How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature
Background: Reverse total shoulder arthroplasty (RTSA) can lead to limited postoperative internal rotation (IR). We assessed how IR is measured and reported in the RTSA literature and examined the relationships between these measures and patient-reported ability to perform activities of daily living...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-03-01
|
| Series: | JSES International |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468602619301603 |
| _version_ | 1818742077639360512 |
|---|---|
| author | Jorge Rojas, MD Jacob Joseph, BA Uma Srikumaran, MD Edward G. McFarland, MD |
| author_facet | Jorge Rojas, MD Jacob Joseph, BA Uma Srikumaran, MD Edward G. McFarland, MD |
| author_sort | Jorge Rojas, MD |
| collection | DOAJ |
| description | Background: Reverse total shoulder arthroplasty (RTSA) can lead to limited postoperative internal rotation (IR). We assessed how IR is measured and reported in the RTSA literature and examined the relationships between these measures and patient-reported ability to perform activities of daily living. Methods: We searched MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials for articles published in English from January 2000 through September 2018 that reported clinical outcomes after RTSA (minimum 12-month follow-up). We included studies reporting IR range of motion (ROM) and/or patient-reported functional outcomes related to IR. We identified 255 studies, 35% of which were excluded because they reported no IR outcome measures, leaving 165 studies for analysis. Results: Studies reported 3 methods of measuring IR ROM: (1) vertebral level (VL) method (ie, the most proximal VL reached by the extended thumb with the arm behind the back), (2) degrees of IR with the arm abducted to 90°, and (3) degrees of IR with the arm in a neutral position. The VL measurement was reported in 89% of studies, but the methods of reporting this measure varied. Only 9% of studies reported functional outcomes related to IR. No study correlated clinical measurements of IR ROM with functional outcomes. Conclusions: Measures and reporting of shoulder IR after RTSA varied widely. This variability makes it difficult to assess associations between postoperativce IR limitation and functional abilities. Standardization of IR measures and reporting is needed to allow meta-analysis of data related to this important outcome. |
| first_indexed | 2024-12-18T02:06:47Z |
| format | Article |
| id | doaj.art-5085cbcb00f94dc7b15c726fd1bc54e5 |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-12-18T02:06:47Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-5085cbcb00f94dc7b15c726fd1bc54e52022-12-21T21:24:34ZengElsevierJSES International2666-63832020-03-0141182188How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literatureJorge Rojas, MD0Jacob Joseph, BA1Uma Srikumaran, MD2Edward G. McFarland, MD3Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA; Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, ColombiaDivision of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USADivision of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USADivision of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA; Corresponding author: Edward G. McFarland, MD, Department of Orthopaedic Surgery, The Johns Hopkins University, 10753 Falls Rd, Ste 215, Lutherville, MD 21093, USA.Background: Reverse total shoulder arthroplasty (RTSA) can lead to limited postoperative internal rotation (IR). We assessed how IR is measured and reported in the RTSA literature and examined the relationships between these measures and patient-reported ability to perform activities of daily living. Methods: We searched MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials for articles published in English from January 2000 through September 2018 that reported clinical outcomes after RTSA (minimum 12-month follow-up). We included studies reporting IR range of motion (ROM) and/or patient-reported functional outcomes related to IR. We identified 255 studies, 35% of which were excluded because they reported no IR outcome measures, leaving 165 studies for analysis. Results: Studies reported 3 methods of measuring IR ROM: (1) vertebral level (VL) method (ie, the most proximal VL reached by the extended thumb with the arm behind the back), (2) degrees of IR with the arm abducted to 90°, and (3) degrees of IR with the arm in a neutral position. The VL measurement was reported in 89% of studies, but the methods of reporting this measure varied. Only 9% of studies reported functional outcomes related to IR. No study correlated clinical measurements of IR ROM with functional outcomes. Conclusions: Measures and reporting of shoulder IR after RTSA varied widely. This variability makes it difficult to assess associations between postoperativce IR limitation and functional abilities. Standardization of IR measures and reporting is needed to allow meta-analysis of data related to this important outcome.http://www.sciencedirect.com/science/article/pii/S2468602619301603Functional outcomeinternal rotationmeasurementrange of motionreverse total shoulder arthroplastyshoulder arthroplasty |
| spellingShingle | Jorge Rojas, MD Jacob Joseph, BA Uma Srikumaran, MD Edward G. McFarland, MD How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature JSES International Functional outcome internal rotation measurement range of motion reverse total shoulder arthroplasty shoulder arthroplasty |
| title | How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature |
| title_full | How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature |
| title_fullStr | How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature |
| title_full_unstemmed | How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature |
| title_short | How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature |
| title_sort | how internal rotation is measured in reverse total shoulder arthroplasty a systematic review of the literature |
| topic | Functional outcome internal rotation measurement range of motion reverse total shoulder arthroplasty shoulder arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2468602619301603 |
| work_keys_str_mv | AT jorgerojasmd howinternalrotationismeasuredinreversetotalshoulderarthroplastyasystematicreviewoftheliterature AT jacobjosephba howinternalrotationismeasuredinreversetotalshoulderarthroplastyasystematicreviewoftheliterature AT umasrikumaranmd howinternalrotationismeasuredinreversetotalshoulderarthroplastyasystematicreviewoftheliterature AT edwardgmcfarlandmd howinternalrotationismeasuredinreversetotalshoulderarthroplastyasystematicreviewoftheliterature |