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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Orthopedic evaluation and surgical treatment of the spastic shoulder
Surena Namdari1, Keith Baldwin, John G Horneff
1Thomas Jefferson University Hospital, Rothman Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.
The Orthopedic Clinics of North America
|October 8, 2013
Abstract:
The spastic shoulder can often result from brain injury that causes disruption in the upper motor neuron inhibitory pathways. Patients develop dyssynergic muscle activation, muscle weakness, and contractures and often present with fixed adduction and internal rotation deformity to the limb. This article reviews the importance of a comprehensive preoperative evaluation and discusses appropriate treatment strategies based on preoperative evaluation.
