nach oben

Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.08.2014 | Orthopaedic Surgery

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

verfasst von: Michael W. Maier, Mira Caspers, Felix Zeifang, Thomas Dreher, Matthias C. Klotz, Sebastian I. Wolf, Philip Kasten

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2014

Einloggen, um Zugang zu erhalten

Abstract

Background

Reverse total shoulder arthroplasty (RSA) can improve function in cuff tear arthropathy (CTA) shoulders, but limited exact data are available about the maximum values in 3D motion analysis, and as to how improvements translate into the normal range of motion (ROM) in activities of daily living (ADLs).

Methods

This study included nine consecutive patients (n = 9) who received RSA for CTA without muscle transfers. We measured shoulder movement by a novel 3D motion analysis using the Heidelberg upper extremity model (HUX) which can eliminate compensatory movements of the scapula, and the trunk. The measurement included active maximum values, and four ADLs.

Results

Comparing the pre- to the 1-year postoperative status, RSA was associated with a significant increase in the mean maximum values for active flexion of about 43° (SD ± 31) from 66° to 109° (p = 0.001), for active abduction of about 37° (SD ± 26) from 57° to 94° (p = 0.001), and for the active adduction of about 28° (SD ± 10) from 5° to 33° (p = 0.002). Comparing the preoperative to the postoperative ROM in the ADLs in flexion/extension, ROM improved significantly in all ADLs, in abduction/adduction in three of four ADLs. No significant changes were observed in internal/external rotation in any ADLs.

Conclusion

RSA improves the active maximum ROM for flexion, abduction, and adduction. The patients are able to take advantage of this ROM increase in ADLs in flexion and in most ADL in abduction, but only in trend in internal and external rotation.

Level of evidence

Level IV, Case Series with no comparison group.

Neer CS, Craig EV, Fukuda H (1983) Cuff-tear arthropathy. J Bone Jt Surg Am 65(9):1232–1244

Cil A et al (2010) Survivorship of the humeral component in shoulder arthroplasty. J Shoulder Elb Surg 19(1):143–150CrossRef

Grammont PM, Baulot E (1993) Delta shoulder prosthesis for rotator cuff rupture. Orthopedics 16(1):65–68PubMed

Ladermann A et al (2009) Objective evaluation of lengthening in reverse shoulder arthroplasty. J Shoulder Elb Surg 18(4):588–595CrossRef

Kwon YW et al (2012) Kinematic analysis of dynamic shoulder motion in patients with reverse total shoulder arthroplasty. J Shoulder Elb Surg 21(9):1184–1190CrossRef

Boileau P et al (2006) Neer award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elb Surg 15(5):527–540CrossRef

Frankle M et al (2005) The Reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Jt Surg Am 87(8):1697–1705CrossRef

Guery J et al (2006) Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Jt Surg Am 88(8):1742–1747CrossRef

Sirveaux F et al (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Jt Surg Br 86(3):388–395CrossRef

10.

Werner CM et al (2005) Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Jt Surg Am 87(7):1476–1486CrossRef

11.

Constant CR (1997) An evaluation of the Constant-Murley shoulder assessment. J Bone Jt Surg Br 79(4):695–696

12.

Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed

13.

Rettig O et al (2009) A new kinematic model of the upper extremity based on functional joint parameter determination for shoulder and elbow. Gait Posture 30(4):469–476CrossRefPubMed

14.

Germann G, Wind G, Harth A (1999) The DASH (disability of arm-shoulder-hand) questionnaire—a new instrument for evaluating upper extremity treatment outcome. Handchir Mikrochir Plast Chir 31(3):149–152CrossRefPubMed

15.

Offenbacher M et al (2003) Validation of a German version of the ‘Disabilities of Arm, Shoulder and Hand’ questionnaire (DASH-G). Z Rheumatol 62(2):168–177CrossRefPubMed

16.

Hamada K et al (1990) Roentgenographic findings in massive rotator cuff tears. A long-term observation. Clin Orthop Relat Res 254:92–96PubMed

17.

Fuchs B et al (2006) Clinical and structural results of open repair of an isolated one-tendon tear of the rotator cuff. J Bone Jt Surg Am 88(2):309–316CrossRef

18.

Goutallier D et al (1994) Fatty muscle degeneration in cuff ruptures. Pre- and post-operative evaluation by CT scan. Clin Orthop Relat Res 304:78–83PubMed

19.

Simovitch RW et al (2007) Impact of fatty infiltration of the teres minor muscle on the outcome of reverse total shoulder arthroplasty. J Bone Jt Surg Am 89(5):934–939CrossRef

20.

Neer CS, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Jt Surg Am 64(3):319–337

21.

Veeger HE et al (2006) A kinematical analysis of the shoulder after arthroplasty during a hair combing task. Clin Biomech (Bristol, Avon) 21(Suppl 1):S39–S44CrossRef

22.

Rab G, Petuskey K, Bagley A (2002) A method for determination of upper extremity kinematics. Gait Posture 15(2):113–119CrossRefPubMed

23.

Wu G 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(5):981–992CrossRefPubMed

24.

Carman AB, Milburn PD (2006) Determining rigid body transformation parameters from ill-conditioned spatial marker co-ordinates. J Biomech 39(10):1778–1786CrossRefPubMed

25.

Chiari L et al (2005) Human movement analysis using stereophotogrammetry. Part 2: instrumental errors. Gait Posture 21(2):197–211CrossRefPubMed

26.

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(2):147–155CrossRefPubMed

27.

Alta TD et al (2011) Kinematic and clinical evaluation of shoulder function after primary and revision reverse shoulder prostheses. J Shoulder Elb Surg 20(4):564–570CrossRef

28.

Henninger HB et al (2012) Effect of deltoid tension and humeral version in reverse total shoulder arthroplasty: a biomechanical study. J Shoulder Elb Surg 21(4):483–490CrossRef

29.

Boileau P et al (2005) Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elb Surg 14(1 Suppl S):147S–161SCrossRef

30.

Henninger HB et al (2012) Effect of lateral offset center of rotation in reverse total shoulder arthroplasty: a biomechanical study. J Shoulder Elb Surg 21(9):1128–1135CrossRef

31.

Cuff D et al (2008) Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Jt Surg Am 90(6):1244–1251CrossRef

32.

Rettig O et al (2013) Does the reverse shoulder prosthesis medialize the center of rotation in the glenohumeral joint? Gait Posture 37(1):29–31CrossRefPubMed

33.

Maier MW et al (2012) Proprioception 3 years after shoulder arthroplasty in 3D motion analysis: a prospective study. Arch Orthop Trauma Surg 132(7):1003–1010CrossRefPubMed

34.

Maier MW et al (2014) 3D motion capture using the HUX model for monitoring functional changes with arthroplasty in patients with degenerative osteoarthritis. Gait Posture 39(1):7–11CrossRefPubMed

35.

Boileau P et al (2008) Reverse shoulder arthroplasty combined with a modified latissimus dorsi and teres major tendon transfer for shoulder pseudoparalysis associated with dropping arm. Clin Orthop Relat Res 466(3):584–593CrossRefPubMedCentralPubMed

36.

Jobin CM et al (2012) Reverse total shoulder arthroplasty for cuff tear arthropathy: the clinical effect of deltoid lengthening and center of rotation medialization. J Shoulder Elb Surg 21(10):1269–1277CrossRef

37.

Lawrence TM et al (2012) Patient reported activities after reverse shoulder arthroplasty: part II. J Shoulder Elb Surg 21(11):1464–1469CrossRef

38.

Seebauer L, Walter W, Keyl W (2005) Reverse total shoulder arthroplasty for the treatment of defect arthropathy. Oper Orthop Traumatol 17:1–24CrossRefPubMed

39.

Favard L, Le Du C, Bicknell R, Sirveaux F, Levigne C, Boileau P, Walch G (2006) Reverse prostheses for cuff tear arthritis (Hamada IV and V) without previous surgery. Nice shoulder course: reverse shoulder arthroplasty. Sauramps Medical, Montpellier, pp 113–123

Titel: 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
verfasst von: Michael W. Maier
Mira Caspers
Felix Zeifang
Thomas Dreher
Matthias C. Klotz
Sebastian I. Wolf
Philip Kasten
Publikationsdatum: 01.08.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2014
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-014-2015-7

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

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