Reversed shoulder arthroplasty as treatment for late or ancient chronic glenohumeral dislocation.

Abstract

Chronic glenohumeral dislocation is a rare entity and several treatment options have been proposed. The aim of this study is to report the long-term follow-up of the reversed shoulder arthroplasty in patients with chronic glenohumeral dislocation. A retrospective analysis of all patients between January 2002 and December 2012 that were treated with a reversed shoulder arthroplasty for chronic anterior glenohumeral dislocations was performed. Pre-operative CT evaluation of the bone loss and fatty degeneration of the rotator cuff muscles was performed. Pre- and postoperative Constant-Murley score was evaluated. 6 patients (4 males and 2 females) with anterior glenohumeral dislocations were evaluated. Average age was 73 years (between 65-86 years). The average time of dislocation was 18 weeks (between 4 and 52 weeks). Average time of follow-up was 39 months (between 12 and 90 months). The CM improved from 33 (between 17 and 45) pre-op to 76 postop (between 55 and 89). No postoperative complications were observed. Reversed shoulder arthroplasty gives good results in case of chronic glenohumeral dislocation.

• Authors: A Van Tongel, T Claessens, B Verhofste, L De Wilde
• Journal: Acta orthopaedica Belgica (Acta Orthop Belg) Vol. 82 Issue 3 Pg. 637-642 (Sep 2016) ISSN: 0001-6462 [Print] Belgium
• PMID: 29119907 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Arthroplasty, Replacement, Shoulder (methods)
• Chronic Disease
• Female
• Humans
• Male
• Middle Aged
• Retrospective Studies
• Shoulder Dislocation (surgery)