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Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty

Stiffness is a well-known complication after reverse shoulder arthroplasty. Although multiple factors may be involved, the main cause for stiffness is rarely identified. Imaging studies frequently are inconclusive in ruling out mechanical or biological causes. Periprosthetic infection should be alwa...

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Autores principales: Aguilar-Gonzalez, Juan, Luengo-Alonso, Gonzalo, Calvo, Emilio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7528875/
https://www.ncbi.nlm.nih.gov/pubmed/33024679
http://dx.doi.org/10.1016/j.eats.2020.05.025
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author Aguilar-Gonzalez, Juan
Luengo-Alonso, Gonzalo
Calvo, Emilio
author_facet Aguilar-Gonzalez, Juan
Luengo-Alonso, Gonzalo
Calvo, Emilio
author_sort Aguilar-Gonzalez, Juan
collection PubMed
description Stiffness is a well-known complication after reverse shoulder arthroplasty. Although multiple factors may be involved, the main cause for stiffness is rarely identified. Imaging studies frequently are inconclusive in ruling out mechanical or biological causes. Periprosthetic infection should be always suspected, but the absence of major clinical signs and accurate diagnostic tests is frequent. A lack of objective criteria establishing a diagnosis and when to proceed with revision surgery is often present in such cases. Moreover, additional surgical procedures should be carefully evaluated, as they can represent a point of no return. Shoulder arthroscopy plays an increasingly important role in these cases, either as a diagnostic or therapeutic tool. There are no reports about arthroscopy on stiffness after reverse shoulder arthroplasty. In this Technical Note, we describe an arthroscopic technique aimed to identify potential causes of reverse shoulder arthroplasty stiffness. Subsequent circumferential release is described and discussed.
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spelling pubmed-75288752020-10-05 Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty Aguilar-Gonzalez, Juan Luengo-Alonso, Gonzalo Calvo, Emilio Arthrosc Tech Technical Note Stiffness is a well-known complication after reverse shoulder arthroplasty. Although multiple factors may be involved, the main cause for stiffness is rarely identified. Imaging studies frequently are inconclusive in ruling out mechanical or biological causes. Periprosthetic infection should be always suspected, but the absence of major clinical signs and accurate diagnostic tests is frequent. A lack of objective criteria establishing a diagnosis and when to proceed with revision surgery is often present in such cases. Moreover, additional surgical procedures should be carefully evaluated, as they can represent a point of no return. Shoulder arthroscopy plays an increasingly important role in these cases, either as a diagnostic or therapeutic tool. There are no reports about arthroscopy on stiffness after reverse shoulder arthroplasty. In this Technical Note, we describe an arthroscopic technique aimed to identify potential causes of reverse shoulder arthroplasty stiffness. Subsequent circumferential release is described and discussed. Elsevier 2020-09-08 /pmc/articles/PMC7528875/ /pubmed/33024679 http://dx.doi.org/10.1016/j.eats.2020.05.025 Text en © 2020 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Aguilar-Gonzalez, Juan
Luengo-Alonso, Gonzalo
Calvo, Emilio
Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_full Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_fullStr Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_full_unstemmed Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_short Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_sort arthroscopic circumferential release for stiff reverse total shoulder arthroplasty
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7528875/
https://www.ncbi.nlm.nih.gov/pubmed/33024679
http://dx.doi.org/10.1016/j.eats.2020.05.025
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