Shoulder Proprioception Following Reverse Total Shoulder Arthroplasty for Unreconstructable Upper Third Fractures of the Humerus: 2-Year Outcomes.
Joint position sense
Proprioception
Reverse shoulder arthroplasty
Un-reconstructable proximal humeral fractures
Journal
Indian journal of orthopaedics
ISSN: 0019-5413
Titre abrégé: Indian J Orthop
Pays: Switzerland
ID NLM: 0137736
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
21
03
2022
accepted:
20
10
2022
entrez:
12
12
2022
pubmed:
13
12
2022
medline:
13
12
2022
Statut:
epublish
Résumé
Proximal humerus fractures may be comminuted in the elderly or after injury with high-energy mechanisms. Reverse total shoulder arthroplasty that may affect shoulder proprioception (rTSA) has also begun to play a part in treating acute proximal humeral fractures. In this study, the authors aimed to evaluate joint position sense (JPS) after rTSA. Humac Norm II isokinetic device was used to evaluate the joint position sense. A joint angle was determined and the ability of the patient to create the same value of the angle by the active movement was evaluated. The difference between the pre-determined angle and the patient's measured angle was recorded. For proprioceptive sense, the initial position was 0° and the determination position was 30°, 60°, and 90° for flexion and abduction, and 15° and 30° for internal rotation and external rotation. While both the mean Constant and ADLEIR scores did not differ between non-operated and operated sides, the mean proprioception differences in all flexion (30°, 60°, and 90°), abduction (30°, 60°, and 90°), internal rotation (15° and 30°), and external rotation (15° and 30°) were significantly higher in the operated side than that in non-operated side ( Reverse total shoulder arthroplasty (rTSA) treatment, which has increasingly become a surgical option in un-reconstructable proximal humeral fractures has significant adverse effects on proprioception on the operated side and may pose a risk for long-term instability, premature loosening, and prosthesis mechanical complications, in this context, well-designed prospective controlled studies are required.
Sections du résumé
Background
UNASSIGNED
Proximal humerus fractures may be comminuted in the elderly or after injury with high-energy mechanisms. Reverse total shoulder arthroplasty that may affect shoulder proprioception (rTSA) has also begun to play a part in treating acute proximal humeral fractures. In this study, the authors aimed to evaluate joint position sense (JPS) after rTSA.
Methods
UNASSIGNED
Humac Norm II isokinetic device was used to evaluate the joint position sense. A joint angle was determined and the ability of the patient to create the same value of the angle by the active movement was evaluated. The difference between the pre-determined angle and the patient's measured angle was recorded. For proprioceptive sense, the initial position was 0° and the determination position was 30°, 60°, and 90° for flexion and abduction, and 15° and 30° for internal rotation and external rotation.
Results
UNASSIGNED
While both the mean Constant and ADLEIR scores did not differ between non-operated and operated sides, the mean proprioception differences in all flexion (30°, 60°, and 90°), abduction (30°, 60°, and 90°), internal rotation (15° and 30°), and external rotation (15° and 30°) were significantly higher in the operated side than that in non-operated side (
Conclusion
UNASSIGNED
Reverse total shoulder arthroplasty (rTSA) treatment, which has increasingly become a surgical option in un-reconstructable proximal humeral fractures has significant adverse effects on proprioception on the operated side and may pose a risk for long-term instability, premature loosening, and prosthesis mechanical complications, in this context, well-designed prospective controlled studies are required.
Identifiants
pubmed: 36507205
doi: 10.1007/s43465-022-00769-3
pii: 769
pmc: PMC9705661
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2245-2252Informations de copyright
© Indian Orthopaedics Association 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
Déclaration de conflit d'intérêts
Conflict of InterestThe authors declare that they have no affiliations with or involvement in any organization or entity with any financial interest.
Références
J Orthop Trauma. 2016 Aug;30 Suppl 2:S9-S10
pubmed: 27441943
J Bone Joint Surg Am. 1973 Jul;55(5):1016-25
pubmed: 4760087
J Bone Joint Surg Am. 2013 Nov 20;95(22):2050-5
pubmed: 24257664
BMC Musculoskelet Disord. 2021 Dec 20;22(1):1055
pubmed: 34930190
J Arthroplasty. 1997 Aug;12(5):541-5
pubmed: 9268794
Arch Orthop Trauma Surg. 2012 Jul;132(7):1003-10
pubmed: 22402768
Clin Sports Med. 2008 Jul;27(3):481-90, x
pubmed: 18503879
J Orthop. 2017 Sep 21;14(4):577-581
pubmed: 28970669
J Shoulder Elbow Surg. 2014 Feb;23(2):279-89
pubmed: 24418780
Neurosci Biobehav Rev. 2009 Mar;33(3):271-8
pubmed: 18793668
Muscle Nerve. 2006 Nov;34(5):545-58
pubmed: 16897766
Int Orthop. 2009 Dec;33(6):1641-7
pubmed: 18956186
Arch Orthop Trauma Surg. 2015 Feb;135(2):171-177
pubmed: 25556662
Eur J Orthop Surg Traumatol. 2013 Feb;23(2):177-83
pubmed: 23412449
Pol Orthop Traumatol. 2013 Feb 14;78:53-8
pubmed: 23407601
Ann Rheum Dis. 2002 May;61(5):422-8
pubmed: 11959766
J Shoulder Elbow Surg. 2014 May;23(5):693-700
pubmed: 24745318
Int Orthop. 2020 Dec;44(12):2691-2699
pubmed: 32803357
Arch Orthop Trauma Surg. 2001 Jul;121(7):422-5
pubmed: 11510910
J Shoulder Elbow Surg. 2008 Mar-Apr;17(2):355-61
pubmed: 18218327
Clin Orthop Relat Res. 2008 Mar;466(3):584-93
pubmed: 18219547
Arch Phys Med Rehabil. 2014 Dec;95(12):2444-69
pubmed: 24909587
J Athl Train. 2002 Jan;37(1):71-9
pubmed: 16558670
J Neurophysiol. 1983 Sep;50(3):684-7
pubmed: 6619913
J Hand Ther. 2017 Apr - Jun;30(2):221-231
pubmed: 28641738
EFORT Open Rev. 2021 Oct 19;6(10):918-931
pubmed: 34760291
J Shoulder Elbow Surg. 2005 Jul-Aug;14(4):345-8
pubmed: 16015231
J Shoulder Elbow Surg. 2021 May;30(5):994-1006
pubmed: 33301926
J Shoulder Elbow Surg. 1999 Jul-Aug;8(4):296-9
pubmed: 10471998