Abstract
Displaced fractures involving the proximal humerus in the elderly population may be difficult to treat with standard methods available. Percutaneous pinning, Open Reduction, and Internal Fixation may not be sufficient secondary to the bone quality. Hemiarthroplasty in this age group has been only moderately successful mostly secondary to underlying rotator cuff problems or failure of the tuberosities to heal. Reverse Total Shoulder replacement has become a common treatment option in the elderly age group with either weakened bone quality or underlying rotator cuff dysfunction. Early outcome studies have revealed a better functional result and better pain relief than hemiarthroplasty in the elderly population with similar complication rates reported.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Lugli T. Artificial joint by Pean (1893): the facts of unexceptional intervention and the prosthetic method. Clin Orthop Relat Res. 1978;133(2):15–218.
Banks MJ, Emory RJH. Pioneers of shoulder replacement: Themistocles Gluck and Jule Emile Pean. J Shoulder Elbow Surg. 1995;4(4):259–62.
Gross RM. History of total shoulder arthroplasty. In: Crosby LA, editor. Total shoulder arthroplasty. 1st ed. Rosemont, IL: AAOS; 2000. p. 1–15.
Neer II CS. Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am. 1974;56(1):1–13.
Nyffeler RW, Werner CM, Gerber C. Biomechanical relevance of glenoid component positioning in the reverse Delta III total shoulder prosthesis. J Shoulder Elbow Surg. 2005;14:524–8.
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;89:588–600.
Grammont P, Trouilloud P, Laffay JP, Deries X. Concept study and realization of a new total shoulder prosthesis [French]. Rhumatologie. 1987;39:407–18.
Chalmers PN, et al. Reverse total shoulder arthroplasty for acute proximal humeral fracture: comparison to open reduction-internal fixation and hemiarthroplasty. J Shoulder Elbow Surg. 2013. doi:10.1016/j.jse.2013.07.044.
Lanting B, MacDermid J, Drosdowech D, Faber KJ. Proximal humeral fractures: a systematic review of treatment modalities. J Shoulder Elbow Surg. 2008;17(1):42–54.
Kim SH, Szabo RM, Marder RA. Epidemiology of humerus fractures in the United States: nationwide emergency department sample, 2008. Arthritis Care Res. 2012;64(3):407–14.
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;95:48–55.
Neer II CS. Displaced proximal humerus fractures. I. Classification and evaluation. J Bone Joint Surg Am. 1970;52(6):1077–89.
Neer II CS. Displaced proximal humerus fractures II. Treatment of three-part and four-part displacement. J Bone Joint Surg Am. 1970;52(6):1090–103.
Lehman C, Cuomo F, Kummer FJ, Zuckerman JD. The incidence of full thickness rotator cuff tears in a large cadaveric population. Bull Hosp Jt Dis. 1995;54(1):30–1.
Namdari S, et al. Comparison of hemiarthroplasty and reverse arthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am. 2013;95:1701–8.
Gerber C, Pennington D, Nyffeler R. Reverse total shoulder arthroplasty. Am Acad Orthop Surg. 2009;17:284–95.
Crane JK, Hohman DW, Nodzo SR, Duquin TR. Antimicrobial susceptibility of Propionibacterium acnes isolates from shoulder surgery. Antimicrob Agents Chemother. 2013;57(7):3424–6. doi:10.1128/AAC.00463-13. Epub 2013 Apr.
Molé D, Favard L. Excentered scapulohumeral osteoarthritis [French]. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(6 Suppl):37–94.
Hansen ML, Otis JC, Johnson JS, Cordasco FA, Craig EV, Warren RF. Biomechanics of massive rotator cuff tears: implications for treatment. J Bone Joint Surg Am. 2008;90(2):316–25.
Iannotti JP, Gabriel JP, Schneck SL, et al. The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am. 1992;74:491–500.
Greiner SH, Diederichs G, Kroning I, Scheibel M, Perka C. Tuberosity position correlates with fatty infiltration of the rotator cuff after hemiarthroplasty for proximal humeral fractures. J Shoulder Elbow Surg. 2009;18(3):431–6.
Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Male D. Tuberosity, malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elbow Surg. 2002;11(5):401–12.
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 Elbow Surg. 2013;22(1):38–44.
Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total shoulder arthroplasty survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg Am. 2006;88(8):1742–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Crosby, L.A., Anderton, T. (2015). Reverse Shoulder Arthroplasty for Proximal Humerus Fractures. In: Crosby, L., Neviaser, R. (eds) Proximal Humerus Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-08951-5_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-08951-5_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-08950-8
Online ISBN: 978-3-319-08951-5
eBook Packages: MedicineMedicine (R0)