Factors that affect external rotation following reverse shoulder arthroplasty: a retrospective multi-centre study on 501 shoulders.
Bony increased offset RSA
Fatty infiltration
RSA
Reverse shoulder arthroplasty
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
21
03
2023
accepted:
25
05
2023
medline:
23
10
2023
pubmed:
15
6
2023
entrez:
15
6
2023
Statut:
ppublish
Résumé
The purpose of this multi-centre study was to assess external rotation in a large cohort following reverse shoulder arthroplasty (RSA) at a minimum follow-up of 2 years, and identify factors that influence postoperative and/or net-improvement of external rotation. The authors retrospectively reviewed records of 743 RSAs performed between January 2015 and August 2017 by 16 surgeons that participated in a large national society symposium; 193 (25.7%) were lost to follow-up, 16 (2.1%) died, and 33 (4.4%) were revised with implant exchange, which left 501 available for assessment at 2.0-5.5 years. Pre- and post-operative active forward elevation, active external rotation (ER1), active internal rotation (IR1) and constant score (CS) were collected. Regression analyses were performed to determine associations of patient demographics, surgical and implant parameters, rotator cuff muscles status and radiographic angles with ER1. Multivariable analyses revealed postoperative ER1 decreased with age (β, - 0.35), increased with lateralisation shoulder angle (LSA) (β, 0.26), and was better in shoulders operated by the antero-superior (AS) approach (β, 11.41), but worse in shoulders with absent/atrophic teres minor muscles (β, - 10.06). Net-improvement of ER1 increased with LSA (β, 0.39), was better with inlay stems (β, 8.33) and BIO RSA (β, 6.22), but worse in shoulders operated for primary OA with rotator cuff (RC) tears (β, - 16.26), for secondary OA due to RC tears (β, - 16.06), or for mRCT (β, - 18.96). This large multi-centre study revealed that, at a minimum of 2 years following RSA, ER1 improved by 16.1°. Postoperative ER1 was better in shoulders which had normal or hypertrophic teres minor muscles, were operated by the AS approach, or with greater LSA. Net-improvement of ER1 was better in shoulders with inlay stems, with BIO RSA, or with greater LSA, but worse in shoulders with rotator cuff deficiency. IV.
Identifiants
pubmed: 37318630
doi: 10.1007/s00402-023-04935-6
pii: 10.1007/s00402-023-04935-6
doi:
Types de publication
Multicenter Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6487-6496Investigateurs
Jacobus H Müller
(JH)
Aude Hibon
(A)
Luca Nover
(L)
Mo Saffarini
(M)
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Imai S (2021) Restoration of external rotation following a lateral approach for glenoid bony increased-offset reverse shoulder arthroplasty. JB JS Open Access. https://doi.org/10.2106/jbjs.Oa.20.00136
doi: 10.2106/jbjs.Oa.20.00136
pubmed: 34859173
pmcid: 8631387
Puzzitiello RN, Moverman MA, Menendez ME, Hart PA, Kirsch J, Jawa A (2021) Rotator cuff fatty infiltration and muscle atrophy do not impact clinical outcomes after reverse total shoulder arthroplasty for glenohumeral osteoarthritis with intact rotator cuff. J Shoulder Elbow Surg 30(11):2506–2513. https://doi.org/10.1016/j.jse.2021.03.135
doi: 10.1016/j.jse.2021.03.135
pubmed: 33774168
Nabergoj M, Onishi S, Lädermann A, Kalache H, Trebše R, Bothorel H, Collin P (2021) Can lateralization of reverse shoulder arthroplasty improve active external rotation in patients with preoperative fatty infiltration of the infraspinatus and teres minor? J Clin Med. https://doi.org/10.3390/jcm10184130
doi: 10.3390/jcm10184130
pubmed: 34830556
pmcid: 8622484
Collin P, Liu X, Denard PJ, Gain S, Nowak A, Lädermann A (2018) Standard versus bony increased-offset reverse shoulder arthroplasty: a retrospective comparative cohort study. J Shoulder Elbow Surg 27(1):59–64. https://doi.org/10.1016/j.jse.2017.07.020
doi: 10.1016/j.jse.2017.07.020
pubmed: 28969891
Collotte P, Gauci MO, Vieira TD, Walch G (2022) Bony increased-offset reverse total shoulder arthroplasty (BIO-RSA) associated with an eccentric glenosphere and an onlay 135° humeral component: clinical and radiological outcomes at a minimum 2-year follow-up. JSES Int 6(3):434–441. https://doi.org/10.1016/j.jseint.2021.12.008
doi: 10.1016/j.jseint.2021.12.008
pubmed: 35572427
pmcid: 9091798
Dimock R, Fathi Elabd M, Imam M, Middleton M, Godenèche A, Narvani AA (2021) Bony increased-offset reverse shoulder arthroplasty: a meta-analysis of the available evidence. Shoulder Elbow 13(1):18–27. https://doi.org/10.1177/1758573220916848
doi: 10.1177/1758573220916848
pubmed: 33717215
Kwapisz A, Rogers JP, Thigpen CA, Shanley E, Newton E, Adams KJ, Alexander R, Hawkins RJ, Kissenberth MJ, Tokish JM, Pill SG (2021) Infraspinatus or teres minor fatty infiltration does not influence patient outcomes after reverse shoulder arthroplasty with a lateralized glenoid. JSES Int 5(1):109–113. https://doi.org/10.1016/j.jseint.2020.09.019
doi: 10.1016/j.jseint.2020.09.019
pubmed: 33554175
Paclot J, Saab M, Szymanski C, Maynou C, Amouyel T (2021) A low teres minor index of trophicity negatively impacts the functional outcomes of reverse shoulder arthroplasty. Orthop Traumatol Surg Res 107(4):102902. https://doi.org/10.1016/j.otsr.2021.102902
doi: 10.1016/j.otsr.2021.102902
pubmed: 33775884
Young BL, Connor PM, Schiffern SC, Roberts KM, Hamid N (2020) Reverse shoulder arthroplasty with and without latissimus and teres major transfer for patients with combined loss of elevation and external rotation: a prospective, randomized investigation. J Shoulder Elbow Surg 29(5):874–881. https://doi.org/10.1016/j.jse.2019.12.024
doi: 10.1016/j.jse.2019.12.024
pubmed: 32305105
Koch M, Schmidt C, Kerschbaum M, Winkler T, Pfeifer CG, Greiner S (2021) Reversed shoulder arthroplasty leads to significant histological changes of the deltoid muscle: a prospective intervention trial. Arch Orthop Trauma Surg 141(7):1149–1154. https://doi.org/10.1007/s00402-020-03503-6
doi: 10.1007/s00402-020-03503-6
pubmed: 32529387
Kääb MJ, Kohut G, Irlenbusch U, Joudet T, Reuther F (2022) Reverse total shoulder arthroplasty in massive rotator cuff tears: does the Hamada classification predict clinical outcomes? Arch Orthop Trauma Surg 142(7):1405–1411. https://doi.org/10.1007/s00402-021-03755-w
doi: 10.1007/s00402-021-03755-w
pubmed: 33507376
Greiner S, Schmidt C, Herrmann S, Pauly S, Perka C (2015) Clinical performance of lateralized versus non-lateralized reverse shoulder arthroplasty: a prospective randomized study. J Shoulder Elbow Surg 24(9):1397–1404. https://doi.org/10.1016/j.jse.2015.05.041
doi: 10.1016/j.jse.2015.05.041
pubmed: 26163281
Müller M, Greve F, Crönlein M, Zyskowski M, Pesch S, Biberthaler P, Kirchhoff C, Beirer M (2022) Reconstruction or replacement? A challenging question in surgical treatment of complex humeral head fractures in the elderly. Arch Orthop Trauma Surg 142(11):3247–3254. https://doi.org/10.1007/s00402-021-04124-3
doi: 10.1007/s00402-021-04124-3
pubmed: 34432097
Neer CS 2nd, Craig EV, Fukuda H (1983) Cuff-tear arthropathy. J Bone Jt Surg Am 65(9):1232–1244
doi: 10.2106/00004623-198365090-00003
Hamada K, Fukuda H, Mikasa M, Kobayashi Y (1990) Roentgenographic findings in massive rotator cuff tears. A long-term observation. Clin Orthop Relat Res 254:92–96
doi: 10.1097/00003086-199005000-00014
Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 304:78–83
doi: 10.1097/00003086-199407000-00014
Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP (2012) Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy 28(2):154–159. https://doi.org/10.1016/j.arthro.2011.07.016
doi: 10.1016/j.arthro.2011.07.016
pubmed: 22019235
Walch G, Edwards TB, Boulahia A, Nové-Josserand L, Neyton L, Szabo I (2005) Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. J Shoulder Elbow Surg 14(3):238–246. https://doi.org/10.1016/j.jse.2004.07.008
doi: 10.1016/j.jse.2004.07.008
pubmed: 15889020
Boutsiadis A, Lenoir H, Denard PJ, Panisset JC, Brossard P, Delsol P, Guichard F, Barth J (2018) The lateralization and distalization shoulder angles are important determinants of clinical outcomes in reverse shoulder arthroplasty. J Shoulder Elbow Surg 27(7):1226–1234. https://doi.org/10.1016/j.jse.2018.02.036
doi: 10.1016/j.jse.2018.02.036
pubmed: 29602633
Simovitch R, Flurin PH, Wright T, Zuckerman JD, Roche CP (2018) Quantifying success after total shoulder arthroplasty: the substantial clinical benefit. J Shoulder Elbow Surg 27(5):903–911. https://doi.org/10.1016/j.jse.2017.12.014
doi: 10.1016/j.jse.2017.12.014
pubmed: 29398395
Simovitch R, Flurin PH, Wright T, Zuckerman JD, Roche CP (2018) Quantifying success after total shoulder arthroplasty: the minimal clinically important difference. J Shoulder Elbow Surg 27(2):298–305. https://doi.org/10.1016/j.jse.2017.09.013
doi: 10.1016/j.jse.2017.09.013
pubmed: 29162305
Nunes J, Andrade R, Azevedo C, Ferreira NV, Oliveira N, Calvo E, Espregueira-Mendes J, Sevivas N (2022) Improved clinical outcomes after lateralized reverse shoulder arthroplasty: a systematic review. Clin Orthop Relat Res 480(5):949–957. https://doi.org/10.1097/corr.0000000000002065
doi: 10.1097/corr.0000000000002065
pubmed: 34904964
Austin PC, Steyerberg EW (2015) The number of subjects per variable required in linear regression analyses. J Clin Epidemiol 68(6):627–636. https://doi.org/10.1016/j.jclinepi.2014.12.014
doi: 10.1016/j.jclinepi.2014.12.014
pubmed: 25704724
Van de Kleut ML, Yuan X, Teeter MG, Athwal GS (2022) Bony increased-offset reverse shoulder arthroplasty vs. metal augments in reverse shoulder arthroplasty: a prospective, randomized clinical trial with 2-year follow-up. J Shoulder Elbow Surg 31(3):591–600. https://doi.org/10.1016/j.jse.2021.11.007
doi: 10.1016/j.jse.2021.11.007
pubmed: 34968693
Simovitch RW, Helmy N, Zumstein MA, Gerber C (2007) Impact of fatty infiltration of the teres minor muscle on the outcome of reverse total shoulder arthroplasty. J Bone Jt Surg Am 89(5):934–939. https://doi.org/10.2106/jbjs.F.01075
doi: 10.2106/jbjs.F.01075
Wiater BP, Koueiter DM, Maerz T, Moravek JE Jr, Yonan S, Marcantonio DR, Wiater JM (2015) Preoperative deltoid size and fatty infiltration of the deltoid and rotator cuff correlate to outcomes after reverse total shoulder arthroplasty. Clin Orthop Relat Res 473(2):663–673. https://doi.org/10.1007/s11999-014-4047-2
doi: 10.1007/s11999-014-4047-2
pubmed: 25388633
Boileau P, Watkinson DJ, Hatzidakis AM, Balg F (2005) Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg 14(1 Suppl S):147s–161s. https://doi.org/10.1016/j.jse.2004.10.006
doi: 10.1016/j.jse.2004.10.006
pubmed: 15726075
Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Molé D (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Jt Surg Br 86(3):388–395. https://doi.org/10.1302/0301-620x.86b3.14024
doi: 10.1302/0301-620x.86b3.14024
Puskas GJ, Catanzaro S, Gerber C (2014) Clinical outcome of reverse total shoulder arthroplasty combined with latissimus dorsi transfer for the treatment of chronic combined pseudoparesis of elevation and external rotation of the shoulder. J Shoulder Elbow Surg 23(1):49–57. https://doi.org/10.1016/j.jse.2013.04.008
doi: 10.1016/j.jse.2013.04.008
pubmed: 23790326
De Fine M, Sartori M, Giavaresi G, De Filippis R, Agrò G, Cialdella S, Fini M, Pignatti G (2022) The role of subscapularis repair following reverse shoulder arthroplasty: systematic review and meta-analysis. Arch Orthop Trauma Surg 142(9):2147–2156. https://doi.org/10.1007/s00402-020-03716-9
doi: 10.1007/s00402-020-03716-9
pubmed: 33635398
Meshram P, Joseph J, Zhou Y, Srikumaran U, McFarland EG (2022) Lateralized glenosphere reverse shoulder arthroplasty: inlay and onlay designs have similar clinical outcomes in patients with glenohumeral osteoarthritis. J Shoulder Elbow Surg 31(4):747–754. https://doi.org/10.1016/j.jse.2021.08.016
doi: 10.1016/j.jse.2021.08.016
pubmed: 34543744
Larose G, Fisher ND, Gambhir N, Alben MG, Zuckerman JD, Virk MS, Kwon YW (2022) Inlay versus onlay humeral design for reverse shoulder arthroplasty: a systematic review and meta-analysis. J Shoulder Elbow Surg 31(11):2410–2420. https://doi.org/10.1016/j.jse.2022.05.002
doi: 10.1016/j.jse.2022.05.002
pubmed: 35671928
Jackson GR, Meade J, Young BL, Trofa DP, Schiffern SC, Hamid N, Saltzman BM (2023) Onlay versus inlay humeral components in reverse shoulder arthroplasty: a systematic review and meta-analysis. Shoulder Elbow 15(1):4–13. https://doi.org/10.1177/17585732211067171
doi: 10.1177/17585732211067171
pubmed: 36895614
Loucas R, Kriechling P, Loucas M, El Nashar R, Gerber C, Wieser K (2022) Reverse total shoulder arthroplasty in patients with type B2, B3, and type C glenoids: comparable clinical outcome to patients without compromised glenoid bone stock-a matched pair analysis. Arch Orthop Trauma Surg 142(12):3687–3695. https://doi.org/10.1007/s00402-021-03939-4
doi: 10.1007/s00402-021-03939-4
pubmed: 34076712
Dubiel MJ, Kolz JM, Tagliero AJ, Larson DR, Maradit Kremers H, Cofield RR, Sperling JW, Sanchez-Sotelo J (2022) Analysis of patient characteristics and outcomes related to distance traveled to a tertiary center for primary reverse shoulder arthroplasty. Arch Orthop Trauma Surg 142(7):1421–1428. https://doi.org/10.1007/s00402-021-03764-9
doi: 10.1007/s00402-021-03764-9
pubmed: 33507377
Gillespie RJ, Garrigues GE, Chang ES, Namdari S, Williams GR Jr (2015) Surgical exposure for reverse total shoulder arthroplasty: differences in approaches and outcomes. Orthop Clin North Am 46(1):49–56. https://doi.org/10.1016/j.ocl.2014.09.015
doi: 10.1016/j.ocl.2014.09.015
pubmed: 25435034