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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 2/2020

01-04-2020 | Reverse Shoulder Arthroplasty (E Craig and C Chambers, Section Editors)

Reverse Total Shoulder Arthroplasty: Technique, Decision-Making and Exposure Tips

Authors: Harshvardhan Chawla, Seth Gamradt

Published in: Current Reviews in Musculoskeletal Medicine | Issue 2/2020

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Abstract

Purpose of Review

The goal of this review is to introduce surgical decision-making pearls for reverse shoulder arthroplasty and describe optimization of surgical exposure for reverse shoulder arthroplasty.

Recent Findings

While the technology of reverse shoulder replacement and the associated prosthetic options have expanded, the principles involved in successfully exposing the humerus and glenoid in arthroplasty remain the same.

Summary

Reverse shoulder replacement should be considered in arthroplasty situations with rotator cuff disease, deformity, bone loss, and instability as part of the diagnosis. Optimal exposure in reverse shoulder arthroplasty can be obtained by (1) releasing deltoid adhesions, (2) removal of humeral osteophytes, (3) generous humeral head cuts, (4) thorough humeral and glenoid capsular release and (5) optimal glenoid retractor placement. Neuromuscular paralysis can also aid glenoid exposure.
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Metadata
Title
Reverse Total Shoulder Arthroplasty: Technique, Decision-Making and Exposure Tips
Authors
Harshvardhan Chawla
Seth Gamradt
Publication date
01-04-2020
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 2/2020
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-020-09613-3

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