Shoulder: Arthroplasty

Early Results of Reverse Shoulder Arthroplasty in Patients with Rheumatoid Arthritis

Young AA, Smith MM, Bacle G, et al (Centre Orthopédique Santy, Lyon, France) J Bone Joint Surg Am 93:1915-1923, 2011^§

Abstract

Background

Rheumatoid arthritis affecting the shoulder is typically associated with rotator cuff compromise and can also result in severe glenoid erosion. Since reverse shoulder arthroplasty is capable of addressing both rotator cuff disorders and glenoid bone deficiencies, our aim was to evaluate the outcome of reverse shoulder arthroplasty in patients with rheumatoid arthritis and either or both of these associated conditions.

Methods

We performed eighteen primary reverse total shoulder arthroplasties in sixteen patients with rheumatoid arthritis involving the shoulder as well as associated rotator cuff compromise and/or severe erosion of the glenoid bone between 2002 and 2007. Patients were assessed with use of the Constant score, patient satisfaction score, subjective shoulder value, range of shoulder motion, and imaging studies.

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