Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Shoulder Arthroplasty — Indications

Hemiarthroplasty: isolated humeral head disease (e.g., AVN, head-splitting fracture). Anatomic TSA: primary OA, RA, post-traumatic arthritis with intact rotator cuff. Reverse TSA: cuff tear arthropathy, pseudoparalysis, failed TSA. Contraindications: active infection, absent deltoid (RSA). Choice depends on cuff integrity, bone stock, patient age/activity.

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Hemiarthroplasty: isolated humeral head disease (e.g., AVN, head-splitting fracture). Anatomic TSA: primary OA, RA, post-traumatic arthritis with intact rotator cuff. Reverse TSA: cuff tear arthropathy, pseudoparalysis, failed TSA. Contraindications: active infection, absent deltoid (RSA). Choice depends on cuff integrity, bone stock, patient age/activity.
MCQs

High-yield practice questions

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Question 1

What is the primary indication for total shoulder arthroplasty (TSA)?

Question 2

Which of the following conditions is best treated with reverse shoulder arthroplasty (RSA)?

Question 3

In which situation is hemiarthroplasty (HA) preferred over total shoulder arthroplasty (TSA)?

Question 4

What is a contraindication for performing a reverse shoulder arthroplasty?

Question 5

Which of the following statements is true regarding total shoulder arthroplasty?

Question 6

For which patient population is reverse shoulder arthroplasty particularly indicated?

Question 7

What is the main reason for choosing total shoulder arthroplasty over hemiarthroplasty in primary osteoarthritis?

Question 8

When considering a shoulder arthroplasty for a patient with rheumatoid arthritis, what is a critical factor to assess?

Question 9

In which of the following scenarios is resurfacing arthroplasty most appropriate?

Question 10

What is the primary concern when performing total shoulder arthroplasty in patients with pre-existing rotator cuff deficiencies?