Does preoperative forward elevation weakness affect clinical outcomes in anatomic or reverse total shoulder arthroplasty patients with glenohumeral osteoarthritis and intact rotator cuff?
Background: This study sought to determine if preoperative forward elevation (FE) weakness affects outcomes of anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA) for patients with rotator cuff-intact glenohumeral osteoarthritis (RCI-GHOA). Methods: A retrospective review of a single inst...
Saved in:
Published in | Clinics in shoulder and elbow Vol. 27; no. 3; pp. 316 - 326 |
---|---|
Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
대한견주관절의학회
01.09.2024
대한견주관절학회 |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Background: This study sought to determine if preoperative forward elevation (FE) weakness affects outcomes of anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA) for patients with rotator cuff-intact glenohumeral osteoarthritis (RCI-GHOA). Methods: A retrospective review of a single institution’s prospectively collected shoulder arthroplasty database was performed between 2007 and 2020, including 333 aTSAs and 155 rTSAs for primary RCI-GHOA with a minimum 2-year follow-up. Defining preoperative weakness as FE strength ≤4.9 lb (2.2 kg), three cohorts were matched 1:1:1 by age, sex, and follow-up: weak (n=82) to normal aTSAs, weak (n=44) to normal rTSAs, and weak aTSAs (n=61) to weak rTSAs. Compared outcomes included range of motion, outcome scores, and complication and revision rates at latest follow-up. Results: Weak aTSAs and weak rTSAs achieved similar postoperative outcome measures to normal aTSAs and normal rTSAs, respectively (P>0.05). Compared to weak rTSAs, weak aTSAs achieved superior postoperative passive (P=0.006) and active external rotation (ER) (P=0.014) but less favorable postoperative Shoulder Pain and Disability Index (P=0.032), American Shoulder and Elbow Surgeons (P=0.024), and University of California, Los Angeles scores (P=0.008). Weak aTSAs achieved the minimal clinically important difference and substantial clinical benefit at a lower rate for abduction (P=0.045 and P=0.003) and FE (P=0.011 and P=0.001). Weak aTSAs had a higher revision rate (P=0.025) but a similar complication rate (P=0.291) compared to weak rTSAs. Conclusions: Patients with RCI-GHOA and preoperative FE weakness obtain postoperative outcomes similar to patients with normal preoperative strength after either aTSA or rTSA. Preoperatively, weak aTSAs achieved greater ER but lower rates of clinically relevant improvement in overhead motion compared to weak rTSAs. Level of evidence: III. KCI Citation Count: 0 |
---|---|
AbstractList | Background: This study sought to determine if preoperative forward elevation (FE) weakness affects outcomes of anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA) for patients with rotator cuff-intact glenohumeral osteoarthritis (RCI-GHOA). Methods: A retrospective review of a single institution’s prospectively collected shoulder arthroplasty database was performed between 2007 and 2020, including 333 aTSAs and 155 rTSAs for primary RCI-GHOA with a minimum 2-year follow-up. Defining preoperative weakness as FE strength ≤4.9 lb (2.2 kg), three cohorts were matched 1:1:1 by age, sex, and follow-up: weak (n=82) to normal aTSAs, weak (n=44) to normal rTSAs, and weak aTSAs (n=61) to weak rTSAs. Compared outcomes included range of motion, outcome scores, and complication and revision rates at latest follow-up. Results: Weak aTSAs and weak rTSAs achieved similar postoperative outcome measures to normal aTSAs and normal rTSAs, respectively (P>0.05). Compared to weak rTSAs, weak aTSAs achieved superior postoperative passive (P=0.006) and active external rotation (ER) (P=0.014) but less favorable postoperative Shoulder Pain and Disability Index (P=0.032), American Shoulder and Elbow Surgeons (P=0.024), and University of California, Los Angeles scores (P=0.008). Weak aTSAs achieved the minimal clinically important difference and substantial clinical benefit at a lower rate for abduction (P=0.045 and P=0.003) and FE (P=0.011 and P=0.001). Weak aTSAs had a higher revision rate (P=0.025) but a similar complication rate (P=0.291) compared to weak rTSAs. Conclusions: Patients with RCI-GHOA and preoperative FE weakness obtain postoperative outcomes similar to patients with normal preoperative strength after either aTSA or rTSA. Preoperatively, weak aTSAs achieved greater ER but lower rates of clinically relevant improvement in overhead motion compared to weak rTSAs. Level of evidence: III. KCI Citation Count: 0 |
Author | Amy P. Trammell Bradley S. Schoch Tyler J. LaMonica Jonathan O. Wright Thomas W. Wright Joseph J. King Keegan M. Hones Timothy R. Buchanan Kevin A. Hao |
Author_xml | – sequence: 1 fullname: Keegan M. Hones – sequence: 2 fullname: Kevin A. Hao – sequence: 3 fullname: Timothy R. Buchanan – sequence: 4 fullname: Amy P. Trammell – sequence: 5 fullname: Jonathan O. Wright – sequence: 6 fullname: Thomas W. Wright – sequence: 7 fullname: Tyler J. LaMonica – sequence: 8 fullname: Bradley S. Schoch – sequence: 9 fullname: Joseph J. King |
BackLink | https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART003113126$$DAccess content in National Research Foundation of Korea (NRF) |
BookMark | eNotjktr3DAUhUVJIY9mna022QQ81cMeyasQ8mgDoYGSrs21dJVRxyMZSZ4hvy1_riLN6hwuH9-5p-QoxICEXHC26mSvvhufcSWYaFeMibX4Qk6E0LrRSvCj2qWWjZZSHZPznP8yxnjHmRLrE_J-FzHTOWGcMUHxe6QupgMkS3HCfb3EQA8I24A5U3AOTaFm8sEbmGhciom7KvCBQoASd97QmGjCPaaMtMRSqbyJy2QxUUhlk-I8QS5vdK5uDCXTgy8b-jphiJtlV5-o2lwwfsC--LoabB0oUJdTFZY6YBbnrr-Rrw6mjOefeUb-PNy_3P5snp5_PN7ePDWGq140ph_HfuRq1LLV4KweOynbTivU0nHVdQYEW6-ZlWiRSWE7zYzRrWq5tM6BPCNX_70huWFr_BDBf-RrHLZpuPn98jhw1vVKKF7hy094SX6H1sMw1wLpbfj1fHfPec_7lrXyHyGtjOM |
ContentType | Journal Article |
DBID | DBRKI TDB ACYCR |
DOI | 10.5397/cise.2024.00262 |
DatabaseName | DBPIA - 디비피아 Nurimedia DBPIA Journals Korean Citation Index |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 2288-8721 |
EndPage | 326 |
ExternalDocumentID | oai_kci_go_kr_ARTI_10597271 NODE11919404 |
GroupedDBID | 5-W 8JR 9ZL ALMA_UNASSIGNED_HOLDINGS DBRKI EF. GROUPED_DOAJ JDI KVFHK OK1 PGMZT RPM TDB ACYCR |
ID | FETCH-LOGICAL-c1792-c9bb9b17b8348afd8b5334587e83f1755ca20660d3ede032d580cc847413dffa3 |
ISSN | 2383-8337 |
IngestDate | Tue Sep 03 03:13:39 EDT 2024 Tue Sep 17 19:41:56 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Keywords | Shoulder joint Shoulder replacement Joint range of motion Arthroplasty Inverted shoulder |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c1792-c9bb9b17b8348afd8b5334587e83f1755ca20660d3ede032d580cc847413dffa3 |
Notes | http://www.cisejournal.org/journal/view.php?doi=10.5397/cise.2024.00262 |
OpenAccessLink | https://www.cisejournal.org/upload/pdf/cise-2024-00262.pdf |
PageCount | 11 |
ParticipantIDs | nrf_kci_oai_kci_go_kr_ARTI_10597271 nurimedia_primary_NODE11919404 |
PublicationCentury | 2000 |
PublicationDate | 20240901 |
PublicationDateYYYYMMDD | 2024-09-01 |
PublicationDate_xml | – month: 09 year: 2024 text: 20240901 day: 01 |
PublicationDecade | 2020 |
PublicationTitle | Clinics in shoulder and elbow |
PublicationYear | 2024 |
Publisher | 대한견주관절의학회 대한견주관절학회 |
Publisher_xml | – name: 대한견주관절의학회 – name: 대한견주관절학회 |
SSID | ssj0001510726 ssib053376781 |
Score | 2.3144379 |
Snippet | Background: This study sought to determine if preoperative forward elevation (FE) weakness affects outcomes of anatomic (aTSA) and reverse total shoulder... |
SourceID | nrf nurimedia |
SourceType | Open Website Publisher |
StartPage | 316 |
SubjectTerms | 정형외과학 |
Title | Does preoperative forward elevation weakness affect clinical outcomes in anatomic or reverse total shoulder arthroplasty patients with glenohumeral osteoarthritis and intact rotator cuff? |
URI | https://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE11919404 https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART003113126 |
Volume | 27 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
ispartofPNX | 대한 견주관절 학회지, 2024, 27(3), , pp.316-326 |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwEI_GeIAXBALEBkyWILxECW2cD_sJpR9oIDEQ2qS9RXZit1PXZMoaJvjX-Oe4i5M0q5D4eGkty7Xj3s--O8f3O8t6zcZBnksqXR6F4KDwULtCat8VoJ1ixVUeNvTFn06i47Pg43l4vnfnzeDWUr2RXvbjt3El_yNVqAO5YpTsP0i27xQqoAzyhU-QMHz-lYxnpbrGKP_ySm0JvPEarINR40a0N0qsmu1MGJ7iPhSyrDfwTM19LEcU4HvjLfmywmAWMAkxowbGSV4vMQe2qpAMCTMqgLENZnvLxtqGxi1Ac5XLujnecjBopGwaI1tSS-60wUjMCjoED9_Jaq137hMadtLmUbYDFjgNWd5sdYJa4KslzznGBAPb6m94ZgO1ouzPIQwCna8evrxewvT6NZCsvztfPCR1X6_V5eXw1MMP-mtdBqf2fGKzKV4Gmc9sHtp8as8Te-LbCRSmdkLtiakJmjZQM7IZwwKH9qz7FW8KCXS13XbBhqEuo4aKxlOmzgfksdjEcnd6w3AatOuDDpQAHUcDe4IaRoBdVRXShgIZU6d4OEE82Wv10m3-75PPszmy8PEAaW_v-jEP48HRAeybYLHHUcfZZKLjwan3TV7FdjKG1QoHfbszJBhVRQW22L2ixoQSsCsNDKzTh9aD1jMiiYH5I2tPFY-tnwhxMoQ4aSFOeoiTDuLEQJx0ECcdxMlFQTqIk7IiLcRJA3HSIY4MIU46iBOEOBlCnNyGOPScEwNx0kKcIMTfPbHO3s9Pp8dum2_EzUAt-W7GpeRyHEtGAyZ0ziTGqYcsVoxqMLPDTGDyg1FOVa5G1M9DNsoyMO_AEMy1FvSptV_AAnhmESZiIXwWRrFWgZZa6BGMMc6iSAvOc3lgvYI_PV1lFynyu-P3okxXVQpe7IcUfR7wK8YH1lEvlPTKsM-kQzwc_qnBc-v-dvW8sPY3Va1eghW9kUcNhH4B_5_KnQ |
link.rule.ids | 315,786,790,870,27957,27958 |
linkProvider | Directory of Open Access Journals |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Does+preoperative+forward+elevation+weakness+affect+clinical+outcomes+in+anatomic+or+reverse+total+shoulder+arthroplasty+patients+with+glenohumeral+osteoarthritis+and+intact+rotator+cuff%3F&rft.jtitle=Clinics+in+shoulder+and+elbow&rft.au=Keegan+M.+Hones&rft.au=Kevin+A.+Hao&rft.au=Timothy+R.+Buchanan&rft.au=Amy+P.+Trammell&rft.date=2024-09-01&rft.pub=%EB%8C%80%ED%95%9C%EA%B2%AC%EC%A3%BC%EA%B4%80%EC%A0%88%EC%9D%98%ED%95%99%ED%9A%8C&rft.issn=2383-8337&rft.eissn=2288-8721&rft.volume=27&rft.issue=3&rft.spage=316&rft.epage=326&rft_id=info:doi/10.5397%2Fcise.2024.00262&rft.externalDocID=NODE11919404 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2383-8337&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2383-8337&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2383-8337&client=summon |