Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty

Reverse total shoulder arthroplasty (RSA) has become the most utilized form of arthroplasty of the shoulder. Acromial stress fractures and scapular spine stress fractures are rare, yet well-recognized complications of RSA with ongoing studies identifying whether patient factors or prosthetic designs...

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Main Authors: Charles Holliday, MD, Erick M. Marigi, MD, Ian Marigi, BA, Thomas R. Duquin, MD, John W. Sperling, MD, MBA
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:JSES Reviews, Reports, and Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666639122001080
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author Charles Holliday, MD
Erick M. Marigi, MD
Ian Marigi, BA
Thomas R. Duquin, MD
John W. Sperling, MD, MBA
author_facet Charles Holliday, MD
Erick M. Marigi, MD
Ian Marigi, BA
Thomas R. Duquin, MD
John W. Sperling, MD, MBA
author_sort Charles Holliday, MD
collection DOAJ
description Reverse total shoulder arthroplasty (RSA) has become the most utilized form of arthroplasty of the shoulder. Acromial stress fractures and scapular spine stress fractures are rare, yet well-recognized complications of RSA with ongoing studies identifying whether patient factors or prosthetic designs serve as risk factors. Specifically, it remains unclear if or how the position of the humeral tray (inlay or onlay) in RSA affects rates of periscapular fractures. The purpose of this article is to describe our technique for RSA using an onlay prosthesis, a variable-offset humeral tray, and an augmented glenoid baseplate, as well as to review the published results of acromial and scapular spine fractures after RSA based on humeral implant design.
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spelling doaj.art-5ffffc486a9c48aa80f6954093cf9d0d2023-02-03T05:01:26ZengElsevierJSES Reviews, Reports, and Techniques2666-63912023-02-01316776Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplastyCharles Holliday, MD0Erick M. Marigi, MD1Ian Marigi, BA2Thomas R. Duquin, MD3John W. Sperling, MD, MBA4Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USADepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USADepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USADepartment of Orthopaedics, State University of New York, Buffalo, NY, USADepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA; Corresponding author: John W. Sperling, MD, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.Reverse total shoulder arthroplasty (RSA) has become the most utilized form of arthroplasty of the shoulder. Acromial stress fractures and scapular spine stress fractures are rare, yet well-recognized complications of RSA with ongoing studies identifying whether patient factors or prosthetic designs serve as risk factors. Specifically, it remains unclear if or how the position of the humeral tray (inlay or onlay) in RSA affects rates of periscapular fractures. The purpose of this article is to describe our technique for RSA using an onlay prosthesis, a variable-offset humeral tray, and an augmented glenoid baseplate, as well as to review the published results of acromial and scapular spine fractures after RSA based on humeral implant design.http://www.sciencedirect.com/science/article/pii/S2666639122001080Reverse shoulder arthroplastyAcromial stress fractureScapular spine fracturePeriscapular spine fractureRisk factorsOnlay
spellingShingle Charles Holliday, MD
Erick M. Marigi, MD
Ian Marigi, BA
Thomas R. Duquin, MD
John W. Sperling, MD, MBA
Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty
JSES Reviews, Reports, and Techniques
Reverse shoulder arthroplasty
Acromial stress fracture
Scapular spine fracture
Periscapular spine fracture
Risk factors
Onlay
title Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty
title_full Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty
title_fullStr Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty
title_full_unstemmed Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty
title_short Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty
title_sort reverse shoulder arthroplasty using an onlay humeral prosthesis offset humeral tray and augmented glenoid baseplate surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty
topic Reverse shoulder arthroplasty
Acromial stress fracture
Scapular spine fracture
Periscapular spine fracture
Risk factors
Onlay
url http://www.sciencedirect.com/science/article/pii/S2666639122001080
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