Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty

Stiffness is a well-known complication after reverse shoulder arthroplasty. Although multiple factors may be involved, the main cause for stiffness is rarely identified. Imaging studies frequently are inconclusive in ruling out mechanical or biological causes. Periprosthetic infection should be alwa...

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Main Authors: Juan Aguilar-Gonzalez, M.D., Gonzalo Luengo-Alonso, M.D., Emilio Calvo, M.D., Ph.D., M.B.A.
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720301535
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spelling doaj-ccadc3ce18f2497d81373aaa5d70fc8d2021-06-11T05:13:26ZengElsevierArthroscopy Techniques2212-62872020-09-0199e1369e1374Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder ArthroplastyJuan Aguilar-Gonzalez, M.D.0Gonzalo Luengo-Alonso, M.D.1Emilio Calvo, M.D., Ph.D., M.B.A.2Hospital Universitario y Politécnico La Fe, Avinguda de Fernando Abril Martorell, Valencia, SpainHospital Universitario Fundación Jiménez Díaz, Madrid, SpainHospital Universitario Fundación Jiménez Díaz, Madrid, Spain; Address correspondence to Emilio Calvo, M.D., Ph.D., M.B.A., Hospital Universitario Fundación Jiménez Díaz, Avenida de los Reyes Católicos, 2, 28040, Madrid, Spain.Stiffness is a well-known complication after reverse shoulder arthroplasty. Although multiple factors may be involved, the main cause for stiffness is rarely identified. Imaging studies frequently are inconclusive in ruling out mechanical or biological causes. Periprosthetic infection should be always suspected, but the absence of major clinical signs and accurate diagnostic tests is frequent. A lack of objective criteria establishing a diagnosis and when to proceed with revision surgery is often present in such cases. Moreover, additional surgical procedures should be carefully evaluated, as they can represent a point of no return. Shoulder arthroscopy plays an increasingly important role in these cases, either as a diagnostic or therapeutic tool. There are no reports about arthroscopy on stiffness after reverse shoulder arthroplasty. In this Technical Note, we describe an arthroscopic technique aimed to identify potential causes of reverse shoulder arthroplasty stiffness. Subsequent circumferential release is described and discussed.http://www.sciencedirect.com/science/article/pii/S2212628720301535
collection DOAJ
language English
format Article
sources DOAJ
author Juan Aguilar-Gonzalez, M.D.
Gonzalo Luengo-Alonso, M.D.
Emilio Calvo, M.D., Ph.D., M.B.A.
spellingShingle Juan Aguilar-Gonzalez, M.D.
Gonzalo Luengo-Alonso, M.D.
Emilio Calvo, M.D., Ph.D., M.B.A.
Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
Arthroscopy Techniques
author_facet Juan Aguilar-Gonzalez, M.D.
Gonzalo Luengo-Alonso, M.D.
Emilio Calvo, M.D., Ph.D., M.B.A.
author_sort Juan Aguilar-Gonzalez, M.D.
title Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_short Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_full Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_fullStr Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_full_unstemmed Arthroscopic Circumferential Release for Stiff Reverse Total Shoulder Arthroplasty
title_sort arthroscopic circumferential release for stiff reverse total shoulder arthroplasty
publisher Elsevier
series Arthroscopy Techniques
issn 2212-6287
publishDate 2020-09-01
description Stiffness is a well-known complication after reverse shoulder arthroplasty. Although multiple factors may be involved, the main cause for stiffness is rarely identified. Imaging studies frequently are inconclusive in ruling out mechanical or biological causes. Periprosthetic infection should be always suspected, but the absence of major clinical signs and accurate diagnostic tests is frequent. A lack of objective criteria establishing a diagnosis and when to proceed with revision surgery is often present in such cases. Moreover, additional surgical procedures should be carefully evaluated, as they can represent a point of no return. Shoulder arthroscopy plays an increasingly important role in these cases, either as a diagnostic or therapeutic tool. There are no reports about arthroscopy on stiffness after reverse shoulder arthroplasty. In this Technical Note, we describe an arthroscopic technique aimed to identify potential causes of reverse shoulder arthroplasty stiffness. Subsequent circumferential release is described and discussed.
url http://www.sciencedirect.com/science/article/pii/S2212628720301535
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