The subcoracoid distance is correlated with pain and internal rotation after reverse shoulder arthroplasty

The subcoracoid distance is correlated with pain and internal rotation after reverse shoulder arthroplasty

© 2024 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 8(2024), 3 vom: 15. Mai, Seite 528-534
1. Verfasser: Klosterman, Emma L (VerfasserIn)
Weitere Verfasser: Tagliero, Adam J (BerichterstatterIn), Lenters, Timothy R (BerichterstatterIn), Denard, Patrick J (BerichterstatterIn), Lederman, Evan (BerichterstatterIn), Gobezie, Reuben (BerichterstatterIn), Sears, Benjamin (BerichterstatterIn), Werner, Brian C (BerichterstatterIn), Shoulder Arthroplasty Research Committee (ShARC) (BerichterstatterIn), Shah, Anup (BerichterstatterIn), Bedi, Asheesh (BerichterstatterIn), Parsons, Bradford (BerichterstatterIn), Erickson, Brandon (BerichterstatterIn), Miller, Bruce (BerichterstatterIn), O'Grady, Christopher (BerichterstatterIn), Davis, Daniel (BerichterstatterIn), Lutton, David (BerichterstatterIn), Steinbeck, Jorn (BerichterstatterIn), Tokish, John (BerichterstatterIn), Lee, Julia (BerichterstatterIn), Farmer, Kevin (BerichterstatterIn), Provencher, Matthew (BerichterstatterIn), Bercik, Michael (BerichterstatterIn), Kissenberth, Michael (BerichterstatterIn), Raiss, Patric (BerichterstatterIn), Habermeyer, Peter (BerichterstatterIn), Moroder, Philipp (BerichterstatterIn), Huffman, Russell (BerichterstatterIn), Harmsen, Samuel, Burrus, Tyrrell, Brolin, Tyler, Romeo, Anthony, Creighton, R Alexander, Griffin, Justin W, Lin, Albert, Petre, Dirk
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Coracoid impingement Internal rotation Reverse shoulder arthroplasty Reverse shoulder replacement Subcoracoid distance Subcoracoid impingement
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100 1 |a Klosterman, Emma L  |e verfasserin  |4 aut 
245 1 4 |a The subcoracoid distance is correlated with pain and internal rotation after reverse shoulder arthroplasty 
264 1 |c 2024 
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500 |a Date Revised 07.05.2024 
500 |a published: Electronic-eCollection 
500 |a Citation Status PubMed-not-MEDLINE 
520 |a © 2024 The Author(s). 
520 |a Background: A proposed etiology of anterior shoulder pain and limited internal rotation after reverse shoulder arthroplasty (RSA) is impingement of the humeral component on the coracoid or conjoint tendon. The primary goal of this study was to investigate radiographic surrogates for potential coracoid or conjoint tendon impingement and their relationship to postoperative pain and internal rotation after RSA 
520 |a Methods: A retrospective review of a clinical registry was performed to identify patients with (1) primary RSA, (2) minimum 2-year clinical follow-up, and (3) satisfactory postoperative axillary lateral radiographs. The primary radiographic measurement of interest was the subcoracoid distance (SCD), defined as the distance between the posterior aspect of the coracoid and the anterior glenosphere. Additional measurements were as follows: anterior glenosphere overhang, posterior glenosphere overhang, native glenoid width, lateralization of glenosphere relative to the coracoid tip, lateralization shoulder angle, and distalization shoulder angle. The primary clinical outcome of interest was the 2-year postoperative Visual Analog Scale score. Secondary outcomes were (1) internal rotation (IR) defined by spinal level (IRspine), (2) IR at 90 degrees of abduction, (3) American Shoulder and Elbow Surgeons score, (4) forward flexion, and (5) external rotation at 0 degrees of abduction. Linear regression analyses were used to evaluate the relationship of the various radiographic measures on the clinical outcomes of interest 
520 |a Results: Two hundred seventeen patients were included. There was a statistically significant relationship between the SCD and Visual Analog Scale scores: B = -0.497, P = .047. There was a statistically significant relationship between the SCD and IRspine: B = -1.667, P < .001. Metallic lateralization was also positively associated with improving IRspine; increasing body mass index was negatively associated. There was a statistically significant relationship between the SCD and IR at 90 degrees of abduction: B = 5.844, P = .034 
520 |a Conclusion: For RSA with a 135° neck shaft angle and lateralized glenoid, the postoperative SCD has a significant association with pain and IR. Decreasing SCD was associated with increased pain and decreased IR, indicating that coracoid or conjoint tendon impingement may be an important and potentially under-recognized etiology of pain and decreased IR following RSA. Further investigations aimed toward identifying a critical SCD to improve pain and IR may allow surgeons to preoperatively plan component position to improve clinical outcomes after RSA 
650 4 |a Journal Article 
650 4 |a Coracoid impingement 
650 4 |a Internal rotation 
650 4 |a Reverse shoulder arthroplasty 
650 4 |a Reverse shoulder replacement 
650 4 |a Subcoracoid distance 
650 4 |a Subcoracoid impingement 
700 1 |a Tagliero, Adam J  |e verfasserin  |4 aut 
700 1 |a Lenters, Timothy R  |e verfasserin  |4 aut 
700 1 |a Denard, Patrick J  |e verfasserin  |4 aut 
700 1 |a Lederman, Evan  |e verfasserin  |4 aut 
700 1 |a Gobezie, Reuben  |e verfasserin  |4 aut 
700 1 |a Sears, Benjamin  |e verfasserin  |4 aut 
700 1 |a Werner, Brian C  |e verfasserin  |4 aut 
700 0 |a Shoulder Arthroplasty Research Committee (ShARC)  |e verfasserin  |4 aut 
700 1 |a Shah, Anup  |e investigator  |4 oth 
700 1 |a Bedi, Asheesh  |e investigator  |4 oth 
700 1 |a Parsons, Bradford  |e investigator  |4 oth 
700 1 |a Erickson, Brandon  |e investigator  |4 oth 
700 1 |a Miller, Bruce  |e investigator  |4 oth 
700 1 |a O'Grady, Christopher  |e investigator  |4 oth 
700 1 |a Davis, Daniel  |e investigator  |4 oth 
700 1 |a Lutton, David  |e investigator  |4 oth 
700 1 |a Steinbeck, Jorn  |e investigator  |4 oth 
700 1 |a Tokish, John  |e investigator  |4 oth 
700 1 |a Lee, Julia  |e investigator  |4 oth 
700 1 |a Farmer, Kevin  |e investigator  |4 oth 
700 1 |a Provencher, Matthew  |e investigator  |4 oth 
700 1 |a Bercik, Michael  |e investigator  |4 oth 
700 1 |a Kissenberth, Michael  |e investigator  |4 oth 
700 1 |a Raiss, Patric  |e investigator  |4 oth 
700 1 |a Habermeyer, Peter  |e investigator  |4 oth 
700 1 |a Moroder, Philipp  |e investigator  |4 oth 
700 1 |a Huffman, Russell  |e investigator  |4 oth 
700 1 |a Harmsen, Samuel  |e investigator  |4 oth 
700 1 |a Burrus, Tyrrell  |e investigator  |4 oth 
700 1 |a Brolin, Tyler  |e investigator  |4 oth 
700 1 |a Romeo, Anthony  |e investigator  |4 oth 
700 1 |a Creighton, R Alexander  |e investigator  |4 oth 
700 1 |a Griffin, Justin W  |e investigator  |4 oth 
700 1 |a Lin, Albert  |e investigator  |4 oth 
700 1 |a Petre, Dirk  |e investigator  |4 oth 
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