Update on Shoulder Arthroplasties with Emphasis on Imaging
Shoulder pain and dysfunction may significantly impact quality of life. If conservative measures fail, advanced disease is frequently treated with shoulder arthroplasty, which is currently the third most common joint replacement surgery following the hip and knee. The main indications for shoulder a...
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Format: | Article |
Language: | English |
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MDPI AG
2023-04-01
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Series: | Journal of Clinical Medicine |
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Online Access: | https://www.mdpi.com/2077-0383/12/8/2946 |
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author | Jennifer S. Weaver Imran M. Omar Nicholson S. Chadwick Joanna L. Shechtel Jamie M. Elifritz Christopher L. Shultz Mihra S. Taljanovic |
author_facet | Jennifer S. Weaver Imran M. Omar Nicholson S. Chadwick Joanna L. Shechtel Jamie M. Elifritz Christopher L. Shultz Mihra S. Taljanovic |
author_sort | Jennifer S. Weaver |
collection | DOAJ |
description | Shoulder pain and dysfunction may significantly impact quality of life. If conservative measures fail, advanced disease is frequently treated with shoulder arthroplasty, which is currently the third most common joint replacement surgery following the hip and knee. The main indications for shoulder arthroplasty include primary osteoarthritis, post-traumatic arthritis, inflammatory arthritis, osteonecrosis, proximal humeral fracture sequelae, severely dislocated proximal humeral fractures, and advanced rotator cuff disease. Several types of anatomic arthroplasties are available, such as humeral head resurfacing and hemiarthroplasties, as well as total anatomic arthroplasties. Reverse total shoulder arthroplasties, which reverse the normal ball-and-socket geometry of the shoulder, are also available. Each of these arthroplasty types has specific indications and unique complications in addition to general hardware-related or surgery-related complications. Imaging—including radiography, ultrasonography, computed tomography, magnetic resonance imaging, and, occasionally, nuclear medicine imaging—has a key role in the initial pre-operative evaluation for shoulder arthroplasty, as well as in post-surgical follow-up. This review paper aims to discuss important pre-operative imaging considerations, including rotator cuff evaluation, glenoid morphology, and glenoid version, as well as to review post-operative imaging of the various types of shoulder arthroplasties, to include normal post-operative appearances as well as imaging findings of complications. |
first_indexed | 2024-03-11T04:52:55Z |
format | Article |
id | doaj.art-6249972b1ce44d6bad6f6158904dde3e |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-11T04:52:55Z |
publishDate | 2023-04-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
spelling | doaj.art-6249972b1ce44d6bad6f6158904dde3e2023-11-17T19:50:41ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01128294610.3390/jcm12082946Update on Shoulder Arthroplasties with Emphasis on ImagingJennifer S. Weaver0Imran M. Omar1Nicholson S. Chadwick2Joanna L. Shechtel3Jamie M. Elifritz4Christopher L. Shultz5Mihra S. Taljanovic6Department of Radiology and Radiologic Sciences, Vanderbilt University Medical Center, 1161 21st Ave. S, MCN CCC-1118, Nashville, TN 37232, USADepartment of Radiology, Northwestern Memorial Hospital, 676 N. Saint Clair Street, Suite 800, Chicago, IL 60611, USADepartment of Radiology and Radiologic Sciences, Vanderbilt University Medical Center, 1161 21st Ave. S, MCN CCC-1118, Nashville, TN 37232, USADepartment of Radiology and Radiologic Sciences, Vanderbilt University Medical Center, 1161 21st Ave. S, MCN CCC-1118, Nashville, TN 37232, USADepartment of Radiology, MSC08 4720, 1 University of New Mexico, Albuquerque, NM 87131, USADepartment of Orthopaedics and Rehabilitation, University of New Mexico, MSC 10 5600, 1 University of New Mexico, Albuquerque, NM 87131, USADepartment of Radiology, MSC08 4720, 1 University of New Mexico, Albuquerque, NM 87131, USAShoulder pain and dysfunction may significantly impact quality of life. If conservative measures fail, advanced disease is frequently treated with shoulder arthroplasty, which is currently the third most common joint replacement surgery following the hip and knee. The main indications for shoulder arthroplasty include primary osteoarthritis, post-traumatic arthritis, inflammatory arthritis, osteonecrosis, proximal humeral fracture sequelae, severely dislocated proximal humeral fractures, and advanced rotator cuff disease. Several types of anatomic arthroplasties are available, such as humeral head resurfacing and hemiarthroplasties, as well as total anatomic arthroplasties. Reverse total shoulder arthroplasties, which reverse the normal ball-and-socket geometry of the shoulder, are also available. Each of these arthroplasty types has specific indications and unique complications in addition to general hardware-related or surgery-related complications. Imaging—including radiography, ultrasonography, computed tomography, magnetic resonance imaging, and, occasionally, nuclear medicine imaging—has a key role in the initial pre-operative evaluation for shoulder arthroplasty, as well as in post-surgical follow-up. This review paper aims to discuss important pre-operative imaging considerations, including rotator cuff evaluation, glenoid morphology, and glenoid version, as well as to review post-operative imaging of the various types of shoulder arthroplasties, to include normal post-operative appearances as well as imaging findings of complications.https://www.mdpi.com/2077-0383/12/8/2946shoulderrotator cuffarthritisarthroplastyradiographycomputed tomography |
spellingShingle | Jennifer S. Weaver Imran M. Omar Nicholson S. Chadwick Joanna L. Shechtel Jamie M. Elifritz Christopher L. Shultz Mihra S. Taljanovic Update on Shoulder Arthroplasties with Emphasis on Imaging Journal of Clinical Medicine shoulder rotator cuff arthritis arthroplasty radiography computed tomography |
title | Update on Shoulder Arthroplasties with Emphasis on Imaging |
title_full | Update on Shoulder Arthroplasties with Emphasis on Imaging |
title_fullStr | Update on Shoulder Arthroplasties with Emphasis on Imaging |
title_full_unstemmed | Update on Shoulder Arthroplasties with Emphasis on Imaging |
title_short | Update on Shoulder Arthroplasties with Emphasis on Imaging |
title_sort | update on shoulder arthroplasties with emphasis on imaging |
topic | shoulder rotator cuff arthritis arthroplasty radiography computed tomography |
url | https://www.mdpi.com/2077-0383/12/8/2946 |
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