Titre : Prothèse d'épaule

Prothèse d'épaule : Questions médicales fréquentes

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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?page=2#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?page=2#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?page=2#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?page=2#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?page=2#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." } } ] } ] }

Sources (4894 au total)

Humeral loosening in reverse shoulder arthroplasty: an analysis of 2,342 cases.

Humeral loosening is a rare complication in reverse shoulder arthroplasty (RSA) representing approximately 1% of total complications. The purpose of this study is to identify patients who underwent RS... A retrospective review of all patients who received a primary RSA or revision RSA (rRSA) by a single surgeon from 2002-2021 identified a total of 1591 primary RSA and 751 rRSA procedures. These proced... In primary RSAs, procedures performed for fracture or fracture sequelae were associated with revision for humeral-sided loosening (P = .009). In rRSAs, procedures performed for failed hemiarthroplasty... Humeral loosening is rare in RSA. In our cohort, 0.7% of the primary RSAs performed and 2.8% of the rRSAs performed were eventually revised for humeral loosening. Revisions of RSA for humeral loosenin...

Pectoralis-major-pedicled bone window for revision of a shoulder arthroplasty.

The aim of this study is to review our experience with the pectoralis-major-pedicled bone window for the revision of shoulder arthroplasty.... This study used the retrospective case series of six patients who underwent a pectoralis-major-pedicled bone window for revision of shoulder arthroplasty, with a minimum follow-up of 2 years. Demograp... The mean age of the included patients was 72.6 years old (standard deviation (SD) 4.7), and 83.3% were women (5/1). The mean follow-up was 36.6 months (range 25-48 months). Five patients had a shoulde... Revision of a shoulder arthroplasty using a pectoralis-major-pedicled bone window can be an effective treatment that can yield pain relief; however, improvements in motion and function were difficult ...

Outcomes following revision of a failed primary reverse shoulder arthroplasty.

Reverse shoulder arthroplasty (RSA) has become the most common type of shoulder arthroplasty used in the UK, and a better understanding of the outcomes after revision of a failed RSA is needed. The ai... MEDLINE, Embase, CENTRAL, and the Cochrane Database of Systematic Reviews were searched. Studies involving adult patients who underwent revision of a primary RSA for any indication were included. Thos... The initial search elicited 3,166 results and, following removal of duplicates and screening, 13 studies with a total of 1,042 RSAs were identified. An increase in shoulder scores pre- to postoperativ... This is the largest systematic review of the outcomes following revision of a RSA. We found an improvement in functional outcomes after revision surgery, but the rates of re-revision and complications...

Complications and revisions in anatomic and reverse short stem shoulder arthroplasty.

One current trend in the field of shoulder arthroplasty is a design shift to shorter and metaphyseal fixed humeral stem components. The aim of this investigation is to analyze complications resulting ... A total of 279 short stem shoulder prostheses were implanted by the same surgeon (162 ASA; 117 RSA), and 223 of these prostheses were implanted as primary procedures; in 54 cases, arthroplasty was per... In total, 268 prostheses (96.1%) were available for FU1; 267 prostheses (95.7%) were available for FU2 and 218 prostheses (77.8%) were available for FU3. The average time for FU3 was 53.0 months (rang... Primary reverse shoulder arthroplasty had a significantly higher rate of complications and revisions than primary and secondary anatomic shoulder arthroplasty, respectively. Therefore, indications for...

Does isolated glenosphere lateralization affect outcomes in reverse shoulder arthroplasty?

While lateralization of the glenohumeral center of rotation during reverse shoulder arthroplasty (RSA) has benefits of maintaining tension on the remaining rotator cuff and decreasing implant impingem... A retrospective review from a multicenter shoulder arthroplasty research database was performed between 2011 and 2018 using a single implant system to perform this case-controlled study. Inclusion cri... Both groups were of similar average age and follow-up. They also had comparable rates of prior surgery and comorbidities. The lateralized glenosphere group had a slightly higher BMI (31.2 vs. 29.2, p=... In a medialized glenosphere/lateralized humerus design, a +4mm lateralized glenosphere provided no significant advantage in postoperative pain, ROM, or outcome scores. However, lateralized glenosphere... III; retrospective cohort comparison; treatment study....

Midterm clinical outcome of uncemented short-stem reversed shoulder arthroplasty.

While the incidence of reverse total shoulder arthroplasty (rTSA) is increasing constantly, newer implants with designs other than the classic Grammont geometry are gaining importance. More anatomic i... This is a retrospective study of all patients with primary rTSA using an USSP and a combined humeral inclination angle of 145° (Ascend™ flex, Stryker) with a minimum clinical follow-up of 2 years. The... A total of 84 out of 99 (85%) patients with a mean FU of 46.7 months (range 24-80 months) could be included: 62 women and 22 men with a mean age of 74.7 years. Mean ASES score significantly increased ... The midterm clinical outcome of primary reverse total shoulder arthroplasty (rTSA) with an uncemented humeral short stem and a humeral inclination angle of 145° showed good-to-excellent results with a... Treatment study, Level IV....

High revision rate of metal-backed glenoid component and impact on the overall revision rate of stemless total shoulder arthroplasty: a cohort study from the Danish Shoulder Arthroplasty Registry.

There is controversy regarding the results of stemmed and stemless total shoulder arthroplasty (TSA) used for osteoarthritis. Therefore, we aimed to compare revision rates of stemmed and stemless TSA ... We included all patients reported to the Danish Shoulder Arthroplasty Register from January 1, 2012 to December 31, 2022 with an anatomical TSA used for osteoarthritis. Primary outcome was revision (r... 3,338 arthroplasties were included. The hazard ratio for revision of stemless TSA adjusted for age and sex was 1.83 (95% confidence interval [CI] 1.21-2.78) with stemmed TSA as reference. When excludi... We showed that the risk of revision of stemless TSAs was increased and that it was related to their combination with metal-backed glenoid components....

Use of a locking stem for reverse shoulder arthroplasty is a rare but reliable option.

RSA is widely used in the treatment of complex trauma or degenerative changes of the shoulder. Strong primary fixation of the stem is necessary to prevent any loosening of the stem and subsequent revi... We performed a retrospective multicenter study of patients implanted with the Humelock Reversed® stem RSA that can be locked with distal humeral screws in cases of operative poor press fit or to modul... No difference was seen in radiological or clinical results for patients with or without interlocking screw primary stabilization. For non-trauma patients, the mean raw Constant score improved signific... Even if use of a distal interlocking screw fixation system is rare, it can be useful for patients with poor quality fixation of stemmed RSA.... Use of an interlocking screw system to stabilize the stem in RSA provides good immediate and midterm stability of the implant allowing for clinical and radiological outcomes comparable to those obtain...