To compare outcomes of superior capsular reconstruction (SCR), partial rotator cuff repair (PR), and reverse total shoulder arthroplasty (rTSA) for massive irreparable tear (MIRCT) without arthritis at more than 2 years follow-up. A retrospective analysis prospectively collected data consecutive patients undergoing surgical treatment intraoperatively confirmed MIRCT using SCR, PR, or rTSA. Preo...

The average retirement age is increasing, and the indications for reverse total shoulder arthroplasty (RTSA) are being broadened. The goal of the current study was to determine objective findings for rate of return to work and time to return to work after RTSA. The authors performed retrospective data collection for consecutive patients who underwent RTSA at their institution between 2007 and 2...

Reverse total shoulder arthroplasty (rTSA) implants are intended to restore stability and function to shoulders with rotator cuff deficiency. The implant consists of a glenosphere projecting from a glenoid baseplate and articulating in a socket at the proximal end of a humeral component. Despite the demonstrated clinical efficacy, little information is available regarding the joint forces about...

HYPOTHESIS Shoulder arthroplasty is being performed with increasing frequency, and patients' athletic participation after shoulder arthroplasty is on the rise. However, little data exist regarding appropriate long-term activity restrictions. We hypothesize that European and North American surgeons both recommend increasing long-term activity restrictions, moving from hemiarthroplasty to total s...

BACKGROUND Reverse total shoulder arthroplasty (RTSA) has been indicated primarily for patients aged older than 65 years with symptomatic rotator cuff deficiency, poor function, and pain. However, conditions that benefit from RTSA are not restricted to an elderly population. This study evaluates a consecutive series of RTSA patients aged younger than 60 years. METHODS We evaluated 36 shoulder...

There is limited information on activity levels of patients with reverse total shoulder arthroplasty (RTSA). We conducted a study of the types of sporting activities in which 78 patients with RTSA could participate. Mean follow-up was 4.8 years. Mean (SD) age at surgery was 75.3 (7.5) years. Seventy-five percent of the patients were women. Sixty-one percent underwent surgery for cuff tear arthr...

Background: The purposes of this study were to determine the average time from hemiarthroplasty (HA) or total shoulder arthroplasty (TSA) conversion reverse (RTSA) and factors leading RTSA.

BACKGROUND The indications for reverse total shoulder arthroplasty (RTSA) continue to expand, which has resulted in younger patients who want to remain active after RTSA. Little information is available to manage expectations of both physicians and patients for return to sporting activities. PURPOSE To determine the rate of return to sporting activities and assess average time to return to sp...

Management of proximal humerus fractures with hemiarthroplasty has been shown to yield unpredictable and inconsistent outcomes. Risk factors for clinical failure following hemiarthroplasty include postoperative tuberosity failure, advanced age, female sex, osteoporosis, and inability or unwillingness to participate in the extensive rehabilitation required. In this difficult-to-manage injury, re...

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...