nach oben

Current Reviews in Musculoskeletal Medicine

Erschienen in:

12.04.2020 | Reverse Shoulder Arthroplasty (E Craig and C Chambers, Section Editors)

Reverse Shoulder Arthroplasty for Proximal Humerus Fracture

verfasst von: Brandon J. Kelly, Chad M. Myeroff

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The purpose of this review is to examine trends, outcomes, and principles in treatment of proximal humerus fractures in the elderly with a critical focus on reverse shoulder arthroplasty as a developing treatment option.

Recent Findings

Recent literature shows an increase in reverse shoulder arthroplasty and a decrease in hemiarthroplasty performed for proximal humerus fractures. More predictable outcomes and lower revision rates are seen in older individuals treated primarily or secondarily with reverse shoulder arthroplasty compared to those treated with hemiarthroplasty.

Summary

We report current and historical treatments, outcomes, and principles in reverse shoulder arthroplasty for treatment of complex, displaced proximal humerus fractures in older individuals (≥ 65 years old).

Hasty EK, Jernigan EW, Soo A, Varkey DT, Kamath GV. Trends in surgical management and costs for operative treatment of proximal humerus fractures in the elderly. Orthopedics. 2017;40(4):641–7.CrossRef

Bell J, Leung BC, Spratt KF, Koval KJ, Weinstein JD, Goodman DC, et al. Humeral fractures in the elderly. J Bone Jt Surg. 2011;93-A(2):121–31.CrossRef

Clement ND, Duckworth AD, Mcqueen MM. The outcome of proximal humeral fractures in the elderly predictors of mortality and function. Bone Jt J. 2014;96-B(7):970–7.CrossRef

Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37:691–7.

Han RJ, Sing DC, Feeley BT, Ma CB, Zhang AL. Proximal humerus fragility fractures: recent trends in nonoperative and operative treatment in the Medicare population. J Shoulder Elb Surg. 2016;25(2):256–61. Available from:. https://doi.org/10.1016/j.jse.2015.07.015.CrossRef

Kim SH, Szabo RM, Marder RA. Epidemiology of humerus fractures in the United States: nationwide emergency department sample, 2008. Arthritis Care Res. 2012;64(3):407–14.CrossRef

Palvanen M, Kannus P, Niemi S, Parkkari J. Update in the epidemiology of proximal humeral fractures. Clin Orthop Relat Res. 2006;442:87–92.PubMedCrossRef

Rajaee SS, Yalamanchilli D, Noori N, Debbi A, Mirocha J, Lin CA, et al. Increasing use of reverse total shoulder arthroplasty for proximal humerus fractures in elderly patients. Orthopedics. 2017;40(6):982–9.CrossRef

Schairer WW, Nwachukwu BU, Lyman S, Gulotta LV. Arthroplasty treatment of proximal humerus fractures: 14-year trends in the United States. Phys Sportsmed. 2017;45(2):92–6.PubMed

10.

Court-brown CM, Duckworth AD, Clement ND, Mcqueen MM. Fractures in older adults. A view of the future. Injury. 2018;49(12):2161–6. Available from. https://doi.org/10.1016/j.injury.2018.11.009.CrossRefPubMed

11.

Myeroff CM, Anderson JP, Sveom DS, Switzer JA. Predictors of mortality in elder patients with proximal humeral fracture. Geriatr Orthop Surg Rehabil. 2017;9:1–6.

12.

• Dillon MT, Prentice HA, Burfeind WE, Chan PH, Navarro RA. The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures. Injury. 2019;50(3):1–5. https://doi.org/10.1016/j.injury.2019.01.03Epidepmiological look at the increase in RSA and the decrease in hemiarthroplasty for proximal humerus fracture.CrossRef

13.

Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Jt Surg - Ser A. 2011;93(24):2249–54.CrossRef

14.

Rosas S, Law TY, Kurowicki J, Formaini N, Kalandiak SP, Levy JC. Trends in surgical management of proximal humeral fractures in the Medicare population: a nationwide study of records from 2009 to 2012. J Shoulder Elb Surg. 2016;25(4):608–13. Available from:. https://doi.org/10.1016/j.jse.2015.08.011.CrossRef

15.

Schairer WW, Nwachukwu BU, Lyman S, Craig EV, Gulotta LV. Reverse shoulder arthroplasty versus hemiarthroplasty for treatment of proximal humerus fractures. J Shoulder Elb Surg. 2015;24(10):1560–6. Available from:. https://doi.org/10.1016/j.jse.2015.03.018.CrossRef

16.

Rasmussen S, Hvass I, Dalsgaard J, Christensen BS, Holstad E. Displaced proximal humeral fractures: results of conservative treatment. Injury. 1992;23(1):41–3.PubMedCrossRef

17.

Zyto K. Non-operative treatment of the proximal humerus of comminuted fractures in elderly patients. Injury. 1998;29(5):349–52.PubMedCrossRef

18.

Foruria AM, De Gracia MM, Larson DR, Munuera L, Sanchez-Sotelo J. The pattern of the fracture and displacement of the fragments predict the outcome in proximal humeral fractures. J Bone Jt Surg [Br]. 2005;93-B(3):378–86.CrossRef

19.

Court-Brown CM, Garg A, Mcqueen MM. The translated two-part fracture of the proximal humerus: epidemiology and outcome in the older patient. J Bone Jt Surg [Br]. 2001;83(6):799–804.CrossRef

20.

Court-Brown CM, Cattermole H, Mcqueen MM. Impacted valgus fractures (B1.1) of the proximal humerus. Bone Jt J. 2002;84-B(4):504–8.CrossRef

21.

Iyengar JJ, Devcic Z, Sproul RC, Feeley BT. Nonoperative treatment of proximal humerus fractures: a systematic review. J Orthop Trauma. 2011;25(10):612–7.PubMedCrossRef

22.

Platzer P, Thalhammer G, Oberleitner G, Kutscha-lissberg F. Displaced fractures of the greater tuberosity: a comparison of operative and nonoperative treatment. J Trauma - Inj Infect Crit Care. 2004;65(4):843–8.CrossRef

23.

Rangan A, Handoll H, Brealey S, Jefferson L, Keding A, Martin BC, et al. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: the PROFHER randomized clinical trial. JAMA - J Am Med Assoc. 2015;313(10):1037–47.CrossRef

24.

•• Handoll HH, Keding A, Corbacho B, Brealey SD, Hewitt C, Rangan A, et al. Five-year follow-up results of the PROFHER trial comparing operative and non-operative treatment of adults with a displaced fracture of the proximal humerus. J Bone Jt Surg [Br]. 2017;99-B(3):383–92 Follow-up to the PROFHER trial. While results are controversial due to significant selection bias, as discussed in the manuscript, the follow up of a large RCT still provides meaningful longer-term information on operatively vs. nonoperatively treated proximal humerus fractures.CrossRef

25.

Brorson S. Management of fractures of the humerus in Ancient Egypt, Greece, and Rome. Clin Orthop Relat Res. 2009;467(7):1907–14.PubMedCrossRef

26.

Brorson S. Management of proximal humeral fractures in the nineteenth century. Clin Orthop Relat Res. 2011;469(4):1197–206.PubMedCrossRef

27.

Flatow EL, Harrison AK. A history of reverse total shoulder arthroplasty. Clin Orthop Relat Res. 2011;469(9):2432–9.PubMedPubMedCentralCrossRef

28.

Neer CS. Articular replacement for the humeral head. J Bone Jt Surg. 1955;37-A:215–28.CrossRef

29.

Neer CS. Displaced proximal humeral fractures. Part 1. Classification and evaluation. J Bone Jt Surg. 1970;52-A:1077–89.CrossRef

30.

Neer CS. Displaced proximal humerus fractures. Part 2. Treatment of the three-part and four-part displacement. J Bone Jt Surg. 1970;52-A:1090–103.CrossRef

31.

Esser RD. Open reduction and internal fixation of three- and four-part fractures of the proximal humerus. Clin Orthop Relat Res. 1994;299:244–51.

32.

Moda SK, Chadha NS, Sangway SS, Khurana DK, Dahiya AS, Siwach RC. Open reduction and fixation of proximal humeral fractures and fractures-dislocations. J Bone Jt Surg [Br]. 1990;72-B:1050–2.CrossRef

33.

Sehr JR, Szabo RM. Semitubular blade plate for fixation in the proximal humerus. J Orthop Trauma. 1989;2(4):327–32.CrossRef

34.

Zyto K, Ahrengart L, Sperber A, Tornkvist H. Treatment of displaced proximal humeral fractures in elderly patients. J Bone Jt Surg [Br]. 1997;79-B(3):412–7.CrossRef

35.

Brunner F, Sommer C, Bahrs C, Heuwinkel R, Hafner C, Rillmann P, et al. Open reduction and internal fixation of proximal humerus fractures using a proximal humeral locked plate: a prospective multicenter analysis. J Orthop Trauma. 2009;23(3):163–72.PubMedCrossRef

36.

Charalambous CP, Siddique I, Valluripalli K, Kovacevic M, Panose P, Srinivasan M, et al. Proximal humeral internal locking system (PHILOS) for the treatment of proximal humeral fractures. Arch Orthop Trauma Surg. 2007;127:205–10.PubMedCrossRef

37.

Fankhauser F, Boldin C, Schippinger G, Haunschmid C, Szyszkowitz R. A new locking plate for unstable fractures of the proximal humerus. Clin Orthop Relat Res. 2005;430:176–81.CrossRef

38.

Jost B, Spross C, Grehn H, Gerber C. Locking plate fixation of fractures of the proximal humerus: analysis of complications, revision strategies and outcome. J Shoulder Elb Surg. 2013;22(4):542–9. Available from:. https://doi.org/10.1016/j.jse.2012.06.008.CrossRef

39.

Koukakis A, Apostolou C, Taneja T, Korres DS, Amini A. Fixation of proximal humerus fractures using the PHILOS plate: early experience. Clin Orthop Relat Res. 2006;442:115–20.PubMedCrossRef

40.

Olerud P, Ahrengart L, Ponzer S, Saving J, Tidermark J. Internal fixation versus nonoperative treatment of displaced 3-part proximal humeral fractures in elderly patients: a randomized controlled trial. J Shoulder Elb Surg. 2011;20(5):747–55. Available from:. https://doi.org/10.1016/j.jse.2010.12.018.CrossRef

41.

Owsley KC, Gorczyca JT. Displacement/screw cutout after open reduction and locked plate fixation of humeral fractures. J Bone Jt Surg. 2008;90-A(2):233–40.CrossRef

42.

Thanasas C, Kontakis G, Angoules A, Limb D, Orth F, Giannoudis P. Treatment of proximal humerus fractures with locking plates: a systematic review. J Shoulder Elb Surg. 2009;18(6):837–44. Available from:. https://doi.org/10.1016/j.jse.2009.06.004.CrossRef

43.

Gardner MJ, Weil Y, Barker JU, Kelly BT, Helfet DL, Lorich DG. The importance of medial support in locked plating of proximal humerus fractures. J Orthop Trauma. 2007;21(3):185–91.PubMedCrossRef

44.

Solberg BD, Moon CN, Franco DP, Paiement GD. Locked plating of 3-and 4-part proximal humerus fractures in older patients: the effect of initial fracture pattern on outcome. J Orthop Trauma. 2009;23(2):113–9.PubMedCrossRef

45.

Namdari S, Lipman AJ, Ricchetti ET, Tjoumakaris FP, Russell Huffman G, Mehta S. Fixation strategies to prevent screw cut-out and malreduction in proximal humeral fracture fixation. Clin Orthop Surg. 2012;4(4):321–4.PubMedPubMedCentralCrossRef

46.

Arvesen JE, Gill SW, Sinatra PM, Eng M, Bledsoe G, Kaar SG. Biomechanical contribution of tension-reducing rotator cuff sutures in 3-part proximal humerus fractures. J Orthop Trauma. 2016;30(8):e262–6.PubMedCrossRef

47.

Haasters F, Siebenbürger G, Helfen T, Daferner M, Böcker W, Ockert B. Complications of locked plating for proximal humeral fractures — are we getting any better ? J Shoulder Elb Surg. 2016;25(10):e295–303. Available from:. https://doi.org/10.1016/j.jse.2016.02.015.CrossRef

48.

Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elb Surg. 2004;13(4):427–33.CrossRef

49.

Campochiaro G, Rebuzzi M, Baudi P, Catani F. Complex proximal humerus fractures: Hertel’s criteria reliability to predict head necrosis. Musculoskelet Surg. 2015;99(Suppl 1):9–15. Available from:. https://doi.org/10.1007/s12306-015-0358-z.CrossRef

50.

Edelson G, Safuri H, Salami J, Vigder F, Militianu D. Natural history of complex fractures of the proximal humerus using a three-dimensional classification system. J Shoulder Elb Surg. 2008;17(3):399–409.CrossRef

51.

Zyto K, Wallace A, Frostick S, Preston B. Outcome after hemiarthroplasty for three- and four-part fractures of the proximal humerus. J Shoulder Elb Surg. 1998;7(2):85–9.CrossRef

52.

Antuna SA, Sperling JW, Cofield RH, De Asturias P. Shoulder hemiarthroplasty for acute fractures of the proximal humerus: a minimum five-year follow-up. J Shoulder Elb Surg. 2008;17(2):202–9.CrossRef

53.

Boons HW, Goosen JH, Van Grinsven S, Van Susante JL, Van Loon CJ. Hemiarthroplasty for humeral four-part fractures for patients 65 years and older. Clin Orthop Relat Res. 2012;470(12):3483–91.PubMedPubMedCentralCrossRef

54.

Dimakopoulos P, Potamitis N, Lambiris E. Hemiarthroplasty in the treatment of comminuted intraarticular fractures of the proximal Hhumerus. Clin Orthop Relat Res. 1997;341:7–11.CrossRef

55.

Sowa B, Thierjung H, Bülhoff M, Loew M, Zeifang F, Bruckner T, et al. Functional results of hemi- and total shoulder arthroplasty according to diagnosis and patient age at surgery. Acta Orthop. 2017;88(3):310–4.PubMedPubMedCentralCrossRef

56.

Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Mole D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elb Surg. 2002;11(5):401–11.CrossRef

57.

•• Hacket DJ, Hsu JE, Matsen FA. Primary shoulder hemiarthroplasty: what can be learned from 359 cases that were surgically revised. Clin Orthop Relat Res. 2018;476(5):1031–40 Hemiarthroplasty is technically challenging and few patients fit narrow indications.If any question of durability of rotator cuff or reconstructability of proximal humerus fracture RSA is viable option.CrossRef

58.

Dezfuli B, King JJ, Farmer KW, Struk AM, Wright TW. Outcomes of reverse total shoulder arthroplasty as primary versus revision procedure for proximal humerus fractures. J Shoulder Elb Surg. 2016;25(7):1133–7. Available from:. https://doi.org/10.1016/j.jse.2015.12.002.CrossRef

59.

Grubhofer F, Wieser K, Meyer DC, Catanzaro S, Beeler S, Rieder U, et al. Reverse total shoulder arthroplsty for acute head-splitting, 3- and 4-part fractures of the proximal humerus in the elderly. J Shoulder Elb Surg. 2016;25:1690–8.CrossRef

60.

•• Wright JO, Ho A, Kalma J, Koueiter D, Esterle J, Marcantonio D, et al. Uncemented reverse total shoulder arthroplasty as initial treatment for comminuted proximal humerus fractures. J Orthop Trauma. 2019;33(7):1 Available from: http://insights.ovid.com/crossref?an=00005131-900000000-98495.CrossRef

61.

Shannon SF, Wagner ER, Houdek MT, Iii WWC, Sánchez-sotelo J. Reverse shoulder arthroplasty for proximal humeral fractures: outcomes comparing primary reverse arthroplasty for fracture versus reverse arthroplasty after failed osteosynthesis. J Shoulder Elb Surg. 2016;25(10):1655–60. Available from:. https://doi.org/10.1016/j.jse.2016.02.012.CrossRef

62.

• Wolfensperger F, Grüninger P, Dietrich M, Völlink M, Benninger E, Schläppi M, et al. Reverse shoulder arthroplasty for complex fractures of the proximal humerus in elderly patients: impact on the level of independency, early function, and pain medication. J Shoulder Elb Surg. 2017;26(8):1462–8. https://doi.org/10.1016/j.jse.2017.01.021Demonstrated high rate of return to independence following RSA for proximal humerus fracture within 1 year postoperatively.CrossRef

63.

Bufquin T, Hersan A, Hubert L, Massin P. Reverse shoulder arthroplasty for the treatment of three- and four-part fractures of the proximal humerus in the elderly. J Bone Jt Surg [Br]. 2007;89-B(4):516–20.CrossRef

64.

Klein M, Juschka M, Hinkenjann B, Scherger B, Ostermann PAW. Treatment of comminuted fractures of the proximal humerus in elderly patients with the Delta III reverse shoulder prosthesis. J Orthop Trauma. 2008;22(10):698–704.PubMedCrossRef

65.

Lenarz C, Shishani Y, Mccrum C, Do RJN, Edwards TB, Gobezie R. Is reverse shoulder arthroplasty appropriate for the treatment of fractures in the older patient? Clin Orthop Relat Res. 2011;469(12):3324–31.PubMedPubMedCentralCrossRef

66.

Roberson TA, Granade CM, Hunt Q, Griscom JT, Adams KJ, Momaya AM, et al. Nonoperative management versus reverse shoulder arthroplasty for treatment of 3- and 4-part proximal humeral fractures in older adults. J Shoulder Elb Surg. 2016;26(6):1017–22. Available from:. https://doi.org/10.1016/j.jse.2016.10.013.CrossRef

67.

•• Sebastia-Forcada E, Lizaur-Utrilla A, Cebrian-Gomez R, Miralles-Muñoz FA, Lopez-Prats FA. Outcomes of reverse total shoulder arthroplasty for proximal humeral fractures: primary arthroplasty versus secondary arthroplasty after failed proximal humeral locking plate fixation. J Orthop Trauma. 2017;31(8):236–40 Better postoperative functional scores, ROM, complication, and revision rate for primary vs. secondary RSA.CrossRef

68.

Seidl A, Sholder D, Warrender W, Livesey M, Jr GW, Abboud J, et al. Early versus late reverse shoulder arthroplasty for proximal humerus fractures: does it matter? Arch Bone Jt Surg. 2017;5(4):213–20.PubMedPubMedCentral

69.

•• Torchia MT, Austin DC, Cozzolino N, Jacobowitz L, Bell J. Acute versus delayed reverse total shoulder arthroplasty for the treatment of proximal humeral fractures in the elderly population: a systematic review and meta-analysis. J Shoulder Elb Surg. 2019;28(4):765–73. https://doi.org/10.1016/j.jse.2018.10.004Meta-analysis and systematic review comparing acute versus delayed RSA demonstrating no significant outcome differences in timing.CrossRef

70.

•• Austin DC, Torchia MT, Cozzolino NH, Jacobowitz LE, Bell J. Decreased reoperations and improved outcomes with reverse total shoulder arthroplasty in comparison to hemiarthroplasty for geriatric proximal humerus fractures: a systematic review and meta-analysis. J Orthop Trauma. 2019;33(1):49–57 Meta-analysis and systematic review comparing RSA and hemiarthroplasty showed RSA significantly outperformed hemirathroplasty for proximal humerus fracture treatment.PubMedCrossRef

71.

Shukla DR, Mcanany S, Kim J, Overley S, Parsons BO. Hemiarthroplasty versus reverse shoulder arthroplasty for treatment of proximal humeral fractures: a meta-analysis. J Shoulder Elb Surg. 2016;25(2):330–40. Available from:. https://doi.org/10.1016/j.jse.2015.08.030.CrossRef

72.

Ferrel JR, Trinh TQ, Fischer RA. Reverse total shoulder arthroplasty versus hemiarthroplasty for proximal humeral fractures: a systematic review. J Orthop Trauma. 2015;29(1):60–8.PubMedCrossRef

73.

•• Gallinet D, Ohl X, Decroocq L, Dib C, Valenti P, Boileau P, et al. Is reverse total shoulder arthroplasty more effective than hemiarthroplasty for treating displaced proximal humerus fractures in older adults? A systematic review and meta-analysis. Orthop Traumatol Surg Res. 2018;104(6):759–66. https://doi.org/10.1016/j.otsr.2018.04.025RSA patients had better clinical outcome scores and forward flexion postoperatively compared to hemiarthroplasty patients who had better internal and external rotation postoperatively.CrossRefPubMed

74.

Namdari S, Jg H, Baldwin K. Comparison of hemiarthroplasty and reverse arthroplasty for treatment of proximal humeral fractures: a systematic review. J Bone Jt Surg. 2013;95-A(18):1701–8.CrossRef

75.

Bonnevialle N, Tournier C, Clavert P, Ohl X, Sirveaux F, Saragaglia D. Hemiarthroplasty versus reverse shoulder arthroplasty in 4-part displaced fractures of the proximal humerus: multicenter retrospective study. Orthop Traumatol Surg Res. 2016;102(2016):569–73.PubMedCrossRef

76.

Boyle MJ, Youn S, Frampton CMA, Ball CM. Functional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures. J Shoulder Elb Surg. 2013;22(1):32–7. Available from:. https://doi.org/10.1016/j.jse.2012.03.006.CrossRef

77.

Chalmers PN, Iii WS, Mall NA, Gupta AK, Rahman Z, Enriquez D, et al. Reverse total shoulder arthroplasty for acute proximal humeral fracture: comparison to open reduction – internal fixation and hemiarthroplasty. J Shoulder Elb Surg. 2014;23(2):197–204. Available from:. https://doi.org/10.1016/j.jse.2013.07.044.CrossRef

78.

Cuff DJ, Pupello DR. Comparison of hemiarthroplasty and reverse shoulder arthroplasty for the treatment of proximal humeral fractures in elderly patients. J Bone Jt Surg - Ser A. 2013;95(22):2050–5.CrossRef

79.

Garrigues GE, Johnston PS, Pepe MD, Tucker BS, Ramsey ML, Austin LS. Hemiarthroplasty versus reverse total shoulder arthroplasty for acute proximal humerus fractures in elderly patients. Orthopedics. 2012;35(5):703–8.CrossRef

80.

Van Der Merwe M, Boyle MJ, Frampton CMA, Ball CM. Reverse shoulder arthroplasty compared with hemiarthroplasty in the treatment of acute proximal humeral fractures. J Shoulder Elb Surg. 2017;26(9):1539–45. Available from:. https://doi.org/10.1016/j.jse.2017.02.005.CrossRef

81.

• Reuther F, Petermann M, Stangl R. Reverse shoulder arthroplasty in acute fractures of the proximal humerus: does tuberosity healing improve clinical outcomes. J Orthop Trauma. 2019;33(2):46–51 Case series demonstrating no significant difference for functional scores or ROM for healed vs. unhealed greater tuberosity in RSA.CrossRef

82.

• Jain NP, Mannan SS, Dharmarajan R, Rangan A. Tuberosity healing after reverse shoulder arthroplasty for complex proximal humeral fractures in elderly patients—does it improve outcomes? A systematic review and meta-analysis. J Shoulder Elb Surg. 2019;28(3):e78–91 Systematic review and meta-analysis showing RSA patients with healed greater tuberosity had better ROM and functional outcome scores.CrossRef

83.

• Simovitch RW, Roche CP, Jones RB, Routman HD, Marczuk Y, Wright TW, et al. Effect of tuberosity healing on clinical outcomes in elderly patients treated with a reverse shoulder arthroplasty for 3-and 4-part proximal humerus fractures. J Orthop Trauma. 2019;33(2):E39–45 Greater tuberosity healing in RSA results in better external rotation postoperatively than if it does not radiographically heal.PubMedCrossRef

84.

• Torrens C, Alentorn-geli E, Mingo F, Gamba C, Santana F. Reverse shoulder arthroplasty for the treatment of acute complex proximal humeral fractures: influence of greater tuberosity healing on the functional outcomes. J Orthop Surg. 2018;26(1):1–7 No significant differences among patients who undergo RSA and have tuberosity healing and those that do not.CrossRef

85.

Cvetanovich GL, Chalmers PN, Verma NN, Nicholson GP, Romeo AA. Open reduction internal fixation has fewer short-term complications than shoulder arthroplasty for proximal humeral fractures. J Shoulder Elb Surg. 2016;25(4):624–631.e3. Available from:. https://doi.org/10.1016/j.jse.2015.09.011.CrossRef

86.

Zhang AL, Schairer WW, Feeley BT. Hospital readmissions after surgical treatment of proximal humerus fractures: is arthroplasty safer than open reduction internal fixation? Clin Orthop Relat Res. 2014;472(8):2317–24.PubMedPubMedCentralCrossRef

87.

Gupta AK, Harris JD, Erickson BJ, Abrams GD, Bruce B, Mccormick F, et al. Surgical management of complex proximal humerus fractures — a systematic review of 92 studies including 4500 patients. J Orthop Trauma. 2015;29(1):54–9.PubMedCrossRef

88.

• Gallinet D, Cazeneuve JF, Boyer E, Menu G, Obert L, Ohl X, et al. Reverse shoulder arthroplasty for recent proximal humerus fractures: outcomes in 422 cases. Orthop Traumatol Surg Res. 2019;1–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31279769. Revision rate for RSA after proximal humerus fracture is 5% after 238 months.

89.

• Klug A, Wincheringer D, Harth J, Schmidt-horloh K, Hoffmann R, Gramlich Y, et al. Complications after surgical treatment of proximal humerus fractures in the elderly--an analysis of complication patterns and risk factors for reverse shoulder arthroplasty and angular-stable plating. J Shoulder Elb Surg. 2019;1–11. RSA revision rate is 5.1%, which is lower than the 12.1% rate seen in ORIF patients with mean follow up 3.5 years.

90.

•• Bacle G, Nové-Josserand L, Garaud P, Walch G. Long-term outcomes of reverse total shoulder arthroplasty. J Bone Jt Surg. 2017;99(6):454–61 Available from: http://insights.ovid.com/crossref?an=00004623-201703150-00002 -- Long-term follow up study of RSA demonstrating 93% survival rate at 10 years.CrossRef

91.

Neer CS. Four-segment classification of proximal humerus fractures: purpose and reliable use. J Shoulder Elb Surg. 2002;11(4):e389–400.CrossRef

92.

Giles JW, Langohr GDG, Johnson JA, Athwal GS. The rotator cuff muscles are antagonists after reverse total shoulder arthroplasty. J Shoulder Elb Surg. 2016;25(10):1592–600. Available from:. https://doi.org/10.1016/j.jse.2016.02.028.CrossRef

93.

Uzer G, Yildiz F, Batar S, Binlaksar R, Elmadag M, Kus G, et al. Does grafting of the tuberosities improve the functional outcomes of proximal humeral fractures treated with reverse shoulder arthroplasty? J Shoulder Elb Surg. 2017;26(1):36–41. Available from:. https://doi.org/10.1016/j.jse.2016.05.005.CrossRef

94.

Werner BC, Wong AC, Mahony GT, Craig EV, Dines DM, Warren RF, et al. Clinical outcomes after reverse shoulder arthroplasty with and without subscapularis repair: the importance of considering glenosphere lateralization. J Am Acad Orthop Surg. 2018;26(5):e114–9.PubMedCrossRef

95.

Formaini NT, Everding NG, Levy JC, Rosas S. Tuberosity healing after reverse shoulder arthroplasty for acute proximal humerus fractures: the “black and tan” technique. J Shoulder Elb Surg. 2015;24(11):e299–306. Available from:. https://doi.org/10.1016/j.jse.2015.04.014.CrossRef

Titel: Reverse Shoulder Arthroplasty for Proximal Humerus Fracture
verfasst von: Brandon J. Kelly
Chad M. Myeroff
Publikationsdatum: 12.04.2020
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2020
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-020-09597-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

25.04.2024 | Hypertonie | Nachrichten

Update Orthopädie und Unfallchirurgie

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

Newsletter bestellen

Springer Medizin

Reverse Shoulder Arthroplasty for Proximal Humerus Fracture

Abstract

Purpose of Review

Recent Findings

Summary

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2020

Step by Step Guide to Understanding the Kinetic Chain Concept in the Overhead Athlete

Management of the Failed OCD

Non-operative Treatment of Carpal Tunnel Syndrome

Management of Recurrent Anterior Shoulder Instability After Surgical Stabilization in Children and Adolescents

Reverse Total Shoulder Arthroplasty: Technique, Decision-Making and Exposure Tips

How New Technology Is Improving Physical Therapy

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie