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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...

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Related Experiment Video

Updated: Jul 7, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Initial experience using the inverse prosthesis of the shoulder.

M Weissinger1, C Helmreich, E Teumann

  • 1Orthopaedic Centre of the Landesklinikum Waldviertel Zwettl, Austria.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|March 5, 2008
PubMed
Summary

Inverse shoulder prostheses offer significant pain relief and improved function for severe shoulder degeneration and cuff arthropathy. This technically demanding procedure, when carefully indicated and performed by experienced surgeons, yields excellent patient outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Reconstructive Surgery

Background:

  • Severe degenerative shoulder alterations and massive cuff arthropathy present significant challenges in joint reconstruction.
  • Traditional treatment options may be insufficient for advanced shoulder joint pathology.
  • Inverse shoulder arthroplasty has emerged as a potential solution for complex shoulder conditions.

Purpose of the Study:

  • To evaluate the efficacy of inverse shoulder prosthesis for severe shoulder degeneration and massive cuff arthropathy.
  • To describe the surgical technique and assess clinical outcomes, including complications.

Main Methods:

  • Retrospective analysis of 25 Delta inverse shoulder prostheses implanted between October 2000 and October 2005.
  • Hybrid technique with cementless glenoid component and cemented humeral component.
  • Lateral deltoid-splitting approach used in all cases.
  • Clinical and radiological follow-up at an average of 3 years and 9 months for 23 patients.

Main Results:

  • Significant pain reduction reported, with 60.9% of patients pain-free and 39.1% experiencing substantial improvement.
  • Marked improvements in shoulder mobility and daily activity levels observed across all patients.
  • Postoperative complication rate was 8% (2 luxations), with one requiring revision surgery. No wound healing issues or infections were noted.

Conclusions:

  • Inverse shoulder prosthesis is an effective treatment for severe shoulder degeneration and massive cuff arthropathy when indications are carefully selected.
  • The procedure is technically demanding and requires experienced shoulder surgeons for optimal results.
  • Experience and strict adherence to surgical technique can minimize complication rates, particularly luxations.