Management of Painful Shoulder Arthroplasty: A Narrative Review

Pain and Therapy
Chiara FossatiPietro S Randelli

Abstract

Despite the recent advances in surgical techniques, the percentage of painful shoulder arthroplasties is still high (more than 10%). The causes of residual pain after shoulder arthroplasty, and the resulting treatment solutions, are many and different. The most common complications of shoulder prosthesis are infections, aseptic loosening, modular components disassembling, metal hypersensitivity, and instability. There are also implant-related complications such as glenoid wear in hemiarthroplasty, rotator cuff tear in anatomical total shoulder arthroplasty, scapular notching, and acromion fracture in reverse shoulder arthroplasty. Several of these complications can be avoided with a careful selection of the implants, a proper surgical technique and a precise implant positioning. The execution of a more accurate preoperative planning and the possible use of patient-specific implants are expected to translate into better clinical results in the future. We provide the reader with recent evidence on the causes and therapeutic options of this condition.

References

Jul 9, 1998·The Journal of Bone and Joint Surgery. American Volume·J W Sperling, R H Cofield
Jun 27, 2009·Journal of Shoulder and Elbow Surgery·Akin CilRobert H Cofield
Mar 9, 2011·Clinical Orthopaedics and Related Research·Luc FavardDaniel Mole
Dec 20, 2013·The Journal of Bone and Joint Surgery. American Volume·Anastasios PapadonikolakisFrederick A Matsen
Feb 7, 2014·The Journal of Bone and Joint Surgery. American Volume·Patric RaissGilles Walch
Jun 22, 2014·The Journal of Bone and Joint Surgery. American Volume·Anastasios Papadonikolakis, Frederick A Matsen
Jul 2, 2014·Journal of Shoulder and Elbow Surgery·Jonathan C LevyM Russell Giveans
Jan 13, 2015·Current Reviews in Musculoskeletal Medicine·Hanbing S ZhouMark D Price
Feb 24, 2015·Journal of Shoulder and Elbow Surgery·Mia SmucnyAlan L Zhang
Mar 25, 2015·Journal of Shoulder and Elbow Surgery·Michael P Morwood, Grant E Garrigues
May 11, 2015·Journal of Shoulder and Elbow Surgery·Gregory GilotJoseph D Zuckerman
Feb 2, 2017·The Journal of Bone and Joint Surgery. American Volume·Kamal I BohsaliMichael A Wirth
Jul 29, 2017·Journal of Shoulder and Elbow Surgery·Giovanni MerollaGiuseppe Porcellini
Sep 25, 2019·Journal of Clinical Medicine·Riccardo CompagnoniPietro Simone Randelli

❮ Previous
Next ❯

Methods Mentioned

BETA
total shoulder arthroplasty
RSA
total shoulder arthroplasty a
X-ray

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

Instructional Course Lectures
Jesse AffonsoEdward G McFarland
The Open Orthopaedics Journal
T GregoryE Masmejean
AJR. American Journal of Roentgenology
Cristy Gustas-FrenchStephanie A Bernard
© 2021 Meta ULC. All rights reserved