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10.08.2018 | Original Paper

Assessment of anatomical and reverse total shoulder arthroplasty with the scapula-weighted Constant-Murley score

verfasst von: Giovanni Merolla, Ilaria Parel, Andrea Giovanni Cutti, Maria Vittoria Filippi, Paolo Paladini, Giuseppe Porcellini

Erschienen in: International Orthopaedics | Ausgabe 3/2019

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Abstract

Aim of the study

To evaluate total (TSA) and reverse total shoulder arthroplasty (RTSA) using the Constant-Murley score (CMS) and the scapula-weighted (SW) CMS, an integrated outcome measure that takes into account the compensatory movements of the scapula.

Methods

Twenty-five consecutive patients, 12 with TSA and 13 with RTSA, underwent kinematic analysis before and after shoulder replacement. Measurements included flexion (FLEX) and abduction (ABD) for the humerus and Protraction-Retraction (PR-RE), Medio-Lateral rotation (ME-LA), and Posterior-Anterior tilting (P-A) for the scapula. They were recorded at baseline (T0) and at six (T1) and 12 months (T2). Reference data were obtained from 31 control shoulders.

Results

At T1, differences in CMS and SW-CMS were not significant in either group, whereas values at T2 were significantly lower in RTSA patients (p = 0.310 and p = 0.327, respectively). In TSA shoulders, the compensatory scapular movements in FLEX were all reduced from T0 to T2, whereas P-A was increased in ABD. In RTSA patients, the compensatory scapular movements in FLEX showed a general reduction at T1, with an increase in P-A at T2, whereas in ABD, all increased at T1 and decreased at T2 except for P-A, which did not decrease.

Discussion

The SW-CMS showed that the physiological scapulothoracic motion was not restored in TSA and RTSA patients; it may be used as a reference for the gradual progression of deltoid and scapular muscle rehabilitation.

Conclusions

The worse CMS and SW-CMS scores found in RTSA patients at six months may be due to the biomechanics of the reverse prosthesis and to the weakness of deltoid and periscapular muscles.

Roberson TA, Bentley JC, Griscom JT, Kissenberth MJ, Tolan SJ, Hawkins RJ et al (2017) Outcomes of total shoulder arthroplasty in patients younger than 65 year : a systematic review. J Shoulder Elbow Surg 26:1298–1306. https://doi.org/10.1016/j.jse.2016.12.069 CrossRefPubMed

Sowa B, Bochenek M, Bülhoff M, Zeifang F, Loew M, Bruckner T et al (2017) The medium- and long-term outcome of total shoulder arthroplasty for primary glenohumeral osteoarthritis in middle-aged patients. Bone Joint J 99-B:939–943. https://doi.org/10.1302/0301-620X.99B7.BJJ-2016-1365.R1 CrossRefPubMed

Merolla G, Cerciello S, Marenco S, Fabbri E, Paladini P, Porcellini G (2018) Comparison of shoulder replacement to treat osteoarthritis secondary to instability surgery and primary osteoarthritis: a retrospective controlled study of patient outcomes. Int Orthop 2018. doi: https://doi.org/10.1007/s00264-018-3969-9

Crosby LA, Wright TW, Yu S, Zuckerman JD (2017) Conversion to reverse total shoulder arthroplasty with and without humeral stem retention: the role of a convertible-platform stem. J Bone Joint Surg Am 99:736–742. https://doi.org/10.2106/JBJS.16.00683 CrossRefPubMed

Wagner E, Houdek MT, Griffith T, Elhassan BT, Sanchez-Sotelo J, Sperling JW et al (2015) Glenoid bone-grafting in revision to a reverse total shoulder arthroplasty. J Bone Joint Surg Am 97:1653–1660. https://doi.org/10.2106/JBJS.N.00732 CrossRefPubMed

Petrillo S, Longo UG, Papalia R, Denaro V (2017) Reverse shoulder arthroplasty for massive irreparable rotator cuff tears and cuff tear arthropathy: a systematic review. Musculoskelet Surg 101:105–112. https://doi.org/10.1007/s12306-017-0474-z CrossRefPubMed

Sevivas N, Ferreira N, Andrade R, Moreira P, Portugal R, Alves D et al (2017) Reverse shoulder arthroplasty for irreparable massive rotator cuff tear: a systematic review with meta-analysis and meta-regression. J Shoulder Elbow Surg 26:e265–e277. https://doi.org/10.1016/j.jse.2017.03.039 CrossRefPubMed

Zilber S, Camana E, Lapner P, Haritinian E, Nove Josserand L (2018, 2018) Reverse total shoulder arthroplasty using helical blade to optimize glenoid fixation and bone preservation: preliminary results in thirty five patients with minimum two year follow-up. Int Orthop. https://doi.org/10.1007/s00264-018-3891-1

Dauzère F, Arboucalot M, Lebon J, Elia F, Bonnevialle N, Mansat P (2017) Evaluation of thirty eight cemented pegged glenoid components with variable backside curvature: two-year minimum follow-up. Int Orthop 41:2353–2360. https://doi.org/10.1007/s00264-017-3635-7 CrossRefPubMed

10.

Lo IKY, Litchfield RB, Griffin S, Faber K, Patterson SDKA (2005) Quality-of-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis. a prospective randomized trial. J Bone Joint Surg Am 87-A:2178–2185

11.

Sciascia AD, Morris BJ, Jacobs CAET (2017) Responsiveness and internal validity of common patient-reported outcome measures following total shoulder arthroplasty. Orthopedics 40:513–519. https://doi.org/10.3928/01477447-20170327-02 CrossRef

12.

Angst F, Schwyzer HS, Aeschlimann A, Simmen BRGJ (2011) Measures of adult shoulder function Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and Its Short Version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society Standardized Shoulder A. Arthritis Care Res 63:S174–S188. https://doi.org/10.1002/acr.20630 CrossRef

13.

Constant GC, Emery RJH, SØjbjerg JO, Gohlke F, Boileau P (2008) A review of the Constant score: modifications and guidelines for its use. J Shoulder Elbow Surg 17:355–361. https://doi.org/10.1016/j.jse.2007.06.022 CrossRefPubMed

14.

Roy J-S, MacDermid JC, Woodhouse LJ (2010) A systematic review of the psychometric properties of the Constant-Murley score. J Shoulder Elbow Surg 19:157–164. https://doi.org/10.1016/j.jse.2009.04.008 CrossRefPubMed

15.

Alta TD, de Toledo JM, Veeger HE, Janssen TW, Willems WJ (2014) The active and passive kinematic difference between primary reverse and total shoulder prostheses. J Shoulder Elbow Surg 23:1395–1402. https://doi.org/10.1016/j.jse.2014.01.040 CrossRefPubMed

16.

Kasten P, Maier M, Wendy P, Rettig O, Raiss P, Wolf S et al (2010) Can shoulder arthroplasty restore the range of motion in activities of daily living? A prospective 3D video motion analysis study. J Shoulder Elbow Surg 19:59–65. https://doi.org/10.1016/j.jse.2009.10.012 CrossRefPubMed

17.

Kwon YW, Pinto VJ, Yoon J, Frankle MA, Dunning PE, Sheikhzadeh A (2016) Kinematic analysis of dynamic shoulder motion in patients with reverse total shoulder arthroplasty. J Shoulder Elbow Surg 21:1184–1190. https://doi.org/10.1016/j.jse.2011.07.031 CrossRef

18.

Maier MW, Caspers M, Zeifang F, Dreher T, Klotz MC, Wolf SI et al (2014) How does reverse shoulder replacement change the range of motion in activities of daily living in patients with cuff tear arthropathy? A prospective optical 3D motion analysis study. Arch Orthop Trauma Surg 134:1065–1071. https://doi.org/10.1007/s00402-014-2015-7 CrossRefPubMed

19.

Maier MW, Niklasch M, Dreher T, Zeifang F, Rettig O, Klotz MC et al (2014) Motion patterns in activities of daily living: 3-year longitudinal follow-up after total shoulder arthroplasty using an optical 3D motion analysis system. BMC Musculoskeletal Disorders 15:244. https://doi.org/10.1186/1471-2474-15-244 CrossRefPubMedPubMedCentral

20.

Postacchini R, Paoloni M, Carbone S, Fini M, Santilli V, Postacchini F et al (2015) Kinematic analysis of reaching movements of the upper limb after total or reverse shoulder arthroplasty. J Biomech 48:3192–3198. https://doi.org/10.1016/j.jbiomech.2015.07.002 CrossRefPubMed

21.

Veeger HE, Magermans DJ, Nagels J, Chadwick EK, van der Helm FC (2006) A kinematical analysis of the shoulder after arthroplasty during a hair combing task. Clin Biomech 21:S39–S44. https://doi.org/10.1016/j.clinbiomech.2005.09.012 CrossRef

22.

Toledo D, Loss JF, Janssen TW, van der Scheer JW, Alta TD, Willmes WJ et al (2012) Kinematic evaluation of patients with total and reverse shoulder arthroplasty during rehabilitation exercises with different loads. Clin Biomech 21:S39–S44

23.

Cutti AG, Parel I, Pellegrini A, Paladini P, Sacchetti R, Porcellini G et al (2016) The Constant score and the assessment of scapula dyskinesis: Proposal and assessment of an integrated outcome measure. J Electromyogr Kinesiol 29:81–89. https://doi.org/10.1016/j.jelekin.2015.06.011 CrossRefPubMed

24.

Cutti AG, Parel I, Raggi M, Petracci E, Pellegrini A, Accardo AP et al (2014) Prediction bands and intervals for the scapulo-humeral coordination based on the Bootstrap and two Gaussian methods. J Biomech 47:1035–1044. https://doi.org/10.1016/j.jbiomech.2013.12.028 CrossRefPubMed

25.

Michael J, Bercik KK, Yalizis MMG, Chaoui J, Gilles W (2016) A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elbow Surg 25:1601–1606. https://doi.org/10.1016/j.jse.2016.03.010 CrossRef

26.

Favard L, Lautmann S, Sirveaux F, Oudet D, Kerjean Y (2001) Hemiarthroplasty versus reverse arthroplasty in the treatment of osteoarthritis with massive rotator cuff tear. In: Walch G, Boileau P, Mole´ D, eds. 2000 Shoulder Prostheses. Two to yen years follow-up. Paris: Sauramps Medical; :261–268

27.

Hamada K, Yamanaka K, Uchiyama Y, Mikasa T, Mikasa M (2011) A radiographic classification of massive rotator cuff tear arthritis. Clin Orthop Relat Res 469:2452–2460. https://doi.org/10.1007/s11999-011-1896-9 CrossRefPubMedPubMedCentral

28.

Merolla G, Ciaramella G, Fabbri E, Walch G, Paladini P, Porcellini G (2016) Total shoulder replacement using a bone ingrowth central peg polyethylene glenoid component: a prospective clinical and computed tomography study with short- to mid-term follow-up. Int Orthop 40:2355–2363. https://doi.org/10.1007/s00264-016-3255-7 CrossRefPubMed

29.

Wall B, Nové-Josserand L, O’Connor DP, Edwards TB, Walch G (2007) Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am 89:1476–1485. https://doi.org/10.2106/JBJS.F.00666 CrossRefPubMed

30.

Jaspers E, Monari D, Molenaers G, Feys H, Desloovvere K (2014) U.L.E.M.A. - upper limb evaluation in movement analysis: open source custom made MATLAB based software. Gait Posture 39:S76–S77CrossRef

31.

Wu G, van der Helm FC, Veeger HE, Makhsous M, Van Roy P, Anglin C et al (2005) ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion--part II: shoulder, elbow, wrist and hand. J Biomech 38:981–992CrossRef

32.

Gamage SS, Lasenby J (2002) New least squares solutions for estimating the average centre of rotation and the axis of rotation. J Biomech 35:87–93CrossRef

33.

Kontaxis A, Cutti AG, Johnson GR, Veeger HE (2009) A framework for the definition of standardized protocols for measuring upper-extremity kinematics. Clin Biomech 24:246–253. https://doi.org/10.1016/j.clinbiomech.2008.12.009 CrossRef

34.

Torrens C, Guirro P, Santana F (2016) The minimal clinically important difference for function and strength in patients undergoing reverse shoulder arthroplasty. J Shoulder Elbow Surg 25:262–268. https://doi.org/10.1016/j.jse.2015.07.020 CrossRefPubMed

35.

Blonna D, Scelsi M, Marini E, Bellato E, Tellini A, Rossi R et al (2012) Can we improve the reliability of the Constant-Murley score? J Shoulder Elbow Surg 21:4–12. https://doi.org/10.1016/j.jse.2011.07.014 CrossRefPubMed

36.

Cuomo F, Birdzell MG, Zuckerman JD (2005) The effect of degenerative arthritis and prosthetic arthroplasty on shoulder proprioception. J Shoulder Elbow Surg 14:345–348. https://doi.org/10.1016/j.jse.2004.07.009 CrossRefPubMed

37.

Maier MW, Niklasch M, Dreher T, Wolf SI, Zeifabg F, Loew M (2012) Proprioception 3 years after shoulder arthroplasty in 3D motion analysis: a prospective study. Arch Orthop Trauma Surg 132:1003–1010. https://doi.org/10.1007/s00402-012-1495-6 CrossRefPubMed

38.

Collin P, Matsukawa T, Denard PJ, Gain S, Läderman A (2017) Pre-operative factors influence the recovery of range of motion following reverse shoulder arthroplasty. Int Orthop 41:2135–2142. https://doi.org/10.1007/s00264-017-3573-4 CrossRefPubMed

39.

Wolff AL, Rosenzweig L (2017) Anatomical and biomechanical framework for shoulder arthroplasty rehabilitation. J Hand Ther 30:167–174. https://doi.org/10.1016/j.jht.2017.05.009 CrossRefPubMed

40.

Bergmann JH, de Leeuw M, Janssen TW, Weeger DH, Willems WJ (2008) Contribution of the reverse endoprosthesis to glenohumeral kinematics. Clin Orthop Relat Res 466:594–598. https://doi.org/10.1007/s11999-007-0091-5 CrossRefPubMedPubMedCentral

41.

Lee KW, Kim YI, Kim HY, Yang DS, Lee GS, Choy WS (2016) Three-dimensional scapular kinematics in patients with reverse total shoulder arthroplasty during arm motion. Clin Orthop Surg 8:316–324. https://doi.org/10.4055/cios.2016.8.3.316 CrossRefPubMedPubMedCentral

Titel: Assessment of anatomical and reverse total shoulder arthroplasty with the scapula-weighted Constant-Murley score
verfasst von: Giovanni Merolla
Ilaria Parel
Andrea Giovanni Cutti
Maria Vittoria Filippi
Paolo Paladini
Giuseppe Porcellini
Publikationsdatum: 10.08.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 3/2019
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4088-3

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Assessment of anatomical and reverse total shoulder arthroplasty with the scapula-weighted Constant-Murley score