Authors: Gregory N Drake Daniel P O’Connor T Bradley Edwards
Publish Date: 2010/01/05
Volume: 468, Issue: 6, Pages: 1526-1533
Abstract
Reverse total shoulder arthroplasty RTSA was introduced to treat rotator cuff tear arthropathy but is now used to treat a variety of problems Although its use has expanded substantially since the FDA’s approval in 2004 the appropriateness in patients with rotator cuff disease is unclearWe review the use of RTSA in patients with rotator cuff disease to 1 describe classification of rotator cuff tear reparability and the concept of a balanced shoulder 2 explore the theory behind RTSA design relative to rotator cuff arthropathy 3 discuss the indications and contraindications for RTSA and 4 review published outcomes of RTSA for rotator cuff arthropathyIn shortterm followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis preserved deltoid contraction but loss of active elevation Severely impaired deltoid function an isolated supraspinatus tear and the presence of full active shoulder elevation with a massive rotator cuff tear and arthritis are contraindications to RTSA
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