Document Detail


The role of arthroscopy for the problem shoulder arthroplasty.
MedLine Citation:
PMID:  12070494     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1995 and 2000, 29 patients who had excessive pain or limitation of motion after a shoulder arthroplasty underwent arthroscopy. Preoperative diagnoses of impingement syndrome in 10 patients (treated by arthroscopic subacromial decompression), large rotator cuff tear in 1, loose bodies in 1, unstable cuff arthropathy in 1, and septic arthritis in another were confirmed at arthroscopy. Of the 15 patients without a preoperative diagnosis, 7 had postarthroplasty capsular fibrosis, with 6 undergoing arthroscopic capsular release. A malpositioned glenoid component was found in 1 patient. Loose or worn components were found in 4 of the shoulders, impingement with a small partial-thickness cuff tear was identified in 1, a florid synovitis was present in another, and in 1 no abnormality could be found. The procedures were often hindered by limited access and reflection from the prosthesis. Arthroscopy after shoulder arthroplasty is useful for the diagnosis and treatment of pain and loss of motion in selected patients but can be technically challenging.
Authors:
Graham M Tytherleigh-Strong; Ofer Levy; Giuseppe Sforza; Stephen A Copeland
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  11     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-06-18     Completed Date:  2002-09-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  230-4     Citation Subset:  IM    
Affiliation:
Reading Shoulder Surgery Unit, Royal Berkshire Hospital, Berkshire, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroplasty, Replacement*
Arthroscopy*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Reoperation
Shoulder Joint / surgery*
Treatment Failure
Treatment Outcome

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


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