JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Evaluating Scapular Notching after Reverse Total Shoulder Arthroplasty
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Clinics in Shoulder and Elbow
  • Volume 18, Issue 4,  2015, pp.248-253
  • Publisher : Korean Shoulder and Elbow Society
  • DOI : 10.5397/cise.2015.18.4.248
 Title & Authors
Evaluating Scapular Notching after Reverse Total Shoulder Arthroplasty
Kim, Young-Kyu; Won, Jun-Sung; Park, Chang-Kyu; Kim, Jong-Geun;
  PDF(new window)
 Abstract
Background: Scapular notching can happen at diverse location depending on implant design or operative technique, therefore, it is easily misdiagnosed. Thus, this study purposed to suggest a method helpful to assess scapular notching. Methods: The subjects were 73 cases of reverse shoulder arthroplasty (RSA) for cuff tear arthropathy during the period from May 2009 to April 2014 and followed-up for over a year. There was medialized RSA in 22 cases, bone increased offset RSA (BIO-RSA) in 36 cases, and metal increased offset RSA (metal-RSA) in 15 cases. Scapular notching was not determined by bone defect at the inferior of glenosphere as Sirveaux's classification, but scapular notching at the site where the rotational route of the polyethylene of humeral implant met the scapular neck were examined. The results were compared with conventional method. Results: By conventional method, scapular notching was observed in 10 cases (45.5%) in medialized RSA, 12 cases (33.3%) in BIO-RSA, and none in metal-RSA. By new method, it was observed in 9 cases (40.9%) in medialized RSA, 10 cases (27.8%) in BIO-RSA, and none of metal-RSA. The site of scapular notching was apart from glenoshpere in 18 cases, and at inferior of glenosphere in 1 case. Absorption of bone graft was observed in 4 (11.1%) out of 36 cases of BIO-RSA. Conclusions: It is hard to distinguish scapular notching from absorption of bone graft in BIO-RSA, and bone absorption at the lateral lower end of glenoid in medialized RSA. Thus, it is considered useful to assess scapular notching at the site where the rotational route of the polyethylene insert meets scapular neck.
 Keywords
Rotator cuff tear arthropathy;Reverse total shoulder arthroplasty;Scapular notching;Bone absorption;
 Language
English
 Cited by
 References
1.
Simovitch RW, Zumstein MA, Lohri E, Helmy N, Gerber C. Predictors of scapular notching in patients managed with the Delta III reverse total shoulder replacement. J Bone Joint Surg Am. 2007;89(3):588-600. crossref(new window)

2.
Werner CM, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am. 2005;87(7):1476-86. crossref(new window)

3.
Florie EE, Crosby LA. Scapular notching: danger ahead? Semi Arthroplast. 2013;24(1):24-7. crossref(new window)

4.
Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2011;20(1):146-57. crossref(new window)

5.
Valenti P, Sauzieres P, Katz D, Kalouche I, Kilinc AS. Do less medialized reverse shoulder prostheses increase motion and reduce notching? Clin Orthop Relat Res. 2011;469(9):2550-7. crossref(new window)

6.
Levigne C, Garret J, Boileau P, Alami G, Favard L, Walch G. Scapular notching in reverse shoulder arthroplasty: is it important to avoid it and how? Clin Orthop Relat Res. 2011;469(9): 2512-20. crossref(new window)

7.
Sanchez-Sotelo J. Reverse total shoulder arthroplasty. Clin Anat. 2009;22(2):172-82. crossref(new window)

8.
Nicholson GP, Strauss EJ, Sherman SL. Scapular notching: Recognition and strategies to minimize clinical impact. Clin Orthop Relat Res. 2011;469(9):2521-30. crossref(new window)

9.
Lévigne C, Boileau P, Favard L, et al. Scapular notching in reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2008; 17(6):925-35. crossref(new window)

10.
Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. 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 Joint Surg Br. 2004;86(3):388-95. crossref(new window)

11.
Favard L, Levigne C, Nerot C, Gerber C, De Wilde L, Mole D. Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time? Clin Orthop Relat Res. 2011;469(9):2469-75. crossref(new window)

12.
Edwards TB, Trappey GJ, Riley C, O'Connor DP, Elkousy HA, Gartsman GM. Inferior tilt of the glenoid component does not decrease scapular notching in reverse shoulder arthroplasty: results of a prospective randomized study. J Shoulder Elbow Surg. 2012;21(5):641-6. crossref(new window)

13.
Bigorre N, Lancigu R, Bizot P, Hubert L. Predictive factors of scapular notching in patients with reverse shoulder arthroplasty. Orthop Traumatol Surg Res. 2014;100(7):711-4. crossref(new window)

14.
de Wilde LF, Poncet D, Middernacht B, Ekelund A. Prosthetic overhang is the most effective way to prevent scapular conflict in a reverse total shoulder prosthesis. Acta Orthop. 2010;81(6):719-26. crossref(new window)

15.
Edwards TB, Riley C, Shani RH, O'Connor DP, Elkousy HA, Gartsman GM. Bony increased offset reverse shoulder arthroplasty: does it make a difference? results of a prospective randomized control trial. J Shoulder Elbow Surg. 2013;22(10):e35.

16.
Erickson BJ, Frank RM, Harris JD, Mall N, Romeo AA. The influence of humeral head inclination in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2015;24(6):988-93. crossref(new window)

17.
Kowalsky MS, Galatz LM, Shia DS, Steger-May K, Keener JD. The relationship between scapular notching and reverse shoulder arthroplasty prosthesis design. J Shoulder Elbow Surg. 2012;21(10):1430-41. crossref(new window)

18.
Boileau P, Moineau G, Roussanne Y, O'Shea K. Bony increased-offset reversed shoulder arthroplasty: minimizing scapular impingement while maximizing glenoid fixation. Clin Orthop Relat Res. 2011;469(9):2558-67. crossref(new window)

19.
Ferreira LM, Knowles NK, Richmond DN, Athwal GS. Effectiveness of CT for the detection of glenoid bone graft resorption following reverse shoulder arthroplasty. Orthop Traumatol Surg Res. 2015;101(4):427-30. crossref(new window)

20.
Mallo GC, Burton L, Coats-Thomas M, Daniels SD, Sinz NJ, Warner JJ. Assessment of painful total shoulder arthroplasty using computed tomography arthrography. J Shoulder Elbow Surg. 2015;24(10):1507-11. crossref(new window)

21.
Stephens BF, Hebert CT, Azar FM, Mihalko WM, Throckmorton TW. Optimal baseplate rotational alignment for lockingscrew fixation in reverse total shoulder arthroplasty: a threedimensional computer-aided design study. J Shoulder Elbow Surg. 2015;24(9):1367-71. crossref(new window)

22.
Parsons BO, Gruson KI, Accousti KJ, Klug RA, Flatow EL. Optimal rotation and screw positioning for initial glenosphere baseplate fixation in reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2009;18(6):886-91. crossref(new window)