The Reverse Shoulder Arthroplasty

A special issue of Journal of Functional Morphology and Kinesiology (ISSN 2411-5142). This special issue belongs to the section "Kinesiology and Biomechanics".

Deadline for manuscript submissions: closed (30 November 2021) | Viewed by 11189

Special Issue Editor


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Guest Editor
Department of Orthopaedics/Sposrts Medicine, Fukui General Hospital, Fukui 9108561, Japan
Interests: shoulder; foot and ankle; arthroplasty; arthroscopy; rotator cuff

Special Issue Information

Dear Colleagues,

Reverse shoulder arthroplasty (RSA) for the end-stage shoulder condition is one of the most significant advances in shoulder surgery over the last two decades. However, because of its non-anatomical design, shoulder kinematics changes in RSA recipients. These alterations had been shown to be associated with reduced joint range of motion, scapular notching, and polyethylene wear. From the industrial point of view, the RSA design has been modified from the original Grammont design (the large-diameter glenosphere set on the glenoid to medialize the center of rotation and to increase the moment arm, and the increased neck-shaft angle to lengthen the reduced acromiohumeral interval and to increase shoulder stability) to relatively lateralized design (lateralized glenoid and/or lateralized humerus). Thus, scapular dyskinesis should be focused on understanding the newly developed surgical procedure and conducting better clinical outcomes.

It should be done from the point of functional morphology and kinesiology.

In this Special Issue for the RSA, contributions regarding the related conditions such as altered scapular kinematics and scapular behavior in RSA patients, shoulder muscle activity, and function in the rehabilitation process after RSA are widely required.

Dr. Kotaro Yamakado
Guest Editor

Manuscript Submission Information

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Keywords

  • Scapular kinematics
  • Scapulohumeral dyskinesis
  • Post-operative rehabilitation
  • Reverse shoulder arthroplasty
  • Shoulder arthroplasty

Published Papers (1 paper)

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Review

17 pages, 5709 KiB  
Review
Reverse Shoulder Arthroplasty Biomechanics
by Christopher P. Roche
J. Funct. Morphol. Kinesiol. 2022, 7(1), 13; https://0-doi-org.brum.beds.ac.uk/10.3390/jfmk7010013 - 19 Jan 2022
Cited by 19 | Viewed by 10589
Abstract
The reverse total shoulder arthroplasty (rTSA) prosthesis has been demonstrated to be a viable treatment option for a variety of end-stage degenerative conditions of the shoulder. The clinical success of this prosthesis is at least partially due to its unique biomechanical advantages. As [...] Read more.
The reverse total shoulder arthroplasty (rTSA) prosthesis has been demonstrated to be a viable treatment option for a variety of end-stage degenerative conditions of the shoulder. The clinical success of this prosthesis is at least partially due to its unique biomechanical advantages. As taught by Paul Grammont, the medialized center of rotation fixed-fulcrum prosthesis increases the deltoid abductor moment arm lengths and improves deltoid efficiency relative to the native shoulder. All modern reverse shoulder prostheses utilize this medialized center of rotation (CoR) design concept; however, some differences in outcomes and complications have been observed between rTSA prostheses. Such differences in outcomes can at least partially be explained by the impact of glenoid and humeral prosthesis design parameters, surgical technique, implant positioning, patient-specific bone morphology, and usage in humeral and glenoid bone loss situations on reverse shoulder biomechanics. Ultimately, a better understanding of the reverse shoulder biomechanical principles will guide future innovations and further improve clinical outcomes. Full article
(This article belongs to the Special Issue The Reverse Shoulder Arthroplasty)
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