|
The Journal of Bone and Joint Surgery, Vol 75, Issue 4 492-497, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
Instability of the shoulder after arthroplasty
BH Moeckel, DW Altchek, RF Warren, TL Wickiewicz and DM Dines
Shoulder Service, Hospital for Special Surgery, New York City, N.Y. 10021.
A replacement arthroplasty was performed in 236 shoulders at The Hospital
for Special Surgery from 1984 through 1989. Ten patients (eight women and
two men) from that group were identified as having instability of the
shoulder at the time of follow-up, and the results for these patients were
reviewed retrospectively. The ages of the patients ranged from fifty-six to
seventy-nine years. The instability was anterior in seven of the patients
and posterior in three. The anterior instability was caused by a rupture of
the repaired subscapularis tendon. The operative treatment of the anterior
instability consisted of mobilization and repair of the tendon, but three
of the seven patients continued to have instability. A static stabilizer,
consisting of an allograft of Achilles tendon, was inserted in these three
patients, and the result was a success. The etiology of the posterior
instability (three patients) was multifactorial. Treatment consisted of
correction of any soft-tissue imbalance and revision of the prosthetic
components as necessary. All ten patients were followed clinically and
radiographically for at least two years. All of the patients had some loss
of motion of the shoulder as compared with the motion before the
dislocation. There were no neurovascular complications, problems related to
the allografts, or any other complications. We concluded that proper
balancing of the soft tissues and positioning of the prosthetic components
are essential to a successful arthroplasty of the shoulder. The
postoperative rehabilitation should include a physical therapy program in
which the range of motion of the arm that was achieved in the operating
room is not exceeded.(ABSTRACT TRUNCATED AT 250 WORDS)
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
K. I. Bohsali, M. A. Wirth, and C. A. Rockwood Jr.
Complications of Total Shoulder Arthroplasty
J. Bone Joint Surg. Am.,
October 1, 2006;
88(10):
2279 - 2292.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. S. Dines, S. Fealy, E. J. Strauss, A. Allen, E. V. Craig, R. F. Warren, and D. M. Dines
Outcomes Analysis of Revision Total Shoulder Replacement
J. Bone Joint Surg. Am.,
July 1, 2006;
88(7):
1494 - 1500.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Matsoukis, W. Tabib, P. Guiffault, A. Mandelbaum, G. Walch, C. Nemoz, Z. E. Cortes, and T. B. Edwards
Primary Unconstrained Shoulder Arthroplasty in Patients with a Fixed Anterior Glenohumeral Dislocation
J. Bone Joint Surg. Am.,
March 1, 2006;
88(3):
547 - 552.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. A. Ponce, R. S. Ahluwalia, A. D. Mazzocca, R. G. Gobezie, J. J.P. Warner, and P. J. Millett
Biomechanical and Clinical Evaluation of a Novel Lesser Tuberosity Repair Technique in Total Shoulder Arthroplasty
J. Bone Joint Surg. Am.,
December 1, 2005;
87(suppl_2):
1 - 8.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Gerber, E. H. Yian, C. A.W. Pfirrmann, M. A. Zumstein, and C. M.L. Werner
Subscapularis Muscle Function and Structure After Total Shoulder Replacement with Lesser Tuberosity Osteotomy and Repair
J. Bone Joint Surg. Am.,
August 1, 2005;
87(8):
1739 - 1745.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. E. Spencer Jr., A. Valdevit, H. Kambic, J. J. Brems, and J. P. Iannotti
The Effect of Humeral Component Anteversion on Shoulder Stability with Glenoid Component Retroversion
J. Bone Joint Surg. Am.,
April 1, 2005;
87(4):
808 - 814.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. J. Millett, P. Clavert, and J. J.P. Warner
Open Operative Treatment for Anterior Shoulder Instability: When and Why?
J. Bone Joint Surg. Am.,
February 1, 2005;
87(2):
419 - 432.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Sanchez-Sotelo, J. W. Sperling, C. M. Rowland, and R. H. Cofield
Instability After Shoulder Arthroplasty: Results of Surgical Treatment
J. Bone Joint Surg. Am.,
March 31, 2003;
85(4):
622 - 631.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. J.P. Warner, A. A. Venegas, J. T. Lehtinen, and J. J. Macy
Management of Capsular Deficiency of the Shoulder : A Report of Three Cases
J. Bone Joint Surg. Am.,
September 3, 2002;
84(9):
1668 - 1671.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. Hill and T. R. Norris
Long-Term Results of Total Shoulder Arthroplasty Following Bone-Grafting of the Glenoid
J. Bone Joint Surg. Am.,
June 1, 2001;
83(6):
877 - 883.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
M. A. WIRTH and C. A. ROCKWOOD JR.
Operative Treatment of Irreparable Rupture of the Subscapularis*{{dagger}}
J. Bone Joint Surg. Am.,
May 1, 1997;
79(5):
722 - 31.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
M. A. WIRTH and C. A. ROCKWOOD JR.
Current Concepts Review - Complications of Total Shoulder-Replacement Arthroplasty
J. Bone Joint Surg. Am.,
April 1, 1996;
78(4):
603 - 16.
[Full Text]
|
|
|
|
