Effect of the critical shoulder angle on severe cranialization following total shoulder arthroplasty

Purpose - This study assesses the relationship of CSA, cranialization and radiographic glenoid loosening following TSA in the long-term follow-up. - Methods - 26 shoulders with TSA were examined radiographically postoperatively and after a mean 12.6 years. Severe cranialization was defined as direct...

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Hauptverfasser: Wolf, Matthias (VerfasserIn) , Bülhoff, Matthias (VerfasserIn) , Raiss, Patric (VerfasserIn) , Zeifang, Felix (VerfasserIn) , Maier, Michael Wolfgang (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2020
In: Journal of orthopaedics
Year: 2020, Jahrgang: 21, Pages: 240-244
ISSN:0972-978X
DOI:10.1016/j.jor.2020.03.024
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jor.2020.03.024
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0972978X20301100
Volltext
Verfasserangaben:Matthias Wolf, Matthias Bülhoff, Patric Raiss, Felix Zeifang, Michael W. Maier

MARC

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520 |a Purpose - This study assesses the relationship of CSA, cranialization and radiographic glenoid loosening following TSA in the long-term follow-up. - Methods - 26 shoulders with TSA were examined radiographically postoperatively and after a mean 12.6 years. Severe cranialization was defined as direct humeral contact with the acromion and/or acetabularization of the acromion. - Results - A CSA ≥35° was associated with severe cranialization. Glenoid loosening was present in 6/24 shoulders (25%). Severe cranialization was associated with glenoid loosening (p = 0.003). - Conclusion - A postoperative CSA ≥ 35° was associated with severe humeral cranialization after TSA in the long-term follow-up. Severe cranialization correlated with glenoid loosening. Level of evidence IV - retrospective cohort study. 
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