Unlocking the secrets of reverse shoulder arthroplasty: A radiological appraisal
Keywords:
shoulder arthroplasty, radiological, version, RSA-angle, CT scanAbstract
Reviewing the literature on radiological evaluation of reverse shoulder arthroplasty (RSA), this paper looks at recent findings. Plain radiographs and computed tomography (CT) scans are among the imaging modalities discussed to assess this procedure's effectiveness. The various radiological assessment methods for glenoid bone loss evaluation, implant position assessment, and early and late potential problem detection are also reviewed in this article. It also goes over the correlations that have been documented between various radiological parameters and clinical outcomes. The study concludes that radiological assessment is a valuable tool for assessing the effectiveness of reverse shoulder arthroplasty and that more research is required to increase its precision.
References
Samitier, G., et al., Reverse shoulder arthroplasty. Part 1: systematic review of clinical and functional outcomes. 2015. 9(1): p. 24.
Werner, C., et al., Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. 2005. 87(7): p. 1476-1486.
Elshahhat, A., et al., Clinico-radiological correlation of reverse shoulder arthroplasty outcomes. International Journal of Research in Orthopaedics, 2023. 9(1): p. 149.
Bullock, G.S., et al., A systematic review of proposed rehabilitation guidelines following anatomic and reverse shoulder arthroplasty. 2019. 49(5): p. 337-346.
Elshahhat, A., Radiological Computation of Glenoid Version. Is there an Optimum Method? Journal of Pakistan Orthopaedic Association, 2023. 35(01): p. 53-61.
Habermeyer, P., et al., Three-dimensional glenoid deformity in patients with osteoarthritis: a radiographic analysis. JBJS, 2006. 88(6): p. 1301-1307.
Huguet, D., et al., Epidemiology, imaging, and classification of glenohumeral osteoarthritis with massive and non-reparable rotator cuff tear. Walch G, Boileau P, Mole D, eds, 2000.
Malhas, A., et al., Glenoid bone loss in primary and revision shoulder arthroplasty. Shoulder & Elbow, 2016. 8(4): p. 229-240.
Maurer, A., et al., Assessment of glenoid inclination on routine clinical radiographs and computed tomography examinations of the shoulder. Journal of shoulder and elbow surgery, 2012. 21(8): p. 1096-1103.
Chalmers, P.N., et al., Influence of Radiographic Viewing Perspective on Glenoid Inclination Measurement. 2019. 3: p. 2471549218824986.
Daggett, M., et al., Comparison of glenoid inclination angle using different clinical imaging modalities. Journal of shoulder and elbow surgery, 2016. 25(2): p. 180-185.
Welton, K.L., et al., Current pain prescribing habits for common shoulder operations: a survey of the American Shoulder and Elbow Surgeons membership. Journal of shoulder and elbow surgery, 2018. 27(6): p. S76-S81.
Tashjian, R.Z., et al., Superior baseplate inclination is associated with instability after reverse total shoulder arthroplasty. 2018. 476(8): p. 1622-1629.
Boileau, P., et al., Angled BIO-RSA (bony-increased offset–reverse shoulder arthroplasty): a solution for the management of glenoid bone loss and erosion. Journal of shoulder and elbow surgery, 2017. 26(12): p. 2133-2142.
Boileau, P., et al., The reverse shoulder arthroplasty angle: a new measurement of glenoid inclination for reverse shoulder arthroplasty. 2019.
Candan, B., et al., Correlation of some anatomical angles of the shoulder with rotator cuff syndrome. Journal of the Anatomical Society of India, 2023. 72(1): p. 22-28.
Van Haver, A., et al., Reliability analysis of glenoid component inclination measurements on postoperative radiographs and computed tomography–based 3D models in total and reversed shoulder arthroplasty patients. 2016. 25(4): p. 632-640.
Konrad, G.G., et al., Decreasing glenoid inclination improves function in shoulders with simulated massive rotator cuff tears. 2006. 21(9): p. 942-949.
Roberson, T.A., et al., The influence of radiographic markers of biomechanical variables on outcomes in reverse shoulder arthroplasty. JSES Open Access, 2019.
Lädermann, A., et al., What is the best glenoid configuration in onlay reverse shoulder arthroplasty? International orthopaedics, 2018. 42(6): p. 1339-1346.
Gutiérrez, S., et al., Hierarchy of stability factors in reverse shoulder arthroplasty. J Clinical orthopaedics and related research, 2008. 466(3): p. 670-676.
Patel, M., et al., Inferior Tilt of the Glenoid Leads to Medialization and Increases Impingement on the Scapular Neck in Reverse Shoulder Arthroplasty. 2020.
Moor, B., et al., Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint? A radiological study of the critical shoulder angle. 2013. 95(7): p. 935-941.
Karahan, N., et al., Evaluation of critical shoulder angle and acromion index in patients with anterior shoulder instability and rotator cuff tear. Acta Orthop Traumatol Turc, 2021. 55(3): p. 220-6.
Banas, M.P., et al., Relationship between the lateral acromion angle and rotator cuff disease. 1995. 4(6): p. 454-461.
Balke, M., et al., Correlation of acromial morphology with impingement syndrome and rotator cuff tears. 2013. 84(2): p. 178-183.
Weiner, D.S., I.J.T.J.o.b. Macnab, and j.s.B. volume, Superior migration of the humeral head: a radiological aid in the diagnosis of tears of the rotator cuff. 1970. 52(3): p. 524-527.
Hamada, K., et al., A radiographic classification of massive rotator cuff tear arthritis. Clinical Orthopaedics and Related Research®, 2011. 469(9): p. 2452-2460.
Yeazell, S.T., et al., Bone density and its relation to the development of acromial stress fracture following reverse total shoulder arthroplasty. J Shoulder and Elbow surgery, 2020: p. 1758573220949992.
Sanchez-Sotelo, J. and G.S.J.C.R.i.M.M. Athwal, How to optimize reverse shoulder arthroplasty for irreparable cuff tears. 2020. 13: p. 553-560.
Li, X., et al., Inferior glenosphere placement reduces scapular notching in reverse total shoulder arthroplasty. J Orthopedics, 2015. 38(2): p. e88-e93.
Nyffeler, R.W., et al., Association of a large lateral extension of the acromion with rotator cuff tears. 2006. 88(4): p. 800-805.
Boutsiadis, A., et al., The lateralization and distalization shoulder angles are important determinants of clinical outcomes in reverse shoulder arthroplasty. Journal of Shoulder and Elbow Surgery, 2018. 27(7): p. 1226-1234.
Beltrame, A., et al., Onlay versus Inlay humeral steam in Reverse Shoulder Arthroplasty (RSA): clinical and biomechanical study. Acta Biomedica Atenei Parmensis, 2019. 90(12-S): p. 54-63.
Mahendraraj, K.A., et al. Assessing the validity of the distalization and lateralization shoulder angles following reverse total shoulder arthroplasty. in Seminars in Arthroplasty: JSES. 2020. Elsevier.
Alessandro, B., et al., Onlay versus Inlay humeral steam in Reverse Shoulder Arthroplasty (RSA): clinical and biomechanical study. 2020. 90(Suppl 12): p. 54.
Galinat, B., S. Howell, and T.J.O.T. Kraft, The glenoid-posterior acromion angle: an accurate method of evaluating glenoid version. 1988. 12: p. 727.
Sperling, J.W., et al., Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. 2004. 13(6): p. 604-613.
Nappo, K.E., et al., Glenoid neck Hounsfield units on computed tomography can accurately identify patients with low bone mineral density. 2018. 27(7): p. 1268-1274.
Bernatz, J.T., et al., Prevalence and Treatment of Osteoporosis Prior to Elective Shoulder Arthroplasty. 2020. 4(12).
Casp, A.J., et al., Osteoporosis and implant-related complications after anatomic and reverse total shoulder arthroplasty. 2020. 28(3): p. 121-127.
Hawi, N., et al., Anatomic stemless shoulder arthroplasty and related outcomes: a systematic review. 2016. 17(1): p. 376.
Tae, S.-K., et al., Evaluation of fatty degeneration of the supraspinatus muscle using a new measuring tool and its correlation between multidetector computed tomography and magnetic resonance imaging. 2011. 39(3): p. 599-606.
Goutallier, D., et al., Fatty muscle degeneration in cuff ruptures: pre-and postoperative evaluation by CT scan. 1994. 304: p. 78-83.
Warner, J.J., et al., Diagnosis and treatment of anterosuperior rotator cuff tears. 2001. 10(1): p. 37-46.
Poon, P.C. and F.S.H. Ting, A 2-dimensional glenoid vault method for measuring glenoid version on computed tomography. Journal of shoulder and elbow surgery, 2012. 21(3): p. 329-335.
?ncesoy, M.A., et al., The critical shoulder angle, the acromial index, the glenoid version angle and the acromial angulation are associated with rotator cuff tears. Knee Surgery, Sports Traumatology, Arthroscopy, 2021. 29: p. 2257-2263.
Elshahhat, A., et al., Version reckoning of variant glenoid levels: a radiological study on dry human scapulae. International Journal of Research in Orthopaedics, 2022. 8(6): p. 613.
Lansdown, D., et al., Do Preoperative and Postoperative Glenoid Retroversion Influence Outcomes After Reverse Total Shoulder Arthroplasty? 2020. 4: p. 2471549220912552.
Gates, S., B. Sager, and M.J.E.o.r. Khazzam, Preoperative glenoid considerations for shoulder arthroplasty: a review. 2020. 5(3): p. 126-137.
Roberts, C.C., et al., Radiologic assessment of reverse shoulder arthroplasty. Radiographics, 2007. 27(1): p. 223-235.
Domos, P., et al., Walch B0 glenoid: pre-osteoarthritic posterior subluxation of the humeral head. 2018. 27(1): p. 181-188.
Badet, R., et al., Arthrography and computed arthrotomography study of seventy patients with primary glenohumeral osteoarthritis. 1995. 62(9): p. 555-562.
Jacxsens, M., et al., A three-dimensional comparative study on the scapulohumeral relationship in normal and osteoarthritic shoulders. 2016. 25(10): p. 1607-1615.
Jacxsens, M., et al., Guidelines for humeral subluxation cutoff values: a comparative study between conventional, reoriented, and three-dimensional computed tomography scans of healthy shoulders. 2018. 27(1): p. 36-43.
Ortmaier, R., et al., Posterior open wedge osteotomy of the scapula neck for the treatment of advanced shoulder osteoarthritis with posterior head migration in young patients. 2017. 26(7): p. 1278-1286.
Elshahhat, A., Glenoid Bony Deficiency in Shoulder Arthroplasty, Management Options. Annals of Medicine and Medical Sciences, 2023. 2(01): p. 1-9.
















