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Erschienen in: International Orthopaedics 6/2009

01.12.2009 | Original Paper

Proprioception in total, hemi- and reverse shoulder arthroplasty in 3D motion analyses: a prospective study

verfasst von: Philip Kasten, Michael Maier, Oliver Rettig, Patric Raiss, Sebastian Wolf, Markus Loew

Erschienen in: International Orthopaedics | Ausgabe 6/2009

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Abstract

The aim of the study was to assess proprioception after shoulder arthroplasty. Twenty-six patients were enrolled who underwent total shoulder arthroplasty (TSA) (n = 13) or hemi-arthroplasty (n = 8) for shoulder osteoarthritis or reversed arthroplasty (n = 5) for cuff tear arthropathy. All patients were examined before the operation and then again six months thereafter in a motion analysis study with an active angle-reproduction (AAR) test. In all groups the AAR deteriorated at 60° flexion (from 5.5° [SD 2.8] to 7.6° [SD 2.7]; p = 0.007) and at 30° external rotation (ER) (from 6.5° [SD 3.6] to 7.3° [SD 4.8°]; p = 0.023) six months after surgery. In the subgroup of TSA, there was deterioration at 30° ER (p = 0.036). Otherwise, there were no significant changes within or among the subgroups. Proprioception, assessed by the AAR test, remained unchanged or deteriorated six months after shoulder arthroplasty. This might be related to the reduced pain or to the relatively short follow-up period.
Literatur
1.
Zurück zum Zitat Carman AB, Milburn PD (2006) Determining rigid body transformation parameters from ill-conditioned spatial marker co-ordinates. J Biomech 39:1778–1786CrossRefPubMed Carman AB, Milburn PD (2006) Determining rigid body transformation parameters from ill-conditioned spatial marker co-ordinates. J Biomech 39:1778–1786CrossRefPubMed
2.
Zurück zum Zitat Chiari L, Della CU, Leardini A, Cappozzo A (2005) Human movement analysis using stereophotogrammetry. Part 2: instrumental errors. Gait Posture 21:197–211CrossRefPubMed Chiari L, Della CU, Leardini A, Cappozzo A (2005) Human movement analysis using stereophotogrammetry. Part 2: instrumental errors. Gait Posture 21:197–211CrossRefPubMed
3.
Zurück zum Zitat Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 160–164 Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 160–164
4.
Zurück zum Zitat Cuomo F, Birdzell MG, Zuckerman JD (2005) The effect of degenerative arthritis and prosthetic arthroplasty on shoulder proprioception. J Shoulder Elbow Surg 14:345–348CrossRefPubMed Cuomo F, Birdzell MG, Zuckerman JD (2005) The effect of degenerative arthritis and prosthetic arthroplasty on shoulder proprioception. J Shoulder Elbow Surg 14:345–348CrossRefPubMed
5.
Zurück zum Zitat Deshmukh AV, Koris M, Zurakowski D, Thornhill TS (2005) Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life. J Shoulder Elbow Surg 14:471–479CrossRefPubMed Deshmukh AV, Koris M, Zurakowski D, Thornhill TS (2005) Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life. J Shoulder Elbow Surg 14:471–479CrossRefPubMed
6.
Zurück zum Zitat Doorenbosch CA, Harlaar J, Veeger DH (2003) The globe system: an unambiguous description of shoulder positions in daily life movements. J Rehabil Res Dev 40:147–155PubMed Doorenbosch CA, Harlaar J, Veeger DH (2003) The globe system: an unambiguous description of shoulder positions in daily life movements. J Rehabil Res Dev 40:147–155PubMed
7.
Zurück zum Zitat Gamage SS, Lasenby J (2002) New least squares solutions for estimating the average centre of rotation and the axis of rotation. J Biomech 35:87–93CrossRefPubMed Gamage SS, Lasenby J (2002) New least squares solutions for estimating the average centre of rotation and the axis of rotation. J Biomech 35:87–93CrossRefPubMed
8.
Zurück zum Zitat Niessen MH, Veeger DH, Koppe PA, Konijnenbelt MH, van Dieen J, Janssen TW (2008) Proprioception of the shoulder after stroke. Arch Phys Med Rehabil 89:333–338CrossRefPubMed Niessen MH, Veeger DH, Koppe PA, Konijnenbelt MH, van Dieen J, Janssen TW (2008) Proprioception of the shoulder after stroke. Arch Phys Med Rehabil 89:333–338CrossRefPubMed
9.
Zurück zum Zitat Orfaly RM, Rockwood CA Jr., Esenyel CZ, Wirth MA (2003) A prospective functional outcome study of shoulder arthroplasty for osteoarthritis with an intact rotator cuff. J Shoulder Elbow Surg 12:214–221CrossRefPubMed Orfaly RM, Rockwood CA Jr., Esenyel CZ, Wirth MA (2003) A prospective functional outcome study of shoulder arthroplasty for osteoarthritis with an intact rotator cuff. J Shoulder Elbow Surg 12:214–221CrossRefPubMed
10.
Zurück zum Zitat Potzl W, Thorwesten L, Gotze C, Garmann S, Steinbeck J (2004) Proprioception of the shoulder joint after surgical repair for instability: a long-term follow-up study. Am J Sports Med 32:425–430CrossRefPubMed Potzl W, Thorwesten L, Gotze C, Garmann S, Steinbeck J (2004) Proprioception of the shoulder joint after surgical repair for instability: a long-term follow-up study. Am J Sports Med 32:425–430CrossRefPubMed
11.
Zurück zum Zitat Raiss P, Rettig O, Wolf S, Loew M, Kasten P (2007) Range of motion of shoulder and elbow in activities of daily life in 3D motion analysis. Z Orthop Unfall 145:493–498CrossRefPubMed Raiss P, Rettig O, Wolf S, Loew M, Kasten P (2007) Range of motion of shoulder and elbow in activities of daily life in 3D motion analysis. Z Orthop Unfall 145:493–498CrossRefPubMed
12.
Zurück zum Zitat van de Sande MA, Brand R, Rozing PM (2006) Indications, complications, and results of shoulder arthroplasty. Scand J Rheumatol 35:426–434CrossRefPubMed van de Sande MA, Brand R, Rozing PM (2006) Indications, complications, and results of shoulder arthroplasty. Scand J Rheumatol 35:426–434CrossRefPubMed
13.
Zurück zum Zitat Walch G, Boulahia A, Boileau P, Kempf JF (1998) Primary glenohumeral osteoarthritis: clinical and radiographic classification. The Aequalis Group. Acta Orthop Belg 64(Suppl 2):46–52PubMed Walch G, Boulahia A, Boileau P, Kempf JF (1998) Primary glenohumeral osteoarthritis: clinical and radiographic classification. The Aequalis Group. Acta Orthop Belg 64(Suppl 2):46–52PubMed
14.
Zurück zum Zitat Wu G, van der Helm FC, Veeger HE, Makhsous M, Van Roy P, Anglin C, Nagels J, Karduna AR, McQuade K, Wang X, Werner FW, Buchholz B (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 38:981–992CrossRefPubMed Wu G, van der Helm FC, Veeger HE, Makhsous M, Van Roy P, Anglin C, Nagels J, Karduna AR, McQuade K, Wang X, Werner FW, Buchholz B (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 38:981–992CrossRefPubMed
Metadaten
Titel
Proprioception in total, hemi- and reverse shoulder arthroplasty in 3D motion analyses: a prospective study
verfasst von
Philip Kasten
Michael Maier
Oliver Rettig
Patric Raiss
Sebastian Wolf
Markus Loew
Publikationsdatum
01.12.2009
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 6/2009
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0666-0

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