Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
A 71-year-old man with a massive rotator cuff tear, glenohumeral arthritis, and forward elevation to 40 degrees
83%
1328/1599
A 45-year-old man who has failed 3 rotator cuff repairs and has glenohumeral arthritis
8%
128/1599
A 65-year-old man with glenoid wear and pain 10 years following a hemiarthroplasty
4%
64/1599
A 72-year-old man with severe glenohumeral arthritis and an intact rotator cuff
71/1599
A 30-year-old man with a locked posterior shoulder dislocation
0%
2/1599
Select Answer to see Preferred Response
The choice between a standard total shoulder prosthesis and a reverse total shoulder prosthesis should be based on the nature of the joint disease (either centered humeral head and normal cuff function or migrated humeral head and abnormal cuff function). Chronic massive rotator cuff tears may result in rotator cuff arthropathy. In this case, the only effective treatment at present is reverse total prosthesis. Sirveaux et al reported the results of reverse total shoulder at 44 months and found significant improvements in forward elevation and functional scores. From OKU 9: “the reverse prosthesis should be reserved for patients with a disabling shoulder arthropathy and massive rotator cuff rupture. In addition, the reverse prosthesis should be used exclusively in patients older than 70 years with low functional demands.” The correct choice has the following characteristics: elderly, low functional demand, and active forward flexion to only 40 degrees with a deficient rotator cuff.
4.0
(22)
Please Login to add comment