Does lateralisation of the centre of rotation in reverse shoulder arthroplasty avoid scapular notching? Clinical and radiological review of one hundred and forty cases with forty five months of follow-up

International Orthopaedics
Denis KatzJean-David Werthel

Abstract

Our purpose was to evaluate the influence of metallic lateralisation of the centre of rotation (COR) in reverse shoulder arthroplasty (RSA) on the incidence of scapular notching and its eventual clinical and radiological consequences. We analysed 140 RSAs with a lateralised design (Arrow, FH Orthopedics, Mulhouse, France) implanted for massive rotator cuff tear with/without arthritis. Mean follow-up was 45 months (range 24-120, standard deviation 20). Patients were evaluated clinically using the Constant and Murley (Clin Orthop Relat Res 214:160-164, 1987) score and active range of motion (ROM) and radiologically using standard anteroposterior and axillary view. Scapular notching was assessed according to Sirveaux classification Simovitch et al. (J Bone Joint Surg Am, 89:588-600, 2007), and patients were separated into two groups (scapular notch/no scapular notch) and compared. Forty-one notches (29 %) were found: 20 grade 1, 18 grade 2, and three grade 3. The latter three patients had a follow-up of 44, 70 and 84 months, respectively, and the scapular notch did not evolve in the final two years. Better pre-operative function was significantly associated with scapular notching (p < 0,05 for flexion and abduction), but no final ...Continue Reading

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Citations

Jun 30, 2019·International Orthopaedics·Jean-David WerthelPhilippe Valenti
Jan 7, 2019·International Orthopaedics·Edoardo FranceschettiFrancesco Franceschi
Nov 28, 2019·Current Reviews in Musculoskeletal Medicine·Caitlin M RuggDrew A Lansdown
Nov 3, 2020·The Bone & Joint Journal·Young Hoon JangSae Hoon Kim
Apr 14, 2020·Journal of Orthopaedics·Steve ParryJared Mahylis
Feb 23, 2021·The Bone & Joint Journal·Eleanor G BurdenJonathan P Evans
Feb 15, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Alexandre LädermannPhilippe Collin
May 4, 2021·Journal of Clinical Orthopaedics and Trauma·Aparna ViswanathIan Trail
Mar 24, 2021·Journal of Shoulder and Elbow Surgery·Brian C WernerPatrick J Denard
Jul 9, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Francesco AscioneAlfonso M Romano
Aug 17, 2021·Shoulder & Elbow·Yehia H BedeirAhmed H Waly
Nov 27, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Francesco AscioneAlfonso M Romano

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