Is limited shoulder abduction associated with poor scapulothoracic mobility after reverse shoulder arthroplasty?
| Autor: | Laurent Audigé, Andrea Grassi, Cécile Grobet, Bernd Friesenbichler, Barbara Wirth |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
musculoskeletal diseases Shoulder medicine.medical_specialty medicine.medical_treatment Reverse shoulder 03 medical and health sciences 0302 clinical medicine Scapulothoracic joint Physical medicine and rehabilitation Scapula medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Aged Aged 80 and over 030222 orthopedics Shoulder Joint business.industry 030229 sport sciences General Medicine Middle Aged Arthroplasty body regions medicine.anatomical_structure Arthroplasty Replacement Shoulder Shoulder abduction Orthopedic surgery Basic level Female Surgery Shoulder joint business |
| Zdroj: | Archives of Orthopaedic and Trauma Surgery. 141:587-591 |
| ISSN: | 1434-3916 0936-8051 |
| Popis: | The contribution of the glenohumeral joint to shoulder abduction is acknowledged as an important factor for reverse total shoulder arthroplasty (RTSA) patients. In contrast, the degree of scapulothoracic joint contribution and its relation to RTSA patients with poor to excellent shoulder abduction are unclear. Twenty-three selectively recruited patients (74 ± 7 years, 11 males) with shoulder abduction ranging from poor to excellent at least 6 months after primary, unilateral RTSA participated in this study. Individual scapulothoracic and glenohumeral contributions at maximum shoulder abduction in the scapular plane were measured using 3D motion capture and correlations between scapulothoracic and glenohumeral contributions to shoulder abduction were assessed. Multiple regression analysis was used to determine the influence of age, body mass index, follow-up period, abduction strength and passive glenohumeral mobility on scapulothoracic and glenohumeral function. Maximum shoulder abduction (range 48°–140°) was not significantly correlated with the scapulothoracic contribution (range 39°–75°, r = 0.40, p = 0.06), but there was a strong and significant correlation with the glenohumeral contribution (range − 9°–83°, r = 0.91, p |
| Databáze: | OpenAIRE |
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