Challenges in Reverse Shoulder Arthroplasty: Addressing Glenoid Bone Loss.

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Abstract

[Indexed for MEDLINE] 19. Clin Orthop Surg. 2013 Dec;5(4):243-55. doi: 10.4055/cios.2013.5.4.243. Epub 2013 Nov 18. Uncommon indications for reverse total shoulder arthroplasty. Hyun YS(1), Huri G, Garbis NG, McFarland EG. Author information: (1)Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA. Total shoulder arthroplasty and shoulder hemiarthroplasty have been the traditional method for treating a variety of shoulder conditions, including arthritis, cuff tear arthropathy, and some fracture types. However, these procedures did not provide consistently good results for patients with torn rotator cuffs. The development of the reverse prosthesis by Grammont in the late 20th century revolutionized the treatment of the rotator-cuff-deficient shoulder with arthritis. The main indication for the reverse prosthesis remains the patient with cuff tear arthropathy who has pain and loss of motion. Because the reverse total shoulder arthroplasty produced such good results in these patients, the indications for the reverse prosthesis have expanded to include other shoulder conditions that have previously been difficult to treat successfully and predictably. This review discusses and critically reviews these newer indications for the reverse total shoulder arthroplasty. DOI: 10.4055/cios.2013.5.4.243 PMCID: PMC3858093