Anatatomic Shoulder Arthroplasty: Causes and Indications to Surgery

  • Giulio Maria Marcheggiani Muccioli
  • Stefano Fratini
  • Vito Gaetano Rinaldi
  • Eugenio Cammisa
  • Domenico Alesi
  • Tommaso Roberti Di Sarsina
  • Giada Lullini
  • Enrico Guerra
  • Stefano Zaffagnini


In 1950, Krueger implanted the first modern shoulder prosthesis [1]. From those days the study of biomechanics and materials has led to better and better results. Even for the most experienced surgeon, however, the most difficult and interesting challenge is the indication to prosthetics. “When to do surgery?” remains the unavoidable question for an excellent surgical result.


  1. 1.
    Krueger FJ. A vitallium replica arthroplasty on the shoulder; a case report of aseptic necrosis of the proximal end of the humerus. Surgery. 1951;30:1005–11.PubMedGoogle Scholar
  2. 2.
    Swarup I, Henn CM, Nguyen JT, Dines DM, Craig EV, Warren RF, Gulotta LV, Henn RF III. Effect of pre-operative expectations on the outcomes following total shoulder arthroplasty. Bone Joint J. 2017;99-B:1190–6.CrossRefGoogle Scholar
  3. 3.
    Mattei L, Mortera S, Arrigoni C, Castoldi F. Anatomic shoulder arthroplasty: an update on indications, technique, results and complication rates. Joints. 2015;3:72–7.CrossRefGoogle Scholar
  4. 4.
    Cuéllar R, Ruiz-Ibán MA, Cuéllar A. Anatomy and biomechanics of the unstable shoulder. Open Orthop J. 2017;11:919–33.CrossRefGoogle Scholar
  5. 5.
    Merolla G, Nastrucci G, Porcellini G. Shoulder arthroplasty in osteoarthritis: current concepts in biomechanics and surgical technique. Transl Med UniSa. 2013;6:16–28.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Walch G, Boileau P, editors. Shoulder arthroplasty. Berlin: Springer; 1999.Google Scholar
  7. 7.
    Reed MD, Van Nostran W. Assessing pain intensity with the visual analog scale: a plea for uniformity. J Clin Pharmacol. 2014;54:241–4.CrossRefGoogle Scholar
  8. 8.
    Katz S. Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living. J Am Geriatr Soc. 1983;31:721–7.CrossRefGoogle Scholar
  9. 9.
    Terrier A, Larrea X, Malfroy Camine V, Pioletti DP, Farron A. Importance of the subscapularis muscle after total shoulder arthroplasty. Clin Biomech (Bristol, Avon). 2013;28:146–50.CrossRefGoogle Scholar
  10. 10.
    Wright TW, Flurin P-H, Crosby L, Struk AM, Zuckerman JD. Total shoulder arthroplasty outcome for treatment of osteoarthritis: a multicenter study using a contemporary implant. Am J Orthop. 2015;44:523–6.PubMedGoogle Scholar
  11. 11.
    Simon P, Gupta A, Pappou I, Hussey MM, Santoni BG, Inoue N, Frankle MA. Glenoid subchondral bone density distribution in male total shoulder arthroplasty subjects with eccentric and concentric wear. J Shoulder Elbow Surg. 2015;24:416–24.CrossRefGoogle Scholar
  12. 12.
    Colen S, Geervliet P, Haverkamp D, Van Den Bekerom MPJ. Intra-articular infiltration therapy for patients with glenohumeral osteoarthritis: a systematic review of the literature. Int J Shoulder Surg. 2014;8:114–21.CrossRefGoogle Scholar
  13. 13.
    Simone JP, Streubel PH, Sperling JW, Schleck CD, Cofield RH, Athwal GS. Anatomical total shoulder replacement with rotator cuff repair for osteoarthritis of the shoulder. Bone Joint J. 2014;96-B:224–8.CrossRefGoogle Scholar
  14. 14.
    Barlow JD, Yuan BJ, Schleck CD, Harmsen WS, Cofield RH, Sperling JW. Shoulder arthroplasty for rheumatoid arthritis: 303 consecutive cases with minimum 5-year follow-up. J Shoulder Elbow Surg. 2014;23:791–9.CrossRefGoogle Scholar
  15. 15.
    Duru N, van der Goes MC, Jacobs JWG, et al. EULAR evidence-based and consensus-based recommendations on the management of medium to high-dose glucocorticoid therapy in rheumatic diseases. Ann Rheum Dis. 2013;72:1905–13.CrossRefGoogle Scholar
  16. 16.
    Campochiaro G, Rebuzzi M, Baudi P, Catani F. Complex proximal humerus fractures: Hertel’s criteria reliability to predict head necrosis. Musculoskelet Surg. 2015;99(Suppl 1):S9–15.CrossRefGoogle Scholar
  17. 17.
    Cruess RL. Experience with steroid-induced avascular necrosis of the shoulder and etiologic considerations regarding osteonecrosis of the hip. Clin Orthop Relat Res. 1978;(130):86–93.Google Scholar
  18. 18.
    Wylie JD, Beckmann JT, Granger E, Tashjian RZ. Functional outcomes assessment in shoulder surgery. World J Orthop. 2014;5:623–33.CrossRefGoogle Scholar
  19. 19.
    Bumbasirevic M, Stevanovic M, Bumbasirevic V, Lesic A, Atkinson HDE. Free vascularised fibular grafts in orthopaedics. Int Orthop. 2014;38:1277–82.CrossRefGoogle Scholar
  20. 20.
    Punzi L, Galozzi P, Luisetto R, Favero M, Ramonda R, Oliviero F, Scanu A. Post-traumatic arthritis: overview on pathogenic mechanisms and role of inflammation. RMD Open. 2016;2:e000279. Scholar
  21. 21.
    Maier D, Jaeger M, Izadpanah K, Strohm PC, Suedkamp NP. Proximal humeral fracture treatment in adults. J Bone Joint Surg Am. 2014;96:251–61.CrossRefGoogle Scholar
  22. 22.
    Boileau P, Trojani C, Walch G, Krishnan SG, Romeo A, Sinnerton R. Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus. J Shoulder Elbow Surg. 2001;10:299–308.CrossRefGoogle Scholar
  23. 23.
    Jacobson JA, Duquin TR, Sanchez-Sotelo J, Schleck CD, Sperling JW, Cofield RH. Anatomic shoulder arthroplasty for treatment of proximal humerus malunions. J Shoulder Elbow Surg. 2014;23:1232–9.CrossRefGoogle Scholar
  24. 24.
    Morris BJ, Haigler RE, O’Connor DP, Elkousy HA, Gartsman GM, Edwards TB. Outcomes of staged bilateral reverse shoulder arthroplasties for rotator cuff tear arthropathy. J Shoulder Elbow Surg. 2015;24:474–81.CrossRefGoogle Scholar
  25. 25.
    Henry P, Razmjou H, Dwyer T, Slade Shantz JA, Holtby R. Relationship between probability of future shoulder arthroplasty and outcomes of arthroscopic debridement in patients with advanced osteoarthritis of glenohumeral joint. BMC Musculoskelet Disord. 2015;16:280. Scholar
  26. 26.
    Wiater BP, Koueiter DM, Maerz T, Moravek JE, Yonan S, Marcantonio DR, Wiater JM. Preoperative deltoid size and fatty infiltration of the deltoid and rotator cuff correlate to outcomes after reverse total shoulder arthroplasty. Clin Orthop Relat Res. 2015;473:663–73.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Giulio Maria Marcheggiani Muccioli
    • 1
  • Stefano Fratini
    • 1
  • Vito Gaetano Rinaldi
    • 1
  • Eugenio Cammisa
    • 1
  • Domenico Alesi
    • 1
  • Tommaso Roberti Di Sarsina
    • 1
  • Giada Lullini
    • 2
  • Enrico Guerra
    • 2
  • Stefano Zaffagnini
    • 1
  1. 1.IRCCS Istituto Ortopedico Rizzoli, II Clinica Ortopedica, University of BolognaBolognaItaly
  2. 2.IRCCS Istituto Ortopedico Rizzoli, Chirurgia della spalla e del Gomito, University of BolognaBolognaItaly

Personalised recommendations