Proprioception 3 years after shoulder arthroplasty in 3D motion analysis: a prospective study
BackgroundThis prospective study evaluated the development of proprioception over the course of 3 years after shoulder arthroplasty.MethodsTwenty-one patients were enrolled who underwent total shoulder arthroplasty (n = 10) or hemiarthroplasty (HEMI) (n = 11) for shoulder osteoarthritis. All patient...
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| Hauptverfasser: | , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
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09 March 2012
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| In: |
Archives of orthopaedic and trauma surgery
Year: 2012, Jahrgang: 132, Heft: 7, Pages: 1003-1010 |
| ISSN: | 1434-3916 |
| DOI: | 10.1007/s00402-012-1495-6 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1007/s00402-012-1495-6 Verlag, Volltext: https://link.springer.com/article/10.1007/s00402-012-1495-6 
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| Verfasserangaben: | Michael W. Maier, Mirjam Niklasch, Thomas Dreher, Sebastian I. Wolf, Felix Zeifang, Markus Loew, Philip Kasten |
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| 520 | |a BackgroundThis prospective study evaluated the development of proprioception over the course of 3 years after shoulder arthroplasty.MethodsTwenty-one patients were enrolled who underwent total shoulder arthroplasty (n = 10) or hemiarthroplasty (HEMI) (n = 11) for shoulder osteoarthritis. All patients were examined 1 day before the operation, 6 months and 3 years after surgery in a motion analysis study with an active angle-reproduction (AAR) test.ResultsOverall proprioception measured by the AAR deteriorated significantly 3 years after surgery [from 6.6° (SD 3.1) to 10.3° (SD 5.7); p = 0.017] and was significantly worse than in the control group [10.3° (SD 5.7) vs. 7.8° (SD 2.3); p = 0.030). In the HEMI subgroup, 3 years after shoulder replacement, there is a significant deterioration of proprioception at 30° of external rotation [from 3.1° (SD 3.5) to 12.8° (SD 10.7); p = 0.031]. On average, in the TSA subgroup proprioception deteriorated from 7.1° (SD 3.1) to 8.6° (SD 1.4) and in the HEMI subgroup from 6.1° (SD 2.1) to 12.4° (SD 8.3). The comparison of postoperative impairment of proprioception between the TSA and HEMI subgroup showed significantly worse proprioception for the HEMI subgroup at 30° of external rotation [9.8° (SD 10.1) vs. 1.6° (SD 6.3) in the TSA group; p = 0.046].ConclusionIn conclusion, proprioception that was measured by an AAR test remained unchanged or deteriorated 3 years after shoulder arthroplasty. The postoperative deterioration of proprioception was more distinctive in HEMI than in TSA group. | ||
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