Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population
Abstract Background Reverse shoulder arthroplasty (RSA) is a valuable treatment for rotator cuff arthropathy (RCA) in developed regions. Socioeconomic issues impact access to specialized care and there is a lack of data on RSA outcomes in developing regions. We present our 24-month follow-up on RSA...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-07124-z |
| _version_ | 1797363713956642816 |
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| author | Christine M. M. Silva Gisele Façanha Diógenes Teixeira Gabriella Cristina Coelho de Brito Marco A. A. Lacerda Francisco A. C. Rocha |
| author_facet | Christine M. M. Silva Gisele Façanha Diógenes Teixeira Gabriella Cristina Coelho de Brito Marco A. A. Lacerda Francisco A. C. Rocha |
| author_sort | Christine M. M. Silva |
| collection | DOAJ |
| description | Abstract Background Reverse shoulder arthroplasty (RSA) is a valuable treatment for rotator cuff arthropathy (RCA) in developed regions. Socioeconomic issues impact access to specialized care and there is a lack of data on RSA outcomes in developing regions. We present our 24-month follow-up on RSA surgeries to treat RCA in our low-income population. Methods Prospective evaluation of 26 patients subjected to RSA at Hospital Geral de Fortaleza-CE, Brazil, between January 2018 and December 2020. Literacy [>/≤ 8 school years(SY)] and income were documented. Outcomes considered pain (visual analogue scale; VAS) as well as SSV, SPADI, ASES, and UCLA scoring, and range of motion [forward flexion (FF); external rotation (ER)]. Results Patients were 68.5 ± 7.6 years-old with 16(61.5%) females; 65% had hypertension and 7 (26.9%) had diabetes. Over 90% declared < 900.00 US$ monthly family earnings and 10 (38.4%) patients declared ≤8 SY with > 80% exerting blue-collar jobs. Pain showed a significant reduction from baseline (8 ± 2) to 24 months (2.1 ± 2.3; p < 0.001). UCLA (10.3 ± 5.6 and 28.6 ± 7.2), ASES (16.7 ± 10.8 and 63.1 ± 28.4), SSV (326 ± 311 and 760 ± 234), and SPADI (98.3 ± 26.5) scores significantly improved from baseline to 24 months, achieving minimal clinically important difference. FF (89.2° ± 51.2° to 140.6 ± 38.3°) and ER (19.2° ± 22.5 to 33.4° ± 20.6°) significantly improved from baseline to 24 months (p = 0.004 and 0.027, respectively). There were 5 non-serious adverse events with one surgical revision. All patients returned to daily life activities. Conclusion This is the first outcome report 2 years following RSA in a low-income population. Data indicate this procedure is justifiable regardless of socioeconomic issues. |
| first_indexed | 2024-03-08T16:25:07Z |
| format | Article |
| id | doaj.art-143c0a343c074b09b46f311eb08b6c33 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-08T16:25:07Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-143c0a343c074b09b46f311eb08b6c332024-01-07T12:04:32ZengBMCBMC Musculoskeletal Disorders1471-24742024-01-012511810.1186/s12891-023-07124-zOutcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income populationChristine M. M. Silva0Gisele Façanha Diógenes Teixeira1Gabriella Cristina Coelho de Brito2Marco A. A. Lacerda3Francisco A. C. Rocha4Orthopaedic Service, Shoulder and Elbow Group, Hospital Geral de FortalezaOrthopaedic Service, Shoulder and Elbow Group, Hospital Geral de FortalezaOrthopaedic Service, Shoulder and Elbow Group, Hospital Geral de FortalezaOrthopaedic Service, Shoulder and Elbow Group, Hospital Geral de FortalezaDepartment of Internal Medicine, Faculdade de Medicina da Universidade Federal do CearáAbstract Background Reverse shoulder arthroplasty (RSA) is a valuable treatment for rotator cuff arthropathy (RCA) in developed regions. Socioeconomic issues impact access to specialized care and there is a lack of data on RSA outcomes in developing regions. We present our 24-month follow-up on RSA surgeries to treat RCA in our low-income population. Methods Prospective evaluation of 26 patients subjected to RSA at Hospital Geral de Fortaleza-CE, Brazil, between January 2018 and December 2020. Literacy [>/≤ 8 school years(SY)] and income were documented. Outcomes considered pain (visual analogue scale; VAS) as well as SSV, SPADI, ASES, and UCLA scoring, and range of motion [forward flexion (FF); external rotation (ER)]. Results Patients were 68.5 ± 7.6 years-old with 16(61.5%) females; 65% had hypertension and 7 (26.9%) had diabetes. Over 90% declared < 900.00 US$ monthly family earnings and 10 (38.4%) patients declared ≤8 SY with > 80% exerting blue-collar jobs. Pain showed a significant reduction from baseline (8 ± 2) to 24 months (2.1 ± 2.3; p < 0.001). UCLA (10.3 ± 5.6 and 28.6 ± 7.2), ASES (16.7 ± 10.8 and 63.1 ± 28.4), SSV (326 ± 311 and 760 ± 234), and SPADI (98.3 ± 26.5) scores significantly improved from baseline to 24 months, achieving minimal clinically important difference. FF (89.2° ± 51.2° to 140.6 ± 38.3°) and ER (19.2° ± 22.5 to 33.4° ± 20.6°) significantly improved from baseline to 24 months (p = 0.004 and 0.027, respectively). There were 5 non-serious adverse events with one surgical revision. All patients returned to daily life activities. Conclusion This is the first outcome report 2 years following RSA in a low-income population. Data indicate this procedure is justifiable regardless of socioeconomic issues.https://doi.org/10.1186/s12891-023-07124-zShoulderReverse shoulder arthroplastyArthroplastyInequalityRotator cuff tearMetabolic disease |
| spellingShingle | Christine M. M. Silva Gisele Façanha Diógenes Teixeira Gabriella Cristina Coelho de Brito Marco A. A. Lacerda Francisco A. C. Rocha Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population BMC Musculoskeletal Disorders Shoulder Reverse shoulder arthroplasty Arthroplasty Inequality Rotator cuff tear Metabolic disease |
| title | Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population |
| title_full | Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population |
| title_fullStr | Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population |
| title_full_unstemmed | Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population |
| title_short | Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population |
| title_sort | outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low income population |
| topic | Shoulder Reverse shoulder arthroplasty Arthroplasty Inequality Rotator cuff tear Metabolic disease |
| url | https://doi.org/10.1186/s12891-023-07124-z |
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