Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy
Background: In our previous report, glenoid wear (GW) after humeral head replacement for cuff tear arthropathy was classified with modified Goya’s classification (grade 0-3), and, among 3 subtypes of grade 3 (glenoid bone erosion), grade 3B (superior eccentric erosion) showed significantly more pain...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S266663832200175X |
| _version_ | 1797991458235482112 |
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| author | Jun Kawamata, MD Naoki Suenaga, MD, PhD Naomi Oizumi, MD, PhD Yukiyoshi Hisada, MD Naoki Miyoshi, MD |
| author_facet | Jun Kawamata, MD Naoki Suenaga, MD, PhD Naomi Oizumi, MD, PhD Yukiyoshi Hisada, MD Naoki Miyoshi, MD |
| author_sort | Jun Kawamata, MD |
| collection | DOAJ |
| description | Background: In our previous report, glenoid wear (GW) after humeral head replacement for cuff tear arthropathy was classified with modified Goya’s classification (grade 0-3), and, among 3 subtypes of grade 3 (glenoid bone erosion), grade 3B (superior eccentric erosion) showed significantly more pain and limited active flexion postoperatively compared to grade 3C (concentric erosion). The purpose of this study was to detect individual risk factors for the progression to grade 3B GW. Methods: Seventy-nine shoulders in 70 patients who were followed up for a mean of 8.2 years (range, 5.0-13.2 years), including 29 men and 41 women, with a mean age at the surgery of 71.1 years (range, 54-87 years), were reviewed. Atrophy and fatty degeneration of torn cuff muscle, preoperative humeral head displacement (superior translation ratio [STR], anterior translation ratio, and other several parameters) on preoperative magnetic resonance imaging, and other individual factors were analyzed as possible risk factors. Results: GW at the final follow-up was grade 0: 5 shoulders, grade 1: 17, grade 2: 20, and grade 3: 37 (3A: 4, 3B: 22, and 3C: 11). Preoperative higher STR was defined as a risk factor for grade 3 GW (odds ratio, 35.5; 95% confidence interval, 1.8-693.0; P = .018). Comparison among the three subtypes of grade 3 showed that patients with grade 3B GW had larger STR than 3C (41.4 ± 14.2% vs. 23.5 ± 13.3 % P = .006). Conclusion: Patients with preoperative high STR are considered to have a risk for grade 3B GW, which possibly relates to poor clinical outcome and future revision. |
| first_indexed | 2024-04-11T08:52:31Z |
| format | Article |
| id | doaj.art-0307f07cfc7147dc8b363429136384f2 |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-04-11T08:52:31Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-0307f07cfc7147dc8b363429136384f22022-12-22T04:33:27ZengElsevierJSES International2666-63832022-11-0166889895Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathyJun Kawamata, MD0Naoki Suenaga, MD, PhD1Naomi Oizumi, MD, PhD2Yukiyoshi Hisada, MD3Naoki Miyoshi, MD4Department of Orthopaedic Surgery, Kaisei Hospital, Hokkaido, Japan; Corresponding author: Jun Kawamata, MD, Department of Orthopaedic Surgery, Kaisei Hospital, 16-27 Minami 2 chome, Nishi 23 jo, Obihiro City, Hokkaido 080-2473, Japan.Upper Extremity Center of Joint Replacement and Endoscopic Surgery, Hokushin Orthopaedic Hospital, Sapporo, Hokkaido, JapanUpper Extremity Center of Joint Replacement and Endoscopic Surgery, Hokushin Orthopaedic Hospital, Sapporo, Hokkaido, JapanUpper Extremity Center of Joint Replacement and Endoscopic Surgery, Hokushin Orthopaedic Hospital, Sapporo, Hokkaido, JapanDepartment of Orthopaedic Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, JapanBackground: In our previous report, glenoid wear (GW) after humeral head replacement for cuff tear arthropathy was classified with modified Goya’s classification (grade 0-3), and, among 3 subtypes of grade 3 (glenoid bone erosion), grade 3B (superior eccentric erosion) showed significantly more pain and limited active flexion postoperatively compared to grade 3C (concentric erosion). The purpose of this study was to detect individual risk factors for the progression to grade 3B GW. Methods: Seventy-nine shoulders in 70 patients who were followed up for a mean of 8.2 years (range, 5.0-13.2 years), including 29 men and 41 women, with a mean age at the surgery of 71.1 years (range, 54-87 years), were reviewed. Atrophy and fatty degeneration of torn cuff muscle, preoperative humeral head displacement (superior translation ratio [STR], anterior translation ratio, and other several parameters) on preoperative magnetic resonance imaging, and other individual factors were analyzed as possible risk factors. Results: GW at the final follow-up was grade 0: 5 shoulders, grade 1: 17, grade 2: 20, and grade 3: 37 (3A: 4, 3B: 22, and 3C: 11). Preoperative higher STR was defined as a risk factor for grade 3 GW (odds ratio, 35.5; 95% confidence interval, 1.8-693.0; P = .018). Comparison among the three subtypes of grade 3 showed that patients with grade 3B GW had larger STR than 3C (41.4 ± 14.2% vs. 23.5 ± 13.3 % P = .006). Conclusion: Patients with preoperative high STR are considered to have a risk for grade 3B GW, which possibly relates to poor clinical outcome and future revision.http://www.sciencedirect.com/science/article/pii/S266663832200175XShoulderHumeral head replacementGlenoid erosionCuff tear arthropathyGlenoid wearComplications |
| spellingShingle | Jun Kawamata, MD Naoki Suenaga, MD, PhD Naomi Oizumi, MD, PhD Yukiyoshi Hisada, MD Naoki Miyoshi, MD Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy JSES International Shoulder Humeral head replacement Glenoid erosion Cuff tear arthropathy Glenoid wear Complications |
| title | Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy |
| title_full | Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy |
| title_fullStr | Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy |
| title_full_unstemmed | Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy |
| title_short | Risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy |
| title_sort | risk factors for eccentric glenoid wear after humeral head replacement for cuff tear arthropathy |
| topic | Shoulder Humeral head replacement Glenoid erosion Cuff tear arthropathy Glenoid wear Complications |
| url | http://www.sciencedirect.com/science/article/pii/S266663832200175X |
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