Work

Reverse Total Shoulder Arthroplasty for Treatment of Massive, Irreparable Rotator Cuff Tear

Year: 2022

Type: article

Abstract: Massive tears of the rotator cuff can result in severe functional deficits due to loss of the axial force couple and effective fulcrum that the intact cuff normally provides. For massive, irreparable rotator cuff tears, especially in the setting of early to moderate degenerative changes, reverse total shoulder arthroplasty functions to modify the center of joint rotation, allowing the deltoid and intact components of the cuff to carry out shoulder function more effectively. Our preferred technique uses a standard open deltopectoral shoulder approach with a 3-dimensional glenoid baseplate model and a 135° prosthesis in an onlay configuration to reduce the risk of scapular notching and increase lateralization of the humerus.

Source: Arthroscopy Techniques

DOI: 10.1016/j.eats.2022.02.022

Authors: Fletcher R. Preuss, Hannah K. Day, Annalise M. Peebles, Mitchell S. Mologne, Matthew T. Provencher

Institutions: University of California, Los Angeles, Los Angeles Medical Center, Steadman Philippon Research Institute, Steadman Clinic

Language: English

Topic: Shoulder Injury and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975