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Massive Rotator Cuff Arthropathy with Glenohumeral Arthritis

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Reverse Shoulder Arthroplasty

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Abstract

Rotator cuff tear arthropathy with glenohumeral osteoarthritis (CTA) represents the classic indication for reverse shoulder arthroplasty (RSA). Historically, this disease process was frustrating and difficult to treat, with patients hoping to achieve what Charles Neer described as “limited goals” for functional outcomes. The introduction of RSA has revolutionized the treatment of CTA providing reliable and reproducible improvements in pain, function, and range of motion (ROM). The limitations of RSA relate to concerns over complication rates and implant longevity. As a relatively new procedure, a greater understanding of the changes in shoulder kinematics, biomechanical effects of the reverse articulation, surgical techniques, and implant designs will continue to improve. These changes have already led to improvements in patient outcomes and complication rates. This trend will likely continue. As more long-term data become available, questions regarding implant longevity will be clarified.

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Authors and Affiliations

  1. Syracuse Orthopedic Specialists, 5719 Widewaters Parkway, Syracuse, NY, 13214, USA

    Nathan G. Everding

  2. Holy Cross Orthopaedic Institute, 5597 North Dixie Highway, Fort Lauderdale, FL, 33334, USA

    Jonathan C. Levy

Authors
  1. Nathan G. Everding
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  2. Jonathan C. Levy
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Correspondence to Nathan G. Everding .

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Editors and Affiliations

  1. Florida Orthopedic Institute, Tampa, Florida, USA

    Mark Frankle

  2. Foundation for Orthopedic Research and Education, Tampa, Florida, USA

    Scott Marberry

  3. Foundation for Orthopedic Research and Education, Tampa, Florida, USA

    Derek Pupello

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Everding, N.G., Levy, J.C. (2016). Massive Rotator Cuff Arthropathy with Glenohumeral Arthritis. In: Frankle, M., Marberry, S., Pupello, D. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-20840-4_14

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  • DOI: https://doi.org/10.1007/978-3-319-20840-4_14

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-20840-4

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