ARTHROSCOPIC ASSESSMENT OF GLENOID COMPONENT LOOSENING AFTER TOTAL SHOULDER ARTHROPLASTY

被引：29

作者：

BONUTTI, PM ^{[1
]}

HAWKINS, RJ ^{[1
]}

SADDEMI, S ^{[1
]}

机构：

[1] UNIV ARKANSAS,EFFINGHAM,IL

来源：

ARTHROSCOPY | 1993年 / 9卷 / 03期

关键词：

SHOULDER; ARTHROPLASTY; COMPONENT; LOOSENING; REVISION;

D O I：

10.1016/S0749-8063(05)80421-9

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Component loosening after total shoulder arthroplasty is uncommon. Evaluation of the painful total shoulder can be difficult. Radiography may not be accurate enough to assess component loosening. A retrospective study of nine patients undergoing arthroscopy and later open surgery to confirm arthroscopic findings was undertaken. Plain radiographs correlated with component loosening in two of six patients. Arthrography correlated in one of three patients. Arthroscopy accurately evaluated glenoid component loosening in all patients with this problem. After shoulder arthroplasty patients who develop increasing pain and loss of motion require further evaluation. Radiographic studies appear to be less sensitive than arthroscopic techniques in the evaluation of glenoid component loosening. Arthroscopy has proved to be a valuable technique for the evaluation of patients with painful total shoulder arthroplasty.

引用

页码：272 / 276

页数：5

共 10 条

[1]

Neer CS, Watson KC, Stanton FJ, Recent experience in total shoulder replacement, J Bone Joint Surg, 64 A, pp. 319-337, (1982)

[2]

Cofield RH, Total shoulder arthroplasty with the Neer prosthesis, J Bone Joint Surg, 66 A, pp. 899-906, (1984)

[3]

Barrett WP, Franklin JL, Jackins SE, Total shoulder arthroplasty, J Bone Joint Surg, 69, pp. 855-872, (1987)

[4]

Amstutz HC, Thomas BJ, Kabo JM, DANA total shoulder arthroplasty, J Bone Joint Surg, 70 A, pp. 1174-1182, (1988)

[5]

Gristina AG, Ramona RL, Kemmaire GO, Webb LX, Total shoulder replacement, Orthop Clin North Am, 16, pp. 445-453, (1987)

[6]

Frich LH, Moeller BN, Sneppen O, Shoulder arthroplasty with the Neer mark II prosthesis, Acta Orthop Trauma Surg, 107, pp. 110-113, (1988)

[7]

Bonutti PM, Hawkins RJ, Component loosening in total shoulder arthroplasty. American Academy of Orthopaedic Surgeons, Anaheim, CA, Orthopaedic Transactions, 15, 3, (1991)

[8]

Wilde AH, Borden LS, Brems JJ, Experience with Neer total shoulder replacement, Surgery of the shoulder, pp. 224-228, (1984)

[9]

Franklin JL, Barrett WP, Jackins SE, Matsen FA, III. Glenoid loosening in total shoulder arthroplasty, J Arthroplasty, 3, pp. 39-46, (1988)

[10]

Hawkins RJ, Bell RH, Jallay B, Total shoulder arthroplasty, Clin Orthop, 242, pp. 188-194, (1989)

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