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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 7/2017

01-07-2017 | Orthopaedic Surgery

No relationship between critical shoulder angle and glenoid erosion after shoulder hemiarthroplasty: a comparative radiographic study

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2017

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Abstract

Introduction

Symptomatic glenoid erosion is one of the most common causes of functional impairment after shoulder hemiarthroplasty. A decrease in the critical shoulder angle (CSA) has been associated with the development of shoulder arthritis. The inter-observer reliability of the CSA and the relationship between CSA and symptomatic glenoid erosion after shoulder hemiarthroplasty were investigated.

Materials and methods

Twenty-eight patients with symptomatic glenoid erosion after anatomic hemiarthroplasty were compared to a control group of 30 patients with no signs of symptomatic glenoid erosion. The CSA was measured by two blinded shoulder surgeons at a mean follow-up of 105.2 and 54.7 months, respectively. The inter-observer reliability was calculated.

Results

The mean CSA in the control group in neutral, internal, and external rotations was 34°, 33°, and 33°, respectively. The corresponding values in the study group were 33°, 33°, and 33° (<0.01). The interclass correlation coefficient between the two examiners was 0.917 (P < 0.01), 0.924 (P < 0.01), and 0.948 (P < 0.01), respectively. The Mann–Whitney test between the control group and the study group were, respectively, 0.907, 0.932, and 0.602.

Conclusion

There were no significant differences of CSA values between the two groups. Good inter-observer reliability was found for the CSA method.
Literature
1.
Neer CS II (1970) Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement. J Bone Jt Surg Am 52(6):1090–1103CrossRef
2.
Wirth MA, Tapscott RS, Southworth C, Rockwood CA Jr (2006) Treatment of glenohumeral arthritis with a hemiarthroplasty: a minimum five-year follow-up outcome study. J Bone Jt Surg Am 88(5):964–973
3.
Smith RG, Sperling JW, Cofield RH, Hattrup SJ, Schleck CD (2008) Shoulder hemiarthroplasty for steroid-associated osteonecrosis. J Shoulder Elbow Surg 17(5):685–688CrossRefPubMed
4.
Sperling JW, Cofield RH, Schleck CD, Harmsen WS (2007) Total shoulder arthroplasty versus hemiarthroplasty for rheumatoid arthritis of the shoulder: results of 303 consecutive cases. J Shoulder Elbow Surg 16(6):683–690CrossRefPubMed
5.
Williams GR Jr, Rockwood CA Jr (1996) Hemiarthroplasty in rotator cuff-deficient shoulders. J Shoulder Elbow Surg 5(5):362–367CrossRefPubMed
6.
Pape G, Zeifang F, Bruckner T, Raiss P, Rickert M, Loew M (2010) Humeral surface replacement for the sequelae of fractures of the proximal humerus. J Bone Jt Surg Br 92(10):1403–1409CrossRef
7.
Parsons IMT, Millett PJ, Warner JJ (2004) Glenoid wear after shoulder hemiarthroplasty: quantitative radiographic analysis. Clin Orthop Relat Res 421:120–125CrossRef
8.
Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A (2005) A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Jt Surg Am 87(9):1947–1956
9.
Haines JF, Trail IA, Nuttall D, Birch A, Barrow A (2006) The results of arthroplasty in osteoarthritis of the shoulder. J Bone Jt Surg Br 88(4):496–501CrossRef
10.
Levine WN, Fischer CR, Nguyen D, Flatow EL, Ahmad CS, Bigliani LU (2012) Long-term follow-up of shoulder hemiarthroplasty for glenohumeral osteoarthritis. J Bone Jt Surg Am 94(22):e164CrossRef
11.
Edwards TB, Kadakia NR, Boulahia A, Kempf JF, Boileau P, Nemoz C, Walch G (2003) A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of a multicenter study. J Shoulder Elbow Surg 12(3):207–213CrossRefPubMed
12.
Gadea F, Alami G, Pape G, Boileau P, Favard L (2012) Shoulder hemiarthroplasty: outcomes and long-term survival analysis according to etiology. Orthop Traumatol Surg Res 98(6):659–665CrossRefPubMed
13.
Sperling JW, Cofield RH, Rowland CM (2004) Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elbow Surg 13(6):604–613CrossRefPubMed
14.
Moor BK, Bouaicha S, Rothenfluh DA, Sukthankar A, Gerber C (2013) Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint?: a radiological study of the critical shoulder angle. Bone Jt J 95-B(7):935–941CrossRef
15.
Moor BK, Wieser K, Slankamenac K, Gerber C, Bouaicha S (2014) Relationship of individual scapular anatomy and degenerative rotator cuff tears. J Shoulder Elbow Surg 23(4):536–541CrossRefPubMed
16.
17.
Jacxsens M, Walz T, Durchholz H, Muller AM, Flury M, Schwyzer HK, Audige L (2017) Towards standardised definitions of shoulder arthroplasty complications: a systematic review of terms and definitions. Arch Orthop Trauma Surg 137(3):347–355CrossRefPubMed
18.
Holschen M, Franetzki B, Witt KA, Liem D, Steinbeck J (2017) Conversions from anatomic shoulder replacements to reverse total shoulder arthroplasty: do the indications for initial surgery influence the clinical outcome after revision surgery? Arch Orthop Trauma Surg 137(2):167–172CrossRefPubMed
19.
Hasan SS, Leith JM, Campbell B, Kapil R, Smith KL, Matsen FA 3rd (2002) Characteristics of unsatisfactory shoulder arthroplasties. J Shoulder Elbow Surg 11(5):431–441CrossRefPubMed
20.
Nyffeler RW, Werner CM, Sukthankar A, Schmid MR, Gerber C (2006) Association of a large lateral extension of the acromion with rotator cuff tears. J Bone Joint Surg Am 88(4):800–805PubMed
21.
Suter T, Gerber Popp A, Zhang Y, Zhang C, Tashjian RZ, Henninger HB (2015) The influence of radiographic viewing perspective and demographics on the critical shoulder angle. J Shoulder Elbow Surg 24:e149–e158CrossRefPubMedPubMedCentral
Metadata
Title
No relationship between critical shoulder angle and glenoid erosion after shoulder hemiarthroplasty: a comparative radiographic study
Publication date
01-07-2017
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 7/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-017-2708-9

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