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...

Full description

Bibliographic Details
Main Authors: Jennifer S. Weaver, Imran M. Omar, Nicholson S. Chadwick, Joanna L. Shechtel, Jamie M. Elifritz, Christopher L. Shultz, Mihra S. Taljanovic
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/8/2946
_version_ 1797604873100853248
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
work_keys_str_mv AT jennifersweaver updateonshoulderarthroplastieswithemphasisonimaging
AT imranmomar updateonshoulderarthroplastieswithemphasisonimaging
AT nicholsonschadwick updateonshoulderarthroplastieswithemphasisonimaging
AT joannalshechtel updateonshoulderarthroplastieswithemphasisonimaging
AT jamiemelifritz updateonshoulderarthroplastieswithemphasisonimaging
AT christopherlshultz updateonshoulderarthroplastieswithemphasisonimaging
AT mihrastaljanovic updateonshoulderarthroplastieswithemphasisonimaging