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Hemi, Conventional, and Reverse Total Shoulder Arthroplasty for the Treatment of Proximal Humerus Fractures

  • Shaan S. Patel
  • Mark A. Frankle
Chapter

Abstract

Proximal humerus fractures account for 4–5% of all adult fractures. Knowledge of the anatomy is vital in determining treatment and achieving optimal surgical outcome. A thorough history and physical exam is the foundation for correct treatment. Indications for shoulder arthroplasty for proximal humerus fractures in appropriate surgical candidates include three- and four-part fracture-dislocations, head-splitting fractures, impaction fractures of the humeral head with involvement of more than 50% of the articular surface, displaced anatomic neck fractures, and select three- and four-part proximal humerus in which there is a high risk of osteonecrosis or failure of internal fixation. Hemiarthroplasty is performed except in patients who are greater than 70 years old with poor tuberosity bone quality due to osteoporosis or comminution, preexisting chronic rotator cuff tear, or preexisting osteoarthritis of the glenohumeral joint. In such cases, reverse shoulder arthroplasty is preferred. Anatomic or conventional total shoulder arthroplasty is not utilized in acute proximal humerus fractures. Success with shoulder hemiarthroplasty or reverse shoulder arthroplasty for proximal humerus fractures is largely dependent on surgical technique. Goals of either surgery are proper restoration of prosthetic height, proper version, secure tuberosity attachment, and accurate soft tissue balancing of the rotator cuff.

Keywords

Proximal humerus fracture Hemiarthroplasty Reverse total shoulder arthroplasty Surgical technique Surgical indications Complications Rehabilitation Surgical anatomy Anatomic total shoulder arthroplasty Open reduction internal fixation 

References

  1. 1.
    Jones CB. Proximal humeral fractures. In: Kellert S, editor. AAOS comprehensive orthopaedic review 2. Rosemont: American Academy of Orthopaedic Surgeons; 2014. p. 293–302.Google Scholar
  2. 2.
    Kim SH, Szabo RM, Marder RA. Epidemiology of humerus fractures in the United States: nationwide emergency department sample, 2008. Arthritis Care Res (Hoboken). 2012;64(3):407–14.CrossRefGoogle Scholar
  3. 3.
    Bahrs C, Stojicevic T, Blumenstock G, Brorson S, Badke A, Stöckle U, Rolauffs B, Freude T. Trends in epidemiology and patho-anatomical pattern of proximal humeral fractures. Int Orthop. 2014;38(8):1697–704.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001;72(4):365–71.CrossRefPubMedGoogle Scholar
  5. 5.
    Gerber C, Schneeberger AG, Vinh TS. The arterial vascularization of the humeral head. An anatomical study. J Bone Joint Surg Am. 1990;72(10):1486–94.CrossRefPubMedGoogle Scholar
  6. 6.
    Brooks CH, Revell WJ, Heatley FW. Vascularity of the humeral head after proximal humeral fractures. An anatomical cadaver study. J Bone Joint Surg Br. 1993;75(1):132–6.CrossRefPubMedGoogle Scholar
  7. 7.
    Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elb Surg. 2004;13(4):427–33.CrossRefGoogle Scholar
  8. 8.
    Duparc F, Muller JM, Fréger P. Arterial blood supply of the proximal humeral epiphysis. Surg Radiol Anat. 2001;23(3):185–90.CrossRefPubMedGoogle Scholar
  9. 9.
    Hettrich CM, Boraiah S, Dyke JP, Neviaser A, Helfet DL, Lorich DG. Quantitative assessment of the vascularity of the proximal part of the humerus. J Bone Joint Surg Am. 2010;92(4):943–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Jeong J, Bryan J, Iannotti JP. Effect of a variable prosthetic neck-shaft angle and the surgical technique on replication of normal humeral anatomy. J Bone Joint Surg Am. 2009;91(8):1932–41.CrossRefPubMedGoogle Scholar
  11. 11.
    Nyffeler RW, Sheikh R, Jacob HA, Gerber C. Influence of humeral prosthesis height on biomechanics of glenohumeral abduction. An in vitro study. J Bone Joint Surg Am. 2004;86-A(3):575–80.CrossRefPubMedGoogle Scholar
  12. 12.
    Williams GR, Wong KL, Pepe MD, Tan V, Silverberg D, Ramsey ML, et al. The effect of articular malposition after total shoulder arthroplasty on glenohumeral translations, range of motion, and subacromial impingement. J Shoulder Elb Surg. 2001;10(5):399–409.CrossRefGoogle Scholar
  13. 13.
    Wirth MA, Ondrla J, Southworth C, Kaar K, Anderson BC, Rockwood CA. Replicating proximal humeral articular geometry with a third-generation implant: a radiographic study in cadaveric shoulders. J Shoulder Elb Surg. 2007;16(3 Suppl):S111–6.CrossRefGoogle Scholar
  14. 14.
    Hertel R, Knothe U, Ballmer FT. Geometry of the proximal humerus and implications for prosthetic design. J Shoulder Elb Surg. 2002;11(4):331–8.CrossRefGoogle Scholar
  15. 15.
    Youderian AR, Ricchetti ET, Drews M, Iannotti JP. Determination of humeral head size in anatomic shoulder replacement for glenohumeral osteoarthritis. J Shoulder Elb Surg. 2014;23(7):955–63.CrossRefGoogle Scholar
  16. 16.
    Pearl ML, Volk AG. Coronal plane geometry of the proximal humerus relevant to prosthetic arthroplasty. J Shoulder Elb Surg. 1996;5(4):320–6.CrossRefGoogle Scholar
  17. 17.
    Pearl ML. Proximal humeral anatomy in shoulder arthroplasty: implications for prosthetic design and surgical technique. J Shoulder Elb Surg. 2005;14(1 Suppl S):99S–104S.CrossRefGoogle Scholar
  18. 18.
    Mighell MA, Kolm GP, Collinge CA, Frankle MA. Outcomes of hemiarthroplasty for fractures of the proximal humerus. J Shoulder Elb Surg. 2003;12(6):569–77.CrossRefGoogle Scholar
  19. 19.
    Loebenberg MI, Jones DA, Zuckerman JD. The effect of greater tuberosity placement on active range of motion after hemiarthroplasty for acute fractures of the proximal humerus. Bull Hosp Jt Dis. 2005;62(3–4):90–3.PubMedGoogle Scholar
  20. 20.
    Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Molé D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elb Surg. 2002;11(5):401–12.CrossRefGoogle Scholar
  21. 21.
    Ponce BA, Thompson KJ, Rosenzweig SD, Tate JP, Sarver DB, Thorpe JB, et al. Re-evaluation of pectoralis major height as an anatomic reference for humeral height in fracture hemiarthroplasty. J Shoulder Elb Surg. 2013;22(11):1567–72.CrossRefGoogle Scholar
  22. 22.
    Compito CA, Self EB, Bigliani LU. Arthroplasty and acute shoulder trauma. Reasons for success and failure. Clin Orthop Relat Res. 1994;307:27–36.Google Scholar
  23. 23.
    Robinson CM, Page RS, Hill RM, Sanders DL, Court-Brown CM, Wakefield AE. Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am. 2003;85-A(7):1215–23.CrossRefPubMedGoogle Scholar
  24. 24.
    Stableforth PG. Four-part fractures of the neck of the humerus. J Bone Joint Surg Br. 1984;66(1):104–8.CrossRefPubMedGoogle Scholar
  25. 25.
    Neer CS. Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg Am. 1970;52(6):1077–89.CrossRefPubMedGoogle Scholar
  26. 26.
    Jaeger M, Leung F, Li W. Proximal Humerus 2011. Available from: https://www2.aofoundation.org/wps/portal/surgery?showPage=diagnosis&bone=Humerus&segment=Proximal.
  27. 27.
    Neer CS. Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement. J Bone Joint Surg Am. 1970;52(6):1090–103.CrossRefPubMedGoogle Scholar
  28. 28.
    Bigliani LU, McCluskey GM. Prosthetic replacement in acute fractures of the proximal humerus. Semin Arthroplast. 1990;1(2):129–37.Google Scholar
  29. 29.
    Bosch U, Skutek M, Fremerey RW, Tscherne H. Outcome after primary and secondary hemiarthroplasty in elderly patients with fractures of the proximal humerus. J Shoulder Elb Surg. 1998;7(5):479–84.CrossRefGoogle Scholar
  30. 30.
    Connor PM, D’Alessandro DF. Role of hemiarthroplasty for proximal humeral fractures. J South Orthop Assoc. 1995;4(1):9–23.PubMedGoogle Scholar
  31. 31.
    Handoll HH, Brorson S. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2015;(11):CD000434.Google Scholar
  32. 32.
    Frich LH, Søjbjerg JO, Sneppen O. Shoulder arthroplasty in complex acute and chronic proximal humeral fractures. Orthopedics. 1991;14(9):949–54.PubMedGoogle Scholar
  33. 33.
    Goldman RT, Koval KJ, Cuomo F, Gallagher MA, Zuckerman JD. Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures. J Shoulder Elb Surg. 1995;4(2):81–6.CrossRefGoogle Scholar
  34. 34.
    Olerud P, Ahrengart L, Ponzer S, Saving J, Tidermark J. Internal fixation versus nonoperative treatment of displaced 3-part proximal humeral fractures in elderly patients: a randomized controlled trial. J Shoulder Elb Surg. 2011;20(5):747–55.CrossRefGoogle Scholar
  35. 35.
    Olerud P, Ahrengart L, Ponzer S, Saving J, Tidermark J. Hemiarthroplasty versus nonoperative treatment of displaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial. J Shoulder Elb Surg. 2011;20(7):1025–33.CrossRefGoogle Scholar
  36. 36.
    Tanner MW, Cofield RH. Prosthetic arthroplasty for fractures and fracture-dislocations of the proximal humerus. Clin Orthop Relat Res. 1983;179:116–28.CrossRefGoogle Scholar
  37. 37.
    Zyto K, Wallace WA, Frostick SP, Preston BJ. Outcome after hemiarthroplasty for three- and four-part fractures of the proximal humerus. J Shoulder Elb Surg. 1998;7(2):85–9.CrossRefGoogle Scholar
  38. 38.
    Cofield RH. Comminuted fractures of the proximal humerus. Clin Orthop Relat Res. 1988;230:49–57.Google Scholar
  39. 39.
    Kralinger F, Schwaiger R, Wambacher M, Farrell E, Menth-Chiari W, Lajtai G, et al. Outcome after primary hemiarthroplasty for fracture of the head of the humerus. A retrospective multicentre study of 167 patients. J Bone Joint Surg Br. 2004;86(2):217–9.CrossRefPubMedGoogle Scholar
  40. 40.
    Li F, Zhu Y, Lu Y, Liu X, Wu G, Jiang C. Hemiarthroplasty for the treatment of complex proximal humeral fractures: does a trabecular metal prosthesis make a difference? A prospective, comparative study with a minimum 3-year follow-up. J Shoulder Elb Surg. 2014;23(10):1437–43.CrossRefGoogle Scholar
  41. 41.
    Sirveaux F, Roche O, Molé D. Shoulder arthroplasty for acute proximal humerus fracture. Orthop Traumatol Surg Res. 2010;96(6):683–94.CrossRefPubMedGoogle Scholar
  42. 42.
    Gallinet D, Clappaz P, Garbuio P, Tropet Y, Obert L. Three or four parts complex proximal humerus fractures: hemiarthroplasty versus reverse prosthesis: a comparative study of 40 cases. Orthop Traumatol Surg Res. 2009;95(1):48–55.CrossRefPubMedGoogle Scholar
  43. 43.
    Dimakopoulos P, Potamitis N, Lambiris E. Hemiarthroplasty in the treatment of comminuted intraarticular fractures of the proximal humerus. Clin Orthop Relat Res. 1997;341:7–11.CrossRefGoogle Scholar
  44. 44.
    Boons HW, Goosen JH, van Grinsven S, van Susante JL, van Loon CJ. Hemiarthroplasty for humeral four-part fractures for patients 65 years and older: a randomized controlled trial. Clin Orthop Relat Res. 2012;470(12):3483–91.CrossRefPubMedPubMedCentralGoogle Scholar
  45. 45.
    Cai M, Tao K, Yang C, Li S. Internal fixation versus shoulder hemiarthroplasty for displaced 4-part proximal humeral fractures in elderly patients. Orthopedics. 2012;35(9):e1340–6.CrossRefPubMedGoogle Scholar
  46. 46.
    Antuña SA, Sperling JW, Cofield RH. Shoulder hemiarthroplasty for acute fractures of the proximal humerus: a minimum five-year follow-up. J Shoulder Elb Surg. 2008;17(2):202–9.CrossRefGoogle Scholar
  47. 47.
    Park YK, Kim SH, Oh JH. Intermediate-term outcome of hemiarthroplasty for comminuted proximal humerus fractures. J Shoulder Elb Surg. 2017;26(1):85–91.CrossRefGoogle Scholar
  48. 48.
    Cadet ER, Ahmad CS. Hemiarthroplasty for three- and four-part proximal humerus fractures. J Am Acad Orthop Surg. 2012;20(1):17–27.PubMedGoogle Scholar
  49. 49.
    Kabir K, Burger C, Fischer P, Weber O, Florczyk A, Goost H, et al. Health status as an important outcome factor after hemiarthroplasty. J Shoulder Elb Surg. 2009;18(1):75–82.CrossRefGoogle Scholar
  50. 50.
    Solberg BD, Moon CN, Franco DP, Paiement GD. Surgical treatment of three and four-part proximal humeral fractures. J Bone Joint Surg Am. 2009;91(7):1689–97.CrossRefPubMedGoogle Scholar
  51. 51.
    Greiner SH, Diederichs G, Kröning I, Scheibel M, Perka C. Tuberosity position correlates with fatty infiltration of the rotator cuff after hemiarthroplasty for proximal humeral fractures. J Shoulder Elb Surg. 2009;18(3):431–6.CrossRefGoogle Scholar
  52. 52.
    Kontakis G, Koutras C, Tosounidis T, Giannoudis P. Early management of proximal humeral fractures with hemiarthroplasty: a systematic review. J Bone Joint Surg Br. 2008;90(11):1407–13.CrossRefPubMedGoogle Scholar
  53. 53.
    Cuff DJ, Pupello DR. Comparison of hemiarthroplasty and reverse shoulder arthroplasty for the treatment of proximal humeral fractures in elderly patients. J Bone Joint Surg Am. 2013;95(22):2050–5.CrossRefPubMedGoogle Scholar
  54. 54.
    Boyle MJ, Youn SM, Frampton CM, Ball CM. Functional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures. J Shoulder Elb Surg. 2013;22(1):32–7.CrossRefGoogle Scholar
  55. 55.
    Mata-Fink A, Meinke M, Jones C, Kim B, Bell JE. Reverse shoulder arthroplasty for treatment of proximal humeral fractures in older adults: a systematic review. J Shoulder Elb Surg. 2013;22(12):1737–48.CrossRefGoogle Scholar
  56. 56.
    Ferrel JR, Trinh TQ, Fischer RA. Reverse total shoulder arthroplasty versus hemiarthroplasty for proximal humeral fractures: a systematic review. J Orthop Trauma. 2015;29(1):60–8.CrossRefPubMedGoogle Scholar
  57. 57.
    Garrigues GE, Johnston PS, Pepe MD, Tucker BS, Ramsey ML, Austin LS. Hemiarthroplasty versus reverse total shoulder arthroplasty for acute proximal humerus fractures in elderly patients. Orthopedics. 2012;35(5):e703–8.CrossRefPubMedGoogle Scholar
  58. 58.
    Chalmers PN, Slikker W, Mall NA, Gupta AK, Rahman Z, Enriquez D, et al. Reverse total shoulder arthroplasty for acute proximal humeral fracture: comparison to open reduction-internal fixation and hemiarthroplasty. J Shoulder Elb Surg. 2014;23(2):197–204.CrossRefGoogle Scholar
  59. 59.
    Shukla DR, McAnany S, Kim J, Overley S, Parsons BO. Hemiarthroplasty versus reverse shoulder arthroplasty for treatment of proximal humeral fractures: a meta-analysis. J Shoulder Elb Surg. 2016;25(2):330–40.CrossRefGoogle Scholar
  60. 60.
    Jobin CM, Galdi B, Anakwenze OA, Ahmad CS, Levine WN. Reverse shoulder arthroplasty for the management of proximal humerus fractures. J Am Acad Orthop Surg. 2015;23(3):190–201.CrossRefPubMedGoogle Scholar
  61. 61.
    Schairer WW, Nwachukwu BU, Lyman S, Craig EV, Gulotta LV. Reverse shoulder arthroplasty versus hemiarthroplasty for treatment of proximal humerus fractures. J Shoulder Elb Surg. 2015;24(10):1560–6.CrossRefGoogle Scholar
  62. 62.
    Sebastiá-Forcada E, Cebrián-Gómez R, Lizaur-Utrilla A, Gil-Guillén V. Reverse shoulder arthroplasty versus hemiarthroplasty for acute proximal humeral fractures. A blinded, randomized, controlled, prospective study. J Shoulder Elb Surg. 2014;23(10):1419–26.CrossRefGoogle Scholar
  63. 63.
    Bufquin T, Hersan A, Hubert L, Massin P. Reverse shoulder arthroplasty for the treatment of three- and four-part fractures of the proximal humerus in the elderly: a prospective review of 43 cases with a short-term follow-up. J Bone Joint Surg Br. 2007;89(4):516–20.CrossRefPubMedGoogle Scholar
  64. 64.
    Anakwenze OA, Zoller S, Ahmad CS, Levine WN. Reverse shoulder arthroplasty for acute proximal humerus fractures: a systematic review. J Shoulder Elb Surg. 2014;23(4):e73–80.CrossRefGoogle Scholar
  65. 65.
    Gallinet D, Adam A, Gasse N, Rochet S, Obert L. Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty. J Shoulder Elb Surg. 2013;22(1):38–44.CrossRefGoogle Scholar
  66. 66.
    Klein M, Juschka M, Hinkenjann B, Scherger B, Ostermann PA. Treatment of comminuted fractures of the proximal humerus in elderly patients with the Delta III reverse shoulder prosthesis. J Orthop Trauma. 2008;22(10):698–704.CrossRefPubMedGoogle Scholar
  67. 67.
    Gardner MJ, Weil Y, Barker JU, Kelly BT, Helfet DL, Lorich DG. The importance of medial support in locked plating of proximal humerus fractures. J Orthop Trauma. 2007;21(3):185–91.CrossRefPubMedGoogle Scholar
  68. 68.
    Frankle MA, Greenwald DP, Markee BA, Ondrovic LE, Lee WE. Biomechanical effects of malposition of tuberosity fragments on the humeral prosthetic reconstruction for four-part proximal humerus fractures. J Shoulder Elb Surg. 2001;10(4):321–6.CrossRefGoogle Scholar
  69. 69.
    Kummer FJ, Perkins R, Zuckerman JD. The use of the bicipital groove for alignment of the humeral stem in shoulder arthroplasty. J Shoulder Elb Surg. 1998;7(2):144–6.CrossRefGoogle Scholar
  70. 70.
    Boileau P, Walch G. The three-dimensional geometry of the proximal humerus. Implications for surgical technique and prosthetic design. J Bone Joint Surg Br. 1997;79(5):857–65.CrossRefPubMedGoogle Scholar
  71. 71.
    Frankle MA, Ondrovic LE, Markee BA, Harris ML, Lee WE. Stability of tuberosity reattachment in proximal humeral hemiarthroplasty. J Shoulder Elb Surg. 2002;11(5):413–20.CrossRefGoogle Scholar
  72. 72.
    Perren SM. Physical and biological aspects of fracture healing with special reference to internal fixation. Clin Orthop Relat Res. 1979;138:175–96.Google Scholar
  73. 73.
    Perren SM, Rahn BA. Biomechanics of fracture healing. Can J Surg. 1980;23(3):228–32.PubMedGoogle Scholar
  74. 74.
    Tencer AF, Johnson KD, Kyle RF, Fu FH. Biomechanics of fractures and fracture fixation. Instr Course Lect. 1993;42:19–55.PubMedGoogle Scholar
  75. 75.
    Rhee PC, Sassoon AA, Schleck CD, Harmsen WS, Sperling JW, Cofield RH. Revision total shoulder arthroplasty for painful glenoid arthrosis after humeral head replacement: the posttraumatic shoulder. J Shoulder Elb Surg. 2011;20(8):1255–64.CrossRefGoogle Scholar
  76. 76.
    Postacchini R, Castagna A, Borroni M, Cinotti G, Postacchini F, Gumina S. Total shoulder arthroplasty for the treatment of failed hemiarthroplasty in patients with fracture of the proximal humerus. J Shoulder Elb Surg. 2012;21(11):1542–9.CrossRefGoogle Scholar
  77. 77.
    Carroll RM, Izquierdo R, Vazquez M, Blaine TA, Levine WN, Bigliani LU. Conversion of painful hemiarthroplasty to total shoulder arthroplasty: long-term results. J Shoulder Elb Surg. 2004;13(6):599–603.CrossRefGoogle Scholar
  78. 78.
    Kumar S, Sperling JW, Haidukewych GH, Cofield RH. Periprosthetic humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am. 2004;86-A(4):680–9.CrossRefPubMedGoogle Scholar
  79. 79.
    Levy J, Frankle M, Mighell M, Pupello D. The use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty for proximal humeral fracture. J Bone Joint Surg Am. 2007;89(2):292–300.CrossRefPubMedGoogle Scholar
  80. 80.
    Levy JC, Badman B. Reverse shoulder prosthesis for acute four-part fracture: tuberosity fixation using a horseshoe graft. J Orthop Trauma. 2011;25(5):318–24.CrossRefPubMedGoogle Scholar
  81. 81.
    Formaini NT, Everding NG, Levy JC, Rosas S. Tuberosity healing after reverse shoulder arthroplasty for acute proximal humerus fractures: the “black and tan” technique. J Shoulder Elb Surg. 2015;24(11):e299–306.CrossRefGoogle Scholar
  82. 82.
    Cheung E, Willis M, Walker M, Clark R, Frankle MA. Complications in reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2011;19(7):439–49.CrossRefPubMedGoogle Scholar
  83. 83.
    Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Molé D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004;86(3):388–95.CrossRefPubMedGoogle Scholar
  84. 84.
    Simovitch RW, Zumstein MA, Lohri E, Helmy N, Gerber C. Predictors of scapular notching in patients managed with the Delta III reverse total shoulder replacement. J Bone Joint Surg Am. 2007;89(3):588–600.CrossRefPubMedGoogle Scholar
  85. 85.
    Gutiérrez S, Levy JC, Frankle MA, Cuff D, Keller TS, Pupello DR, et al. Evaluation of abduction range of motion and avoidance of inferior scapular impingement in a reverse shoulder model. J Shoulder Elb Surg. 2008;17(4):608–15.CrossRefGoogle Scholar
  86. 86.
    Lynch NM, Cofield RH, Silbert PL, Hermann RC. Neurologic complications after total shoulder arthroplasty. J Shoulder Elb Surg. 1996;5(1):53–61.CrossRefGoogle Scholar
  87. 87.
    Lädermann A, Williams MD, Melis B, Hoffmeyer P, Walch G. Objective evaluation of lengthening in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2009;18(4):588–95.CrossRefGoogle Scholar
  88. 88.
    Klein SM, Dunning P, Mulieri P, Pupello D, Downes K, Frankle MA. Effects of acquired glenoid bone defects on surgical technique and clinical outcomes in reverse shoulder arthroplasty. J Bone Joint Surg Am. 2010;92(5):1144–54.CrossRefPubMedGoogle Scholar
  89. 89.
    Gutiérrez S, Keller TS, Levy JC, Lee WE, Luo ZP. Hierarchy of stability factors in reverse shoulder arthroplasty. Clin Orthop Relat Res. 2008;466(3):670–6.CrossRefPubMedPubMedCentralGoogle Scholar
  90. 90.
    Edwards TB, Williams MD, Labriola JE, Elkousy HA, Gartsman GM, O’Connor DP. Subscapularis insufficiency and the risk of shoulder dislocation after reverse shoulder arthroplasty. J Shoulder Elb Surg. 2009;18(6):892–6.CrossRefGoogle Scholar
  91. 91.
    Gerber C, Pennington SD, Nyffeler RW. Reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2009;17(5):284–95.CrossRefPubMedGoogle Scholar
  92. 92.
    Neyton L, Boileau P, Nové-Josserand L, Edwards TB, Walch G. Glenoid bone grafting with a reverse design prosthesis. J Shoulder Elb Surg. 2007;16(3 Suppl):S71–8.CrossRefGoogle Scholar
  93. 93.
    Holcomb JO, Cuff D, Petersen SA, Pupello DR, Frankle MA. Revision reverse shoulder arthroplasty for glenoid baseplate failure after primary reverse shoulder arthroplasty. J Shoulder Elb Surg. 2009;18(5):717–23.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Department of OrthopedicsUniversity of South FloridaTampaUSA
  2. 2.Shoulder and Elbow Service, Florida Orthopedic Institute, Department of OrthopedicsUniversity of South FloridaTampaUSA

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