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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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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. |
format | Online Article Text |
id | pubmed-7528875 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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