Document Detail


The effect of total shoulder arthroplasty on self-assessed deficits in shoulder function in patients with capsulorrhaphy arthropathy.
MedLine Citation:
PMID:  17030128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to characterize self-assessed functional deficits before and after total shoulder arthroplasty (TSA) in a consecutive series of 24 patients treated for capsulorrhaphy arthropathy. Deficits were determined by use of the Simple Shoulder Test. The effects of age, type of original stabilization surgery, duration of time since the initial repair, and pattern of glenoid erosion were analyzed. Deficits were significantly reduced from 8.5 to 4 of 12 SST items after TSA (P = .003). Items related to motion and function had the largest effect on improvement. Age did not affect results. There was a trend toward greater improvement in patients whose original stabilization was less than 20 years previously (P = .06) and in those with concentric glenoid erosion (P = .06). A prior Bristow procedure was associated with the least improvement. Overall, TSA was an effective treatment for capsulorrhaphy arthropathy at midterm follow-up. Restoring range of motion appears to have the largest impact on improvement in function.
Authors:
I M Parsons; Anthony M Buoncristiani; Stacey Donion; Barry Campbell; Kevin L Smith; Frederick A Matsen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-10-09
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  16     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2007-05-11     Completed Date:  2007-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S19-26     Citation Subset:  IM    
Affiliation:
Seacoast Orthopaedics and Sports Medicine, Somersworth, NH, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroplasty, Replacement / methods*
Female
Humans
Joint Capsule / surgery
Male
Middle Aged
Recovery of Function
Self Assessment (Psychology)
Shoulder Joint / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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