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Cuff Tear Arthropathy with Bone Loss (Acetabular Acromion)

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Rotator Cuff Across the Life Span

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Abstract

The cuff tear arthropathy (CTA) is a well-defined clinical entity characterized by different stages. Treatment options largely changed in the last decades. Reverse shoulder arthroplasty (RSA) remains the best option for late stages; however, managing bone wear remains a major challenge.

Advancement in technology and a better understanding of the surrounding pathology as well as risks linked to standard procedures led to more precise preoperative planning and various surgical techniques. The aim of the present chapter is to provide an overview on pathology, classification, and treatment of CTA with bone loss.

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References

  1. Neer CS, Craig EV, Fukuda H. Cuff-tear arthropathy. J Bone Joint Surg Am. 1983;65:1232–44.

    Article  Google Scholar 

  2. Jensen KL, Williams GR, Russell IJ, Rockwood CA. Rotator cuff tear arthropathy. J Bone Joint Surg Am. 1999;81:1312–24.

    Article  CAS  Google Scholar 

  3. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears. A long-term observation. Clin Orthop. 1990;254:92–6.

    Google Scholar 

  4. Visotsky JL, Basamania C, Seebauer L, et al. Cuff tear arthropathy: pathogenesis, classification, and algorithm for treatment. J Bone Joint Surg Am. 2004;86-A(Suppl 2):35–40.

    Article  Google Scholar 

  5. Rugg CM, Gallo RA, Craig EV, Feeley BT. The pathogenesis and management of cuff tear arthropathy. J Shoulder Elb Surg. 2018;27:2271–83. https://doi.org/10.1016/j.jse.2018.07.020.

    Article  Google Scholar 

  6. Aumiller WD, Kleuser TM. Diagnosis and treatment of cuff tear arthropathy. JAAPA. 2015;28:33–8. https://doi.org/10.1097/01.JAA.0000469435.44701.ce.

    Article  PubMed  Google Scholar 

  7. Gumina S, Castagna A, Candela V, et al. Aetiopathogenesis of cuff-tear arthropathy: could juvenile joint laxity be considered a predisposing factor? Int Orthop. 2018;42:1113–7. https://doi.org/10.1007/s00264-017-3718-5.

    Article  PubMed  Google Scholar 

  8. Halverson PB, Cheung HS, McCarty DJ, et al. “Milwaukee shoulder”—association of microspheroids containing hydroxyapatite crystals, active collagenase, and neutral protease with rotator cuff defects. II. Synovial fluid studies. Arthritis Rheum. 1981;24:474–83.

    Article  CAS  Google Scholar 

  9. McCarty DJ. Milwaukee shoulder syndrome. Trans Am Clin Climatol Assoc. 1991;102:271–83.. discussion 283–4

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Burkhart SS, Nottage WM, Ogilvie-Harris DJ, et al. Partial repair of irreparable rotator cuff tears. Arthroscopy. 1994;10:363–70.

    Article  CAS  Google Scholar 

  11. Nam D, Maak TG, Raphael BS, et al. Rotator cuff tear arthropathy: evaluation, diagnosis, and treatment: AAOS exhibit selection. J Bone Joint Surg Am. 2012;94:e34. https://doi.org/10.2106/JBJS.K.00746.

    Article  PubMed  Google Scholar 

  12. Nyffeler RW, Jost B, Pfirrmann CWA, Gerber C. Measurement of glenoid version: conventional radiographs versus computed tomography scans. J Shoulder Elb Surg. 2003;12:493–6. https://doi.org/10.1016/S1058274603001812.

    Article  Google Scholar 

  13. Habermeyer P, Magosch P, Luz V, Lichtenberg S. Three-dimensional glenoid deformity in patients with osteoarthritis: a radiographic analysis. J Bone Joint Surg Am. 2006;88:1301–7. https://doi.org/10.2106/JBJS.E.00622.

    Article  CAS  PubMed  Google Scholar 

  14. Sirveaux F, Favard L, Oudet D, et al. 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;86:388–95.

    Article  CAS  Google Scholar 

  15. Kocsis G, Thyagarajan DS, Fairbairn KJ, Wallace WA. A new classification of glenoid bone loss to help plan the implantation of a glenoid component before revision arthroplasty of the shoulder. Bone Joint J. 2016;98-B:374–80. https://doi.org/10.1302/0301-620X.98B3.36664.

    Article  CAS  PubMed  Google Scholar 

  16. Churchill RS, Brems JJ, Kotschi H. Glenoid size, inclination, and version: an anatomic study. J Shoulder Elb Surg. 2001;10:327–32. https://doi.org/10.1067/mse.2001.115269.

    Article  CAS  Google Scholar 

  17. Walker KE, Simcock XC, Jun BJ, et al. Progression of glenoid morphology in glenohumeral osteoarthritis. J Bone Joint Surg Am. 2018;100:49–56. https://doi.org/10.2106/JBJS.17.00064.

    Article  PubMed  Google Scholar 

  18. Donohue KW, Ricchetti ET, Ho JC, Iannotti JP. The association between rotator cuff muscle fatty infiltration and glenoid morphology in glenohumeral osteoarthritis. J Bone Joint Surg Am. 2018;100:381–7. https://doi.org/10.2106/JBJS.17.00232.

    Article  PubMed  Google Scholar 

  19. Scalise JJ, Codsi MJ, Bryan J, et al. The influence of three-dimensional computed tomography images of the shoulder in preoperative planning for total shoulder arthroplasty. J Bone Joint Surg Am. 2008;90:2438–45. https://doi.org/10.2106/JBJS.G.01341.

    Article  PubMed  Google Scholar 

  20. Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast. 1999;14:756–60.

    Article  CAS  Google Scholar 

  21. Bercik MJ, Kruse K, Yalizis M, et al. A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elb Surg. 2016;25:1601–6. https://doi.org/10.1016/j.jse.2016.03.010.

    Article  Google Scholar 

  22. Davis DE, Acevedo D, Williams A, Williams G. Total shoulder arthroplasty using an inlay mini-glenoid component for glenoid deficiency: a 2-year follow-up of 9 shoulders in 7 patients. J Shoulder Elb Surg. 2016;25:1354–61. https://doi.org/10.1016/j.jse.2015.12.010.

    Article  Google Scholar 

  23. Budge MD, Lewis GS, Schaefer E, et al. Comparison of standard two-dimensional and three-dimensional corrected glenoid version measurements. J Shoulder Elb Surg. 2011;20:577–83. https://doi.org/10.1016/j.jse.2010.11.003.

    Article  Google Scholar 

  24. Kwon YW, Powell KA, Yum JK, et al. Use of three-dimensional computed tomography for the analysis of the glenoid anatomy. J Shoulder Elb Surg. 2005;14:85–90. https://doi.org/10.1016/j.jse.2004.04.011.

    Article  Google Scholar 

  25. Daggett M, Werner B, Gauci MO, et al. Comparison of glenoid inclination angle using different clinical imaging modalities. J Shoulder Elb Surg. 2016;25:180–5. https://doi.org/10.1016/j.jse.2015.07.001.

    Article  Google Scholar 

  26. Werner BS, Hudek R, Burkhart KJ, Gohlke F. The influence of three-dimensional planning on decision-making in total shoulder arthroplasty. J Shoulder Elb Surg. 2017;26:1477–83. https://doi.org/10.1016/j.jse.2017.01.006.

    Article  Google Scholar 

  27. Codsi MJ, Bennetts C, Gordiev K, et al. Normal glenoid vault anatomy and validation of a novel glenoid implant shape. J Shoulder Elb Surg. 2008;17:471–8. https://doi.org/10.1016/j.jse.2007.08.010.

    Article  Google Scholar 

  28. Scalise JJ, Codsi MJ, Bryan J, Iannotti JP. The three-dimensional glenoid vault model can estimate normal glenoid version in osteoarthritis. J Shoulder Elb Surg. 2008;17:487–91. https://doi.org/10.1016/j.jse.2007.09.006.

    Article  Google Scholar 

  29. Ganapathi A, McCarron JA, Chen X, Iannotti JP. Predicting normal glenoid version from the pathologic scapula: a comparison of 4 methods in 2- and 3-dimensional models. J Shoulder Elb Surg. 2011;20:234–44. https://doi.org/10.1016/j.jse.2010.05.024.

    Article  Google Scholar 

  30. Iannotti JP, Weiner S, Rodriguez E, et al. Three-dimensional imaging and templating improve glenoid implant positioning. J Bone Joint Surg Am. 2015;97:651–8. https://doi.org/10.2106/JBJS.N.00493.

    Article  PubMed  Google Scholar 

  31. Lombardo DJ, Khan J, Prey B, et al. Quantitative assessment and characterization of glenoid bone loss in a spectrum of patients with glenohumeral osteoarthritis. Musculoskelet Surg. 2016;100:179–85. https://doi.org/10.1007/s12306-016-0406-3.

    Article  CAS  PubMed  Google Scholar 

  32. Nowak DD, Bahu MJ, Gardner TR, et al. Simulation of surgical glenoid resurfacing using three-dimensional computed tomography of the arthritic glenohumeral joint: the amount of glenoid retroversion that can be corrected. J Shoulder Elb Surg. 2009;18:680–8. https://doi.org/10.1016/j.jse.2009.03.019.

    Article  Google Scholar 

  33. Sabesan V, Callanan M, Sharma V, Iannotti JP. Correction of acquired glenoid bone loss in osteoarthritis with a standard versus an augmented glenoid component. J Shoulder Elb Surg. 2014;23:964–73. https://doi.org/10.1016/j.jse.2013.09.019.

    Article  Google Scholar 

  34. Lynch JR, Clinton JM, Dewing CB, et al. Treatment of osseous defects associated with anterior shoulder instability. J Shoulder Elb Surg. 2009;18:317–28. https://doi.org/10.1016/j.jse.2008.10.013.

    Article  Google Scholar 

  35. Levine WN, Djurasovic M, Glasson JM, et al. Hemiarthroplasty for glenohumeral osteoarthritis: results correlated to degree of glenoid wear. J Shoulder Elb Surg. 1997;6:449–54.

    Article  CAS  Google Scholar 

  36. Walch G, Young AA, Boileau P, et al. Patterns of loosening of polyethylene keeled glenoid components after shoulder arthroplasty for primary osteoarthritis: results of a multicenter study with more than five years of follow-up. J Bone Joint Surg Am. 2012;94:145–50. https://doi.org/10.2106/JBJS.J.00699.

    Article  PubMed  Google Scholar 

  37. Clavert P, Millett PJ, Warner JJP. Glenoid resurfacing: what are the limits to asymmetric reaming for posterior erosion? J Shoulder Elb Surg. 2007;16:843–8. https://doi.org/10.1016/j.jse.2007.03.015.

    Article  Google Scholar 

  38. Gillespie R, Lyons R, Lazarus M. Eccentric reaming in total shoulder arthroplasty: a cadaveric study. Orthopedics. 2009;32:21.

    Article  Google Scholar 

  39. Formaini NT, Everding NG, Levy JC, et al. The effect of glenoid bone loss on reverse shoulder arthroplasty baseplate fixation. J Shoulder Elb Surg. 2015;24:e312–9. https://doi.org/10.1016/j.jse.2015.05.045.

    Article  Google Scholar 

  40. Martin EJ, Duquin TR, Ehrensberger MT. Reverse total shoulder glenoid baseplate stability with superior glenoid bone loss. J Shoulder Elb Surg. 2017;26:1748–55. https://doi.org/10.1016/j.jse.2017.04.020.

    Article  Google Scholar 

  41. Stephens SP, Paisley KC, Jeng J, et al. Shoulder arthroplasty in the presence of posterior glenoid bone loss. J Bone Joint Surg Am. 2015;97:251–9. https://doi.org/10.2106/JBJS.N.00566.

    Article  PubMed  Google Scholar 

  42. Norris TR. Glenoid bone loss in reverse shoulder arthroplasty treated with bone graft techniques. Am J Orthop (Belle Mead NJ). 2018;47:PMID: 29611849. https://doi.org/10.12788/ajo.2018.0016.

    Article  Google Scholar 

  43. Sears BW, Johnston PS, Ramsey ML, Williams GR. Glenoid bone loss in primary total shoulder arthroplasty: evaluation and management. J Am Acad Orthop Surg. 2012;20:604–13. https://doi.org/10.5435/JAAOS-20-09-604.

    Article  PubMed  Google Scholar 

  44. Boileau P, Moineau G, Roussanne Y, O’Shea K. Bony increased-offset reversed shoulder arthroplasty: minimizing scapular impingement while maximizing glenoid fixation. Clin Orthop. 2011;469:2558–67. https://doi.org/10.1007/s11999-011-1775-4.

    Article  PubMed  Google Scholar 

  45. Neyton L, Boileau P, Nové-Josserand L, et al. Glenoid bone grafting with a reverse design prosthesis. J Shoulder Elb Surg. 2007;16:S71–8. https://doi.org/10.1016/j.jse.2006.02.002.

    Article  Google Scholar 

  46. Hill JM, Norris TR. Long-term results of total shoulder arthroplasty following bone-grafting of the glenoid. J Bone Joint Surg Am. 2001;83-A:877–83.

    Article  Google Scholar 

  47. Bateman E, Donald SM. Reconstruction of massive uncontained glenoid defects using a combined autograft-allograft construct with reverse shoulder arthroplasty: preliminary results. J Shoulder Elb Surg. 2012;21:925–34. https://doi.org/10.1016/j.jse.2011.07.009.

    Article  Google Scholar 

  48. Melis B, Bonnevialle N, Neyton L, et al. Glenoid loosening and failure in anatomical total shoulder arthroplasty: is revision with a reverse shoulder arthroplasty a reliable option? J Shoulder Elb Surg. 2012;21:342–9. https://doi.org/10.1016/j.jse.2011.05.021.

    Article  Google Scholar 

  49. Elhassan B, Christensen TJ, Wagner ER. Feasibility of latissimus and teres major transfer to reconstruct irreparable subscapularis tendon tear: an anatomic study. J Shoulder Elb Surg. 2014;23:492–9. https://doi.org/10.1016/j.jse.2013.07.046.

    Article  Google Scholar 

  50. De Biase CF, Ziveri G, De Caro F, et al. Reverse shoulder arthroplasty using a “L” shaped allograft for glenoid reconstruction in a patient with massive glenoid bone loss: case report. Eur Rev Med Pharmacol Sci. 2014;18:44–9.

    PubMed  Google Scholar 

  51. Klein SM, Dunning P, Mulieri P, et al. Effects of acquired glenoid bone defects on surgical technique and clinical outcomes in reverse shoulder arthroplasty. J Bone Joint Surg Am. 2010;92:1144–54. https://doi.org/10.2106/JBJS.I.00778.

    Article  PubMed  Google Scholar 

  52. Boileau P, Morin-Salvo N, Gauci M-O, et al. Angled BIO-RSA (bony-increased offset-reverse shoulder arthroplasty): a solution for the management of glenoid bone loss and erosion. J Shoulder Elb Surg. 2017;26:2133–42. https://doi.org/10.1016/j.jse.2017.05.024.

    Article  Google Scholar 

  53. Laver L, Garrigues GE. Avoiding superior tilt in reverse shoulder arthroplasty: a review of the literature and technical recommendations. J Shoulder Elb Surg. 2014;23:1582–90. https://doi.org/10.1016/j.jse.2014.06.029.

    Article  Google Scholar 

  54. Hettrich CM, Permeswaran VN, Goetz JE, Anderson DD. Mechanical tradeoffs associated with glenosphere lateralization in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2015;24:1774–81. https://doi.org/10.1016/j.jse.2015.06.011.

    Article  Google Scholar 

  55. Frank RM, Romeo AA, Richardson C, et al. Outcomes of latarjet versus distal tibia allograft for anterior shoulder instability repair: a matched cohort analysis. Am J Sports Med. 2018;46:1030–8. https://doi.org/10.1177/0363546517744203.

    Article  PubMed  Google Scholar 

  56. Frank RM, Shin J, Saccomanno MF, et al. Comparison of glenohumeral contact pressures and contact areas after posterior glenoid reconstruction with an iliac crest bone graft or distal tibial osteochondral allograft. Am J Sports Med. 2014;42:2574–82. https://doi.org/10.1177/0363546514545860.

    Article  PubMed  Google Scholar 

  57. Rabinowitz J, Friedman R, Eichinger JK. Management of glenoid bone loss with anterior shoulder instability: indications and outcomes. Curr Rev Musculoskelet Med. 2017;10:452–62. https://doi.org/10.1007/s12178-017-9439-y.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Klika BJ, Wooten CW, Sperling JW, et al. Structural bone grafting for glenoid deficiency in primary total shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1066–72. https://doi.org/10.1016/j.jse.2013.09.017.

    Article  Google Scholar 

  59. Scalise JJ, Iannotti JP. Bone grafting severe glenoid defects in revision shoulder arthroplasty. Clin Orthop. 2008;466:139–45. https://doi.org/10.1007/s11999-007-0065-7.

    Article  PubMed  Google Scholar 

  60. Ivaldo N, Mangano T, Caione G, et al. Customized tantalum-augmented reverse shoulder arthroplasty for glenoid bone defect and excessive medialization: description of the technique. Musculoskelet Surg. 2016;100:13–8. https://doi.org/10.1007/s12306-016-0404-5.

    Article  PubMed  Google Scholar 

  61. Jones RB, Wright TW, Roche CP. Bone grafting the glenoid versus use of augmented glenoid baseplates with reverse shoulder arthroplasty. Bull Hosp Jt Dis. 2015;2013(73 Suppl 1):S129–35.

    Google Scholar 

  62. Wright TW, Roche CP, Wright L, et al. Reverse shoulder arthroplasty augments for glenoid wear. Comparison of posterior augments to superior augments. Bull Hosp Joint Dis. 2015;2013(73 Suppl 1):S124–8.

    Google Scholar 

  63. Jones RB, Wright TW, Zuckerman JD. Reverse total shoulder arthroplasty with structural bone grafting of large glenoid defects. J Shoulder Elb Surg. 2016;25:1425–32. https://doi.org/10.1016/j.jse.2016.01.016.

    Article  Google Scholar 

  64. Denard PJ, Lederman E, Parsons BO, Romeo AA. Finite element analysis of glenoid-sided lateralization in reverse shoulder arthroplasty. J Orthop Res. 2017;35:1548–55. https://doi.org/10.1002/jor.23394.

    Article  CAS  PubMed  Google Scholar 

  65. Yang C-C, Lu C-L, Wu C-H, et al. Stress analysis of glenoid component in design of reverse shoulder prosthesis using finite element method. J Shoulder Elb Surg. 2013;22:932–9. https://doi.org/10.1016/j.jse.2012.09.001.

    Article  Google Scholar 

  66. Jeske H-C, Wambacher M, Dallapozza C, et al. Functional and clinical outcome of total shoulder arthroplasty with oversized glenoid. Arch Orthop Trauma Surg. 2012;132:927–36. https://doi.org/10.1007/s00402-012-1496-5.

    Article  PubMed  Google Scholar 

  67. Uri O, Bayley I, Lambert S. Hip-inspired implant for revision of failed reverse shoulder arthroplasty with severe glenoid bone loss. Improved clinical outcome in 11 patients at 3-year follow-up. Acta Orthop. 2014;85:171–6. https://doi.org/10.3109/17453674.2014.899850.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Chammaa R, Uri O, Lambert S. Primary shoulder arthroplasty using a custom-made hip-inspired implant for the treatment of advanced glenohumeral arthritis in the presence of severe glenoid bone loss. J Shoulder Elb Surg. 2017;26:101–7. https://doi.org/10.1016/j.jse.2016.05.027.

    Article  Google Scholar 

  69. Dines DM, Gulotta L, Craig EV, Dines JS. Novel solution for massive glenoid defects in shoulder arthroplasty: a patient-specific glenoid vault reconstruction system. Am J Orthop (Belle Mead NJ). 2017;46:104–8.

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, University of Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics, IRCCS Fondazione Policinico Universitario A. Gemelli, Catholic University, Rome, Italy

    Maristella F. Saccomanno

  3. Orthopaedic Unit, Villa Valeria Clinic, Rome, Italy

    Andrea Grasso

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  1. Giuseppe Milano
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  2. Maristella F. Saccomanno
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  3. Andrea Grasso
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Correspondence to Giuseppe Milano .

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Editors and Affiliations

  1. Orthopaedic Sportsmedicine, University of Munich (TUM), Orthopaedic Sportsmedicine, Munich, Bayern, Germany

    Andreas B. Imhoff

  2. Department of Orthopaedics, Tulane University School of Medicine, Department of Orthopaedics, New Orleans, LA, USA

    Felix H. Savoie III

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Milano, G., Saccomanno, M.F., Grasso, A. (2019). Cuff Tear Arthropathy with Bone Loss (Acetabular Acromion). In: Imhoff, A.B., Savoie, F.H. (eds) Rotator Cuff Across the Life Span. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58729-4_47

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