Le sexe influence-t-il le risque de prothèse d'épaule ?
Oui, les femmes sont souvent plus susceptibles de développer des problèmes d'épaule nécessitant une prothèse.
SexeProblèmes d'épauleRisque
{
"@context": "https://schema.org",
"@graph": [
{
"@type": "MedicalWebPage",
"name": "Prothèse d'épaule : Questions médicales les plus fréquentes",
"headline": "Prothèse d'épaule : Comprendre les symptômes, diagnostics et traitements",
"description": "Guide complet et accessible sur les Prothèse d'épaule : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.",
"datePublished": "2024-01-16",
"dateModified": "2025-04-10",
"inLanguage": "fr",
"medicalAudience": [
{
"@type": "MedicalAudience",
"name": "Grand public",
"audienceType": "Patient",
"healthCondition": {
"@type": "MedicalCondition",
"name": "Prothèse d'épaule"
},
"suggestedMinAge": 18,
"suggestedGender": "unisex"
},
{
"@type": "MedicalAudience",
"name": "Médecins",
"audienceType": "Physician",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "France"
}
},
{
"@type": "MedicalAudience",
"name": "Chercheurs",
"audienceType": "Researcher",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "International"
}
}
],
"reviewedBy": {
"@type": "Person",
"name": "Dr Olivier Menir",
"jobTitle": "Expert en Médecine",
"description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale",
"url": "/static/pages/docteur-olivier-menir.html",
"alumniOf": {
"@type": "EducationalOrganization",
"name": "Université Paris Descartes"
}
},
"isPartOf": {
"@type": "MedicalWebPage",
"name": "Prothèse articulaire",
"url": "https://questionsmedicales.fr/mesh/D007595",
"about": {
"@type": "MedicalCondition",
"name": "Prothèse articulaire",
"code": {
"@type": "MedicalCode",
"code": "D007595",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "E07.695.400"
}
}
},
"about": {
"@type": "MedicalCondition",
"name": "Prothèse d'épaule",
"alternateName": "Shoulder Prosthesis",
"code": {
"@type": "MedicalCode",
"code": "D000072227",
"codingSystem": "MeSH"
}
},
"author": [
{
"@type": "Person",
"name": "Patrick J Denard",
"url": "https://questionsmedicales.fr/author/Patrick%20J%20Denard",
"affiliation": {
"@type": "Organization",
"name": ""
}
},
{
"@type": "Person",
"name": "Christopher P Roche",
"url": "https://questionsmedicales.fr/author/Christopher%20P%20Roche",
"affiliation": {
"@type": "Organization",
"name": "Exactech, Inc., Gainesville, FL, USA."
}
},
{
"@type": "Person",
"name": "Pierre-Henri Flurin",
"url": "https://questionsmedicales.fr/author/Pierre-Henri%20Flurin",
"affiliation": {
"@type": "Organization",
"name": "Bordeaux-Merignac Clinic, Bordeaux, France."
}
},
{
"@type": "Person",
"name": "Thomas W Wright",
"url": "https://questionsmedicales.fr/author/Thomas%20W%20Wright",
"affiliation": {
"@type": "Organization",
"name": "Department of Orthopaedics, University of Florida, Gainesville, FL, USA."
}
},
{
"@type": "Person",
"name": "Joseph D Zuckerman",
"url": "https://questionsmedicales.fr/author/Joseph%20D%20Zuckerman",
"affiliation": {
"@type": "Organization",
"name": "NYU Langone Medical Center, New York, NY, USA."
}
}
],
"citation": [
{
"@type": "ScholarlyArticle",
"name": "[The shoulder prosthesis in the past 7 years: increasingly used, with good results].",
"datePublished": "2023-09-06",
"url": "https://questionsmedicales.fr/article/37688455",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": null
}
},
{
"@type": "ScholarlyArticle",
"name": "Aseptic glenoid baseplate loosening after reverse total shoulder arthroplasty with a single prosthesis.",
"datePublished": "2023-02-02",
"url": "https://questionsmedicales.fr/article/36736657",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.jse.2023.01.010"
}
},
{
"@type": "ScholarlyArticle",
"name": "Longitudinal analysis of shoulder arthroplasty utilization, clinical outcomes, and value: a comparative assessment of changes in improvement over 15 years with a single platform shoulder prosthesis.",
"datePublished": "2023-01-18",
"url": "https://questionsmedicales.fr/article/36681103",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.jse.2022.12.018"
}
},
{
"@type": "ScholarlyArticle",
"name": "Early rehabilitation after reverse total shoulder prosthesis on fracture of proximal humerus in elderly patients provides better functional outcome.",
"datePublished": "2023-03-14",
"url": "https://questionsmedicales.fr/article/36914883",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s00590-023-03505-1"
}
},
{
"@type": "ScholarlyArticle",
"name": "Impact of accumulating risk factors on the acromial and scapular fracture rate after reverse total shoulder arthroplasty with a medialized glenoid-lateralized humerus onlay prosthesis.",
"datePublished": "2023-01-31",
"url": "https://questionsmedicales.fr/article/36731625",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.jse.2022.12.026"
}
}
],
"breadcrumb": {
"@type": "BreadcrumbList",
"itemListElement": [
{
"@type": "ListItem",
"position": 1,
"name": "questionsmedicales.fr",
"item": "https://questionsmedicales.fr"
},
{
"@type": "ListItem",
"position": 2,
"name": "Équipement et fournitures",
"item": "https://questionsmedicales.fr/mesh/D004864"
},
{
"@type": "ListItem",
"position": 3,
"name": "Prothèses et implants",
"item": "https://questionsmedicales.fr/mesh/D019736"
},
{
"@type": "ListItem",
"position": 4,
"name": "Prothèse articulaire",
"item": "https://questionsmedicales.fr/mesh/D007595"
},
{
"@type": "ListItem",
"position": 5,
"name": "Prothèse d'épaule",
"item": "https://questionsmedicales.fr/mesh/D000072227"
}
]
}
},
{
"@type": "MedicalWebPage",
"name": "Article complet : Prothèse d'épaule - Questions et réponses",
"headline": "Questions et réponses médicales fréquentes sur Prothèse d'épaule",
"description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.",
"datePublished": "2025-05-13",
"inLanguage": "fr",
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Diagnostic",
"headline": "Diagnostic sur Prothèse d'épaule",
"description": "Comment diagnostiquer une nécessité de prothèse d'épaule ?\nQuels symptômes indiquent une prothèse d'épaule ?\nQuels tests sont utilisés pour évaluer l'épaule ?\nQuand consulter un spécialiste pour l'épaule ?\nQuels signes cliniques nécessitent une prothèse ?",
"url": "https://questionsmedicales.fr/mesh/D000072227#section-diagnostic"
},
{
"@type": "MedicalWebPage",
"name": "Symptômes",
"headline": "Symptômes sur Prothèse d'épaule",
"description": "Quels sont les symptômes d'une épaule endommagée ?\nLa douleur de l'épaule est-elle toujours liée à une prothèse ?\nComment la douleur de l'épaule affecte-t-elle la vie quotidienne ?\nQuels mouvements sont douloureux avec une épaule endommagée ?\nY a-t-il des signes d'infection après une prothèse ?",
"url": "https://questionsmedicales.fr/mesh/D000072227#section-symptômes"
},
{
"@type": "MedicalWebPage",
"name": "Prévention",
"headline": "Prévention sur Prothèse d'épaule",
"description": "Comment prévenir les blessures à l'épaule ?\nY a-t-il des exercices spécifiques pour l'épaule ?\nComment éviter l'arthrose de l'épaule ?\nLes sports peuvent-ils causer des problèmes d'épaule ?\nQuand consulter pour des douleurs à l'épaule ?",
"url": "https://questionsmedicales.fr/mesh/D000072227#section-prévention"
},
{
"@type": "MedicalWebPage",
"name": "Traitements",
"headline": "Traitements sur Prothèse d'épaule",
"description": "Quels traitements précèdent une prothèse d'épaule ?\nQuelle est la durée de réhabilitation après une prothèse d'épaule ?\nQuels sont les types de prothèses d'épaule disponibles ?\nQuelles sont les complications possibles d'une prothèse d'épaule ?\nComment se déroule l'opération de prothèse d'épaule ?",
"url": "https://questionsmedicales.fr/mesh/D000072227#section-traitements"
},
{
"@type": "MedicalWebPage",
"name": "Complications",
"headline": "Complications sur Prothèse d'épaule",
"description": "Quelles sont les complications post-opératoires fréquentes ?\nComment gérer une luxation de prothèse d'épaule ?\nQuels signes indiquent une usure de la prothèse ?\nLes complications peuvent-elles survenir des années après l'opération ?\nComment prévenir les complications après une prothèse ?",
"url": "https://questionsmedicales.fr/mesh/D000072227#section-complications"
},
{
"@type": "MedicalWebPage",
"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Prothèse d'épaule",
"description": "Quels sont les facteurs de risque pour une prothèse d'épaule ?\nLe surpoids est-il un facteur de risque ?\nLes sports de contact augmentent-ils les risques ?\nLes antécédents familiaux influencent-ils le risque ?\nLe sexe influence-t-il le risque de prothèse d'épaule ?",
"url": "https://questionsmedicales.fr/mesh/D000072227#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Comment diagnostiquer une nécessité de prothèse d'épaule ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un examen clinique et des imageries comme des radiographies ou IRM sont nécessaires."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une prothèse d'épaule ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur persistante, mobilité réduite et déformation de l'épaule peuvent indiquer un besoin."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer l'épaule ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests fonctionnels et des imageries sont utilisés pour évaluer l'état de l'épaule."
}
},
{
"@type": "Question",
"name": "Quand consulter un spécialiste pour l'épaule ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Si la douleur persiste malgré le traitement conservateur, consultez un spécialiste."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques nécessitent une prothèse ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Instabilité, douleur intense et incapacité à réaliser des activités quotidiennes sont des signes."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes d'une épaule endommagée ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur, raideur, faiblesse musculaire et crépitements lors des mouvements sont fréquents."
}
},
{
"@type": "Question",
"name": "La douleur de l'épaule est-elle toujours liée à une prothèse ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la douleur peut être causée par d'autres conditions comme la tendinite ou l'arthrose."
}
},
{
"@type": "Question",
"name": "Comment la douleur de l'épaule affecte-t-elle la vie quotidienne ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut limiter les mouvements, affecter le sommeil et rendre les tâches quotidiennes difficiles."
}
},
{
"@type": "Question",
"name": "Quels mouvements sont douloureux avec une épaule endommagée ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les mouvements au-dessus de la tête et les rotations peuvent être particulièrement douloureux."
}
},
{
"@type": "Question",
"name": "Y a-t-il des signes d'infection après une prothèse ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, rougeur, chaleur, gonflement et fièvre peuvent indiquer une infection post-opératoire."
}
},
{
"@type": "Question",
"name": "Comment prévenir les blessures à l'épaule ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les mouvements répétitifs et renforcez les muscles de l'épaule par des exercices."
}
},
{
"@type": "Question",
"name": "Y a-t-il des exercices spécifiques pour l'épaule ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des exercices de renforcement et d'étirement peuvent aider à maintenir la santé de l'épaule."
}
},
{
"@type": "Question",
"name": "Comment éviter l'arthrose de l'épaule ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenez un poids santé, restez actif et évitez les traumatismes répétés à l'épaule."
}
},
{
"@type": "Question",
"name": "Les sports peuvent-ils causer des problèmes d'épaule ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains sports comme le tennis ou la natation peuvent augmenter le risque de blessures."
}
},
{
"@type": "Question",
"name": "Quand consulter pour des douleurs à l'épaule ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Consultez un médecin si la douleur persiste plus de quelques jours ou s'aggrave."
}
},
{
"@type": "Question",
"name": "Quels traitements précèdent une prothèse d'épaule ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements conservateurs incluent la physiothérapie, les anti-inflammatoires et les infiltrations."
}
},
{
"@type": "Question",
"name": "Quelle est la durée de réhabilitation après une prothèse d'épaule ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La réhabilitation dure généralement de 3 à 6 mois, selon la complexité de la chirurgie."
}
},
{
"@type": "Question",
"name": "Quels sont les types de prothèses d'épaule disponibles ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il existe des prothèses totales, hémiprothèses et inversées, selon la pathologie."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une prothèse d'épaule ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'infection, la luxation et l'usure de la prothèse."
}
},
{
"@type": "Question",
"name": "Comment se déroule l'opération de prothèse d'épaule ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'opération se fait sous anesthésie générale et implique l'ablation de l'articulation endommagée."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications post-opératoires fréquentes ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les infections, les saignements et les douleurs persistantes sont des complications possibles."
}
},
{
"@type": "Question",
"name": "Comment gérer une luxation de prothèse d'épaule ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une luxation nécessite souvent une réduction manuelle et parfois une intervention chirurgicale."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une usure de la prothèse ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur accrue, mobilité réduite et bruits anormaux peuvent indiquer une usure de la prothèse."
}
},
{
"@type": "Question",
"name": "Les complications peuvent-elles survenir des années après l'opération ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des complications comme l'usure ou l'infection peuvent survenir des années après."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications après une prothèse ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Suivez les recommandations post-opératoires, faites de la réhabilitation et surveillez les signes d'infection."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque pour une prothèse d'épaule ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge avancé, les antécédents de blessures et les maladies articulaires augmentent les risques."
}
},
{
"@type": "Question",
"name": "Le surpoids est-il un facteur de risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le surpoids peut augmenter la pression sur les articulations et favoriser les blessures."
}
},
{
"@type": "Question",
"name": "Les sports de contact augmentent-ils les risques ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les sports de contact comme le football ou le rugby augmentent le risque de blessures à l'épaule."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de maladies articulaires peuvent augmenter le risque personnel."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque de prothèse d'épaule ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes sont souvent plus susceptibles de développer des problèmes d'épaule nécessitant une prothèse."
}
}
]
}
]
}
Department of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137, Karlsruhe, Germany. jonas.schmalzl@vincentius-ka.de.
Department of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137, Karlsruhe, Germany.
Department of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137, Karlsruhe, Germany.
The shoulder prosthesis is increasingly used as a solution for various shoulder problems. On the basis of a few cases, an overview is given of the various situations in which a shoulder prosthesis can...
Early reverse total shoulder arthroplasty (rTSA) designs had high failure rates, mainly from loosening of the glenoid baseplate. The purpose of this study was to determine the incidence of aseptic gle...
A total of 7162 patients underwent primary rTSA with a single-platform rTSA system between April 2007 and August 2021; of these primary rTSA patients, 3127 with a minimum 2-year follow-up period were ...
Irrespective of minimum follow-up, 53 of 7162 primary rTSA shoulders (31 female and 22 male shoulders) experienced aseptic glenoid loosening, for an overall rate of 0.74%. At latest (2-year minimum) f...
The incidence of aseptic glenoid baseplate loosening was 0.74% for the evaluated medialized glenoid-lateralized humerus rTSA system. Numerous risk factors for aseptic loosening were identified, includ...
The goal of this longitudinal analysis of anatomic total shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA) utilization from 2007 to 2021 is to quantify changes in clinical ou...
We analyzed an international database of a single SA prosthesis (Equinoxe; Exactech, Inc.; Gainesville, FL, USA) for all clinical sites that have continuously enrolled cases from 2007 to 2021 to compa...
A dramatic increase in rTSA utilization was observed across the 6 sites over the 15-year study period, along with a rapid adoption of new aTSA and rTSA technologies. The average patient receiving prim...
Our 6042-patient longitudinal analysis quantified numerous changes in utilization, outcomes, and value across 6 clinical sites over the 15-year study period. Rapid adoption of new aTSA and rTSA techno...
Reverse total shoulder arthroplasty (RSA) has revolutionized the management of proximal humerus fractures (PHF) in the elderly patients. There is few or no consensus regarding to management of postope...
94 patients operated on for PHF were evaluated retrospectively, with a minimum radio-clinical follow-up of 2 years. Clinical evaluation included mobilities and four functional scores: ASES, quick DASH...
The mean follow-up was 45 ± 19 months (24-88 months). Early rehabilitation was significantly associated with a better Constant Score (71.1 ± 17.2 vs. 56.4 ± 15.8; p < 0.001), better adjusted Constant ...
In traumatology, functional result of RSA seems not related in tuberosities' union but in rehabilitation in order to limit postoperative stiffness of operated shoulder. An early rehabilitation is rela...
3, control-case study....
Identifying risk factors for acromial and scapular fractures improves our understanding about which variables are relevant to these fracture complications; however, these data are difficult to integra...
We retrospectively analyzed 9079 rTSA patients from a multicenter database of rTSA procedures performed with a single medialized glenoid-lateralized humerus onlay rTSA prosthesis to quantify the rate ...
A fracture of the acromion or scapula was radiographically identified in 138 of 9079 patients, for a rate of 1.52%. Patients with fractures were more likely to be older, of female sex, to have a diagn...
This 9079-rTSA multicenter study demonstrated that 1.52% of patients experienced acromial and/or scapular fractures with a single medialized glenoid-lateralized humerus onlay rTSA prosthesis. Our anal...
The concept of stemless shoulder arthroplasty was born in 2005. It is now a valid option in the context of either anatomical or reverse shoulder replacement. Several questions have come up over our 15...
Extensive proximal humeral bone loss in the setting of shoulder arthroplasty represents a difficult challenge for the treating surgeon. Achieving adequate fixation with standard humeral prostheses can...
We retrospectively reviewed all patients with minimum 2-year follow-up who underwent implantation of an RHRP for either (1) failed shoulder arthroplasty or (2) proximal humerus fracture with severe bo...
Of the 44 RHRPs evaluated, 93% (n = 39) had undergone prior surgery and 70% (n = 30) were performed for failed arthroplasty. ROM improved significantly in abduction by 22° (P = .006) and forward eleva...
These data demonstrate that the RHRP resulted in significant improvements in ROM, pain, and patient-reported outcome measures, without the risk of early humeral component loosening. RHRP represents an...
The reverse shoulder arthroplasty conceived by Paul Grammont in 1985 has gradually gained popularity as a treatment for multiple shoulder diseases. Unlike previous reverse shoulder prosthesis characte...
Stemmed anatomic total shoulder arthroplasty has represented the gold standard for the treatment of glenohumeral osteoarthritis with an intact rotator cuff for decades. To the author's knowledge, no s...
A prospectively collected database of patients undergoing primary, modular, stemless anatomic total shoulder arthroplasty for osteoarthritis was retrospectively reviewed. Patient-determined outcomes i...
Stemless arthroplasty was planned in 116 patients. Seven patients underwent conversion intraoperatively to a stemmed prosthesis. There was no difference between patients aged <70 yr and those aged ≥70...
Age ≥70 years does not appear to be a contraindication to stemless anatomic total shoulder arthroplasty. Postoperative improvements in patient-determined outcome scores, the percentage of patients ach...
Scapular notching is a well-known postoperative complication of reverse total shoulder arthroplasty (RTSA). However, subacromial notching (SaN), a subacromial erosion caused by repeated abduction impi...
We retrospectively reviewed the medical records of 125 patients who underwent RTSA with the same design between March 2014 and May 2017 and had at least 2 years of follow-up. SaN was defined as subacr...
SaN occurred in 12.8% (16/125) of enrolled patients during the study period. Preoperative center of rotation-acromion distance (P = .009) and postoperative humerus lateralization offset, which evaluat...
SaN might adversely affect postoperative clinical outcomes. As SaN correlated with patients' anatomical characteristics and degree of lateralization during RTSA, the implant's degree of lateralization...