BACKGROUND The latest generation of shoulder arthroplasty includes canal-sparing respectively stemless designs that have been developed to allow restoration of the glenohumeral center of rotation independently from the shaft, and to avoid stem-related complications. The stemless prosthesis design has also recently been introduced for use in reverse arthroplasty systems. METHODS We systematica...

We report a case which highlights the rare but devastating complication of postoperative vision loss (POVL) in orthopaedic surgery. Though documented previously, it has not been reported in shoulder arthroplasty surgery of which we present the first case. The aetiology of POVL is difficult to elucidate due to its elusive nature. We explain the risks associated with regional blocks used for such...

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 There have been few studies that have evaluated ambulatory total shoulder arthroplasty. The objectives of the present study were to investigate the current trends in ambulatory total shoulder arthroplasty in the United States; to characterize the rate of postoperative complications, hospital readmission, and risk factors associated with readmission; and to conduct a cost analysis com...

BACKGROUND Proximal humeral fractures in elderly patients present with severe comminution and osteoporotic bone quality. Reverse shoulder arthroplasty has lately been proven beneficial in treating patients with complex proximal humeral fractures. The above technique is recommended and has better results in elderly than in younger individuals. METHODS We performed a literature search in the da...

The surgical treatment of glenohumeral arthritis with rotator cuff deficiency is a difficult challenge. Hemiarthroplasty, the standard treatment at this time, is associated with satisfactory results in a ‘‘limited goals’’ perspective, but often the clinical results are unpredictable. Elevation after hemiarthroplasty approximately 90 . Pain relief can be inconsistent and can deteriorate over tim...

INTRODUCTION Reverse shoulder arthroplasty (RSA) holds increasing attraction as a means to reliably restore pain-free function to patients with glenohumeral arthritis who are rotator cuff-deficient [1]. RSA utilizes a reverse ball-in-socket design, with the humeral component as the socket and the glenoid component the ball (glenosphere), to medialize and distalize the humeral center of rotation...

Reverse shoulder arthroplasty (RSA) is increasingly being used to revise anatomical total shoulder arthroplasty cases. This procedure's high complication rate has been reduced by the availability of modular shoulder systems, which allows the humeral component to be preserved during the conversion. This case report describes the revision of an anatomical shoulder implant inserted in 1998. Polyet...