Scapular Fractures After Reverse Shoulder Arthroplasty.

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Abstract

[Indexed for MEDLINE] 7. J Am Acad Orthop Surg. 2024 Aug 1;32(15):681-691. doi: 10.5435/JAAOS-D-23-00740. Epub 2024 May 3. Reverse Shoulder Arthroplasty to Treat Proximal Humerus Fracture Sequelae: A Review. Schiffman CJ(1), Cohn MR, Austin LS, Namdari S. Author information: (1)From the Department of Orthopaedics & Sports Medicine, University of Washington, Seattle, Washington (Schiffman), the Summit Health Orthopedics, Berkeley Heights, NJ (Cohn), and the Departments of Orthopaedic Surgery and Shoulder and Elbow Surgery, The Rothman Institute-Thomas Jefferson University, Philadelphia, PA (Austin and Namdari). While several proximal humerus fractures treated nonsurgically reach satisfactory outcomes, some become symptomatic malunions or nonunions with pain and dysfunction. When joint-preserving options such as malunion or nonunion repair are not optimal because of poor remaining bone stock or glenohumeral arthritis, shoulder arthroplasty is a good option. Because of the semiconstrained design of reverse shoulder arthroplasty, it is effective at improving function when there is notable bony deformity or a torn rotator cuff. Clinical studies have demonstrated reliable outcomes, and a classification system exists that is helpful for predicting prognosis and complications. By understanding the associated pearls and pitfalls and with careful management of the tuberosities, reverse shoulder arthroplasty is a powerful tool for managing proximal humerus fracture sequelae. Copyright © 2024 by the American Academy of Orthopaedic Surgeons. DOI: 10.5435/JAAOS-D-23-00740