{"id":182,"date":"2019-01-26T04:33:49","date_gmt":"2019-01-26T04:33:49","guid":{"rendered":"http:\/\/limb.dev.scorchedmedia.com.au\/research\/?p=182"},"modified":"2019-02-28T04:36:27","modified_gmt":"2019-02-28T04:36:27","slug":"reverse-shoulder-arthroplasty-for-the-treatment-of-three-part-and-four-part-proximal-humeral-fractures-in-the-elderly-ross-m-hope-b-stokes-a-peters-se-mcleod-i-and-duke-pfr","status":"publish","type":"post","link":"http:\/\/www.upperlimb.com\/research\/reverse-shoulder-arthroplasty-for-the-treatment-of-three-part-and-four-part-proximal-humeral-fractures-in-the-elderly-ross-m-hope-b-stokes-a-peters-se-mcleod-i-and-duke-pfr\/","title":{"rendered":"Reverse shoulder arthroplasty for the treatment of three-part and four-part proximal humeral fractures in the elderly"},"content":{"rendered":"<p>Ross M, Hope B, Stokes A, Peters SE, McLeod I, and Duke PFR.<br \/>\n<strong>Journal of Shoulder and Elbow Surgery 2014; 24(2): 215-222.<\/strong><br \/>\n<em>DOI: 10.1016\/j.jse.2014.05.022<\/em><\/p>\n<p><span style=\"text-decoration: underline;\">Background<\/span>: The purpose of this study was to review the survivorship, radiologic and clinical outcomes of reverse shoulder arthroplasty (RSA) used for the treatment of 3-part and 4-part proximal humeral fractures in the elderly.<br \/>\n<span style=\"text-decoration: underline;\">Methods<\/span>: Between 2003 and 2009, 29 shoulders in 28 elderly patients (87% female) with a 3-part or 4-part fractures were managed with RSA in Brisbane, Australia. Clinical and radiologic outcomes of this continuous cohort were retrospectively reviewed at an average follow-up of 54.9 months. Average age at surgery was 79 years. Survivorship and radiologic outcome assessment for all patients was undertaken. Seven patients died, and 1 was unavailable for clinical review, leaving 21 shoulders in 20 patients available for clinical review.<br \/>\n<span style=\"text-decoration: underline;\">Results<\/span>: There were no revisions of the reverse prosthesis. Mean average pain was 2.19 of 100 (standard deviation [SD], 6.97). Mean American Shoulder and Elbow Surgeons score was 89.3 (SD, 13.65). Mean normalized Constant score was 88.03 (SD, 11.24). Grade 1 scapular notching was observed radiologically in 4 shoulders. A scapular spur was observed in 7 shoulders. Class 1 heterotopic ossification was seen in 4 shoulders. Nonprogressive lucent lines were seen in 2 shoulders. Nonprogressive radiolucency was observed around the superior screw in 3 shoulders. No loosening of the glenoid baseplate or of the humeral component was observed. There was 1 complication of an axillary nerve palsy, which spontaneously resolved by 12 months after surgery.<br \/>\n<span style=\"text-decoration: underline;\">Conclusion<\/span>: RSA using the shoulder technique described in this series provides good clinical and radiologic outcomes in elderly patients with 3-part and 4-part fractures.<\/p>\n<p><a href=\"http:\/\/www.upperlimb.com\/research\/wp-content\/uploads\/2019\/01\/Ross_2014_Reverse_Trauma.pdf\">Download<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ross M, Hope B, Stokes A, Peters SE, McLeod I, and Duke PFR. Journal of Shoulder and Elbow Surgery 2014; 24(2): 215-222. DOI: 10.1016\/j.jse.2014.05.022 Background: The purpose of this study was to review the survivorship, radiologic and clinical outcomes of reverse shoulder arthroplasty (RSA) used for the treatment of 3-part and 4-part proximal humeral fractures [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-182","post","type-post","status-publish","format-standard","hentry","category-recent-publications"],"_links":{"self":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts\/182","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/comments?post=182"}],"version-history":[{"count":3,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts\/182\/revisions"}],"predecessor-version":[{"id":186,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts\/182\/revisions\/186"}],"wp:attachment":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/media?parent=182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/categories?post=182"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/tags?post=182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}