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International Orthopaedics

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01-06-2021 | Original Paper

Long-term impact of scapular notching after reverse shoulder arthroplasty

Authors: C. Spiry, J. Berhouet, C. Agout, G. Bacle, Luc Favard

Published in: International Orthopaedics | Issue 6/2021

Abstract

Background

Because it medializes the centre of rotation, one of the drawbacks of reverse shoulder arthroplasty (RSA) is the risk of impingement between the humerus and lateral border of the scapula resulting in scapular notching. The long-term impact of this notching is not well known, either on function or the risk of glenoid loosening. The aim of this longitudinal study was to analyze the drawbacks of this notching.

Methods

Between 1993 and 2006, 81 patients (91 shoulders) underwent RSA for primary glenohumeral osteoarthritis or massive cuff tear with or without osteoarthritis. This cohort was followed longitudinally with post-operative assessments done at one to two years (T1), three to eight years (T2), and nine+ years (T3). Before T3, 25 patients had died, nine were lost to follow-up, five had the implants changed, and seven had incomplete records. Thus, 45 shoulders were available for follow-up beyond nine years (mean follow-up of 12 years) and were used to determine the long-term impact of notching. Survival curves were generated using the occurrence of Sirveaux grade 3 or 4 notching and the presence of aseptic glenoid loosening as endpoints.

Results

The survivorship before grade 3 or 4 notching developed was 83% at five years, 60% at 10 years, and 43% at 15 years. In the end, aseptic glenoid loosening occurred in four shoulders, all of which had developed grade 4 notching. No glenoid loosening occurred in the population with grade 0, 1, 2, or 3 notching (p = 0.02). The Constant score significantly decreased between T2 and T3, although it was not different between shoulders with and without advanced notching.

Conclusions

Beyond the second year post-RSA, the number of shoulders with grade 3 or 4 notching increases steadily up to the longest follow-up. Grade 4 notching always preceded the occurrence of late glenoid loosening. The functional outcomes become significantly worse after the 9th year post-RSA, although they were not correlated to the presence of high-grade scapular notching.

Grammont PM, Baulot E (1993) Delta shoulder prosthesis for rotator cuff rupture. Orthopedics 16:65–68CrossRef

Baulot E, Chabernaud D, Grammont PM (1995) Results of Grammont’s inverted prosthesis in omarthritis associated with major cuff destruction. Apropos of 16 cases. Acta Orthop Belg 61(Suppl 1):112–119PubMed

Guery J, Favard L, Sirveaux F et al (2006) Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am 88:1742–1747. https://doi.org/10.2106/JBJS.E.00851CrossRefPubMed

Sirveaux F, Favard L, Oudet D et al (2004) 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 Vol 86-B:388–395. https://doi.org/10.1302/0301-620X.86B3.14024CrossRef

Wall B, Nove-Josserand L, O’Connor DP et al (2007) Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am 89:1476–1485. https://doi.org/10.2106/JBJS.F.00666CrossRefPubMed

Cuff D, Pupello D, Virani N et al (2008) Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg 90:1244–1251. https://doi.org/10.2106/JBJS.G.00775CrossRefPubMed

Werner CML, Steinmann PA, Gilbart M, Gerber C (2005) 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 87:1476–1486. https://doi.org/10.2106/JBJS.D.02342CrossRefPubMed

Boileau P, Watkinson D, Hatzidakis AM, Hovorka I (2006) Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. Journal of Shoulder and Elbow Surgery 15:527–540. https://doi.org/10.1016/j.jse.2006.01.003CrossRefPubMed

Ernstbrunner L, Suter A, Catanzaro S et al (2017) Reverse total shoulder arthroplasty for massive, irreparable rotator cuff tears before the age of 60 years: long-term results. The Journal of Bone and Joint Surgery 99:1721–1729. https://doi.org/10.2106/JBJS.17.00095CrossRefPubMed

10.

Lévigne C, Boileau P, Favard L et al (2008) Scapular notching in reverse shoulder arthroplasty. J Shoulder Elbow Surg 17:925–935. https://doi.org/10.1016/j.jse.2008.02.010CrossRefPubMed

11.

Nolan BM, Ankerson E, Wiater JM (2011) Reverse total shoulder arthroplasty improves function in cuff tear arthropathy. Clin Orthop Relat Res 469:2476–2482. https://doi.org/10.1007/s11999-010-1683-zCrossRefPubMed

12.

Simovitch R, Flurin P-H, Wright TW et al (2019) Impact of scapular notching on reverse total shoulder arthroplasty midterm outcomes: 5-year minimum follow-up. J Shoulder Elbow Surg 28:2301–2307. https://doi.org/10.1016/j.jse.2019.04.042CrossRefPubMed

13.

Nyffeler RW, Werner CML, Simmen BR, Gerber C (2004) Analysis of a retrieved delta III total shoulder prosthesis. J Bone Joint Surg Br 86:1187–1191. https://doi.org/10.1302/0301-620x.86b8.15228CrossRefPubMed

14.

Roche CP, Stroud NJ, Martin BL et al (2013) The impact of scapular notching on reverse shoulder glenoid fixation. J Shoulder Elbow Surg 22:963–970. https://doi.org/10.1016/j.jse.2012.10.035CrossRefPubMed

15.

Vanhove B, Beugnies A (2004) Grammont’s reverse shoulder prosthesis for rotator cuff arthropathy. A retrospective study of 32 cases. Acta Orthop Belg 70:219–225PubMed

16.

Bacle G, Nové-Josserand L, Garaud P, Walch G (2017) Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study. The Journal of Bone and Joint Surgery 99:454–461. https://doi.org/10.2106/JBJS.16.00223CrossRefPubMed

17.

Beck S, Patsalis T, Busch A et al (2019) Long-term results of the reverse Total Evolutive Shoulder System (TESS). Arch Orthop Trauma Surg 139:1039–1044. https://doi.org/10.1007/s00402-019-03135-5CrossRefPubMed

18.

Mollon B, Mahure SA, Roche CP, Zuckerman JD (2017) Impact of scapular notching on clinical outcomes after reverse total shoulder arthroplasty: an analysis of 476 shoulders. J Shoulder Elbow Surg 26:1253–1261. https://doi.org/10.1016/j.jse.2016.11.043CrossRefPubMed

19.

Hamada K, Yamanaka K, Uchiyama Y et al (2011) A radiographic classification of massive rotator cuff tear arthritis. Clin Orthop Relat Res 469:2452–2460. https://doi.org/10.1007/s11999-011-1896-9CrossRefPubMedPubMedCentral

20.

Goutallier D, Postel JM, Bernageau J, et al (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 78–83

21.

Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 160–164

22.

Melis B, DeFranco M, Lädermann A et al (2011) An evaluation of the radiological changes around the Grammont reverse geometry shoulder arthroplasty after eight to 12 years. The Journal of Bone and Joint Surgery British volume 93-B:1240–1246. https://doi.org/10.1302/0301-620X.93B9.25926CrossRef

23.

Irlenbusch U, Kääb MJ, Kohut G et al (2015) Reversed shoulder arthroplasty with inversed bearing materials: 2-year clinical and radiographic results in 101 patients. Arch Orthop Trauma Surg 135:161–169. https://doi.org/10.1007/s00402-014-2135-0CrossRefPubMed

24.

Cuff D, Clark R, Pupello D, Frankle M (2012) Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency: a concise follow-up, at a minimum of five years, of a previous report*. The Journal of Bone & Joint Surgery 94:1996–2000. https://doi.org/10.2106/JBJS.K.01206CrossRef

25.

Nam D, Kepler CK, Nho SJ et al (2010) Observations on retrieved humeral polyethylene components from reverse total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 19:1003–1012. https://doi.org/10.1016/j.jse.2010.05.014CrossRefPubMed

26.

Day JS, MacDonald DW, Olsen M et al (2012) Polyethylene wear in retrieved reverse total shoulder components. Journal of Shoulder and Elbow Surgery 21:667–674. https://doi.org/10.1016/j.jse.2011.03.012CrossRefPubMed

27.

Favard L, Levigne C, Nerot C et al (2011) Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time? Clin Orthop Relat Res 469:2469–2475. https://doi.org/10.1007/s11999-011-1833-yCrossRefPubMedPubMedCentral

28.

Bitzer A, Rojas J, Patten IS et al (2018) Incidence and risk factors for aseptic baseplate loosening of reverse total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 27:2145–2152. https://doi.org/10.1016/j.jse.2018.05.034CrossRefPubMed

29.

Sadoghi P, Leithner A, Vavken P et al (2011) Infraglenoidal scapular notching in reverse total shoulder replacement: a prospective series of 60 cases and systematic review of the literature. BMC Musculoskelet Disord 12:101. https://doi.org/10.1186/1471-2474-12-101CrossRefPubMedPubMedCentral

30.

Faulkner JA, Brooks SV, Zerba E (1995) Muscle atrophy and weakness with aging: contraction-induced injury as an underlying mechanism. J Gerontol A Biol Sci Med Sci 50 Spec No:124–129. https://doi.org/10.1093/gerona/50a.special_issue.124

Title: Long-term impact of scapular notching after reverse shoulder arthroplasty
Authors: C. Spiry
J. Berhouet
C. Agout
G. Bacle
Luc Favard
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 6/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-021-04998-3

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Long-term impact of scapular notching after reverse shoulder arthroplasty

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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