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Reverse Total Shoulder Arthroplasty
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Current peri-operative imaging concepts surrounding shoulder arthroplasty.

Travis J Dekker1, J R Steele2, E V Vinson3

  • 1Department of Orthopaedics, Duke University Hospital, 2301 Erwin Road, Durham, NC, 27710, USA. travis.dekker@duke.edu.

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|February 25, 2019
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Summary

Imaging is crucial for managing glenohumeral osteoarthritis. Pre-operative scans guide surgical decisions, while post-operative imaging detects complications like prosthetic loosening or rotator cuff failure.

Keywords:
Anatomic shoulder arthroplastyReverse total shoulder arthroplastyShoulder arthroplastyShoulder hemiarthroplasty

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Area of Science:

  • Orthopedics
  • Radiology
  • Degenerative Joint Disease

Background:

  • Glenohumeral osteoarthritis is a common cause of shoulder pain and disability.
  • End-stage disease requires interventions, including surgery.
  • Accurate diagnosis and management are essential for patient outcomes.

Purpose of the Study:

  • To review key imaging findings in glenohumeral osteoarthritis.
  • To highlight imaging's role in pre-operative decision-making.
  • To discuss the recognition of post-operative complications.

Main Methods:

  • Review of imaging modalities including plain radiographs, CT, and MRI.
  • Correlation of imaging findings with surgical options (hemiarthroplasty, anatomic TSA, reverse TSA).
  • Identification of critical pre-operative factors: rotator cuff integrity and glenoid erosion.

Main Results:

  • Pre-operative imaging guides surgical approach for glenohumeral osteoarthritis.
  • Post-operative imaging is vital for detecting prosthetic loosening, rotator cuff tears, and fractures.
  • Specific attention to subscapularis integrity is noted.

Conclusions:

  • Imaging is indispensable for both pre- and post-operative management of glenohumeral osteoarthritis.
  • Radiographic and advanced imaging findings directly influence treatment strategies.
  • Early recognition of imaging abnormalities improves patient care and outcomes.