Osteoarthritis (O.A) affects over 50 million Americans. This includes mostly O.A of the shoulder, hip, and knee. Shoulder osteoarthritis (O.A) has been demonstrated in cadaver and radiographic studies to affect up to 33% of patients over the age of 60 [1]. Patients with shoulder O.A have pain, crepitus, decreased ability to place their hand at a desired point in space and loss of motion, severe...

Proximal humerus fractures are relatively common, with treatment dependent on fracture-specific, patient-specific, and surgeon-specific factors. This study sought to identify preferences among shoulder specialists and orthopedic traumatologists in the treatment of proximal humerus fractures. An anonymous Internet survey of fellowship-trained shoulder surgeons and traumatologists was conducted w...

Introduction Intra-articular fractures of the humerus at the shoulder or elbow are common yet difficult injuries to address in elderly patients with osteoporotic bone. In this patient population, poor bone quality often precludes rigid fracture fixation. As such, joint replacement options may provide more predictable functional outcomes for many of these injuries. Articular insufficiency fractu...

BACKGROUND AND AIM OF THE WORK Cuff tear arthropathy (CTA) is a well-defined  degenerative pathology  of the shoulder. When conservative treatments are unable to permit a good quality of life, the reverse shoulder arthroplasty (RSA) can guarantee a good restitution of range of motion, function and strength of the shoulder without pain. In this paper we show our clinical, functional and radiolog...

Shoulder replacement surgery has evolved dramatically since first attempted by P ean and Gluck and modernized by Neer. Interest in shoulder replacement surgery is growing globally and, in many countries, is the fastest growing market in joint arthroplasty surgery. In the coming year, over 57,000 replacements will be undertaken in the United States and over 4,000 in Australia. To a large extent,...

Massive irreparable rotator cuff tears cause significant shoulder pain and dysfunction. Physical therapy (PT), arthroscopic debridement with biceps tenotomy (AD-BT), and hemiarthroplasty (HA) are treatments shown to reduce pain and improve quality of life. Reverse total shoulder arthroplasty (RTSA) is a newer surgical treatment option that may offer improved function. A cost-effectiveness analy...

Management of an infected shoulder arthroplasty remains challenging. Treatment goals include resolution of the infection, improvement in pain, and restoration of function. Two-stage revision with an antibiotic spacer and subsequent revision has shown variable success in achieving these goals. The practice of using a hemiarthroplasty and coating the stem with antibiotic cement without cementing ...

The Comprehensive® Shoulder Solutions’ Modular Hybrid Glenoid from Biomet is a revolutionary design for replacement of the glenoid in total shoulder arthroplasty. It provides three outer pegs and three central peg options for surgical implantation. In vitro testing of the Modular Hybrid Glenoid resulted in mean axial pull-out peak loads ranging from 209 to 303 lbf, mean inferior/superior shear ...

PURPOSES Shoulder arthroplasty (SA) has been performed by many years for the treatment of several conditions, including osteoarthritis and proximal humeral fractures following trauma. Surgical site infection (SSI) following Shoulder arthroplasty remains a challenge, contributing to increased morbidity and costs. Identification of risk factors may help implementing adequate strategies to prevent...