontrib><collection>Pascal-Francis</collection><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>Kempton, Laurence B., MD</au><au>Balasubramaniam, Mamtha, MS</au><au>Ankerson, Elizabeth, BS</au><au>Wiater, J. Michael, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A radiographic analysis of the effects of prosthesis design on scapular notching following reverse total shoulder arthroplasty</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>20</volume><issue>4</issue><spage>571</spage><epage>576</epage><pages>571-576</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Background Scapular notching is a well-recognized complication of reverse total shoulder arthroplasty (RTSA). This paper analyzes the effects of prosthesis design on scapular notching in RTSA. Methods From a database of all RTSA performed by the senior author, shoulders with minimum 12-month follow-up were included (65 shoulders). Notching in shoulders with a prosthesis neck-shaft angle of 155° and no center-of-rotation (COR) offset (group 1) was compared to notching in shoulders with a neck-shaft angle of 143° and 2.5-mm COR offset (group 2). P values less than .05 were considered significant. Results The notching grade was significantly higher in group 1 than in group 2, even after statistically adjusting for differences in length of follow-up ( P = .0081). The incidence of notching in group 1 at 60.7% was significantly higher than the 16.2% incidence in group 2 ( P = .0107). Conclusion Using prostheses with a smaller neck-shaft angle and increased COR offset can significantly reduce scapular notching in RTSA at 1 year, possibly improving prosthesis survival.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21167747</pmid><doi>10.1016/j.jse.2010.08.024</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1058-2746 |
| ispartof | Journal of shoulder and elbow surgery, 2011-06, Vol.20 (4), p.571-576 |
| issn | 1058-2746 1532-6500 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_867324067 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement - adverse effects Arthroplasty, Replacement - methods Biological and medical sciences Diseases of the osteoarticular system Female Humans Joint Prosthesis Male Medical sciences Middle Aged neck-shaft angle Orthopedics Osteoarthritis - surgery Prosthesis Design Range of Motion, Articular Reoperation Reverse shoulder arthroplasty Rotator Cuff Injuries Rupture scapular notching Shoulder Joint - physiopathology |
| title | A radiographic analysis of the effects of prosthesis design on scapular notching following reverse total shoulder arthroplasty |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T02%3A53%3A48IST&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=A%20radiographic%20analysis%20of%20the%20effects%20of%20prosthesis%20design%20on%20scapular%20notching%20following%20reverse%20total%20shoulder%20arthroplasty&rft.jtitle=Journal%20of%20shoulder%20and%20elbow%20surgery&rft.au=Kempton,%20Laurence%20B.,%20MD&rft.date=2011-06-01&rft.volume=20&rft.issue=4&rft.spage=571&rft.epage=576&rft.pages=571-576&rft.issn=1058-2746&rft.eissn=1532-6500&rft_id=info:doi/10.1016/j.jse.2010.08.024&rft_dat=%3Cproquest_cross%3E867324067%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=867324067&rft_id=info:pmid/21167747&rft_els_id=1_s2_0_S1058274610003812&rfr_iscdi=true |