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Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Revision posterior shoulder stabilization.

Peter N Chalmers¹, James Hammond, Tristan Juhan

¹Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison, Chicago, IL 60612, USA.

Journal of Shoulder and Elbow Surgery

|February 19, 2013

Summary

Revision arthroscopic posterior stabilization can be successful with soft-tissue repair alone in select patients. This approach addresses labral pathology and capsular issues in recurrent posterior instability cases.

Keywords:

Level IV Review Manuscript Revision arthroscopy multidirectional instability posterior instability reoperation shoulder instability

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Reverse Total Shoulder Arthroplasty

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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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Published on: September 7, 2022

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomechanics

Background:

Revision arthroscopic posterior glenohumeral stabilization demands comprehensive knowledge of joint stabilizers.
Patient evaluation is complex due to diverse potential lesions in recurrent posterior instability.

Purpose of the Study:

To review literature on posterior instability and evaluate outcomes of revision arthroscopic stabilization.
To highlight concepts and outcomes from a personal database of posterior instability revision procedures.

Main Methods:

Literature review of recurrent and revision posterior instability (biomechanics, etiology, evaluation, treatment, outcomes).
Analysis of a private database of posterior instability cases and isolated revision procedures.

Main Results:

Selected patients may benefit from arthroscopic soft-tissue repair alone for revision posterior stabilization.
Recurrence often involves labral pathology or capsular issues, indicating the need for extensive capsular repair (180-270°).

Conclusions:

Arthroscopic soft-tissue repair alone can be indicated for revision posterior stabilization in specific cases.
Further research is needed to define clinical outcomes due to heterogeneity in reported results.