Shoulder Arthroplasty

Shoulder Arthroplasty

Louis U. Bigliani, MD

Frank E. Stinchfield Professor and Chairman, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, USA

Evan L. Flatow, MD

Lasker Professor of Orthopaedic Surgery, Chief of Shoulder Surgery, Department of Orthopaedic Surgery, Mount Sinai Medical Center, Mount Sinai School of Medicine, New York, New York, USA

Editors

Shoulder Arthroplasty

With 191 Illustrations, 30 in Full Color

Louis U. Bigliani, MD Frank E. Stinchfield Professor

and Chairman

Department of Orthopaedic Surgery Columbia University Medical Center New York, NY 10032

USA

ISBN 0-387-22336-3 Printed on acid-free paper.

© 2005 Springer Science+Business Media, Inc.

All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, Inc., 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden.

The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.

While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.

Printed in China (BS/EVB) 9 8 7 6 5 4 3 2 1 SPIN 10938416 springeronline.com

Evan L. Flatow, MD Lasker Professor of

Orthopaedic Surgery Chief of Shoulder Surgery

Department of Orthopaedic Surgery Mount Sinai Medical Center Mount Sinai School of Medicine New York, NY 10029

USA

To our families

for all of their support and understanding

Preface

vii

The indications and use of shoulder arthroplasty has dramatically

increased over the last decade, and this trend will continue in the future. The average age of our population is increasing, yet there is a strong desire to remain active and viable. The majority of people will not accept limitation of a joint function that compromises their life styles if a reasonable surgical solution is available.

Our knowledge of disease processes has broadened and improved our understanding about how best to manage these problem’s clini- cally. Technology and innovation have provided us with options that were not possible before. However, a successful shoulder arthroplasty depends not only on knowledge and modern technology but also on sound clinical judgment, accurate surgical technique, and appropriate postoperative rehabilitation.

This book provides a comprehensive approach to dealing with the most common indications for shoulder arthroplasty. In addition, it pro- vides insight into some of the more complex problems. Detailed infor- mation concerning preoperative evaluation, approaches, technology, surgical technique, and postoperative therapy will allow the surgeon to make decisions that will help his patient remain active.

We thank the contributing authors for their work and commitment to this project. We appreciate the time they took from their practices and more importantly their families to complete this volume and provide an extraordinary text.

Louis U. Bigliani, MD

Evan L. Flatow, MD

Contents

ix

Preface . . . . vii

Contributors . . . . xi

1 Surgical Approaches and Preoperative Evaluation . . . . 1 Kevin J. Setter, Ilya Voloshin, and Theodore A. Blaine

2 Total Shoulder Replacement: Humeral Component

Technique . . . . 21 William N. Levine and Steven Aviles

3 Glenoid Component Preparation and Soft Tissue

Releases . . . . 37 Kevin J. Setter, Ilya Voloshin, and Christopher S. Ahmad

4 Glenohumeral Inflammatory Arthritis: Special Issues . . . . . 63 Ian G. Kelly and Angus D. MacLean

5 Arthroplasty for Proximal Humerus Fractures,

Nonunions, and Malunions . . . . 86 Edward W. Lee and Evan L. Flatow

6 Revision Shoulder Arthroplasty and Related

Tendon Transfers . . . . 117 Ilya Voloshin, Kevin J. Setter, and Louis U. Bigliani

7 Arthroplasty and Rotator Cuff Deficiency . . . . 149 Gregory P. Nicholson

8 Rehabilitation of Shoulder Arthroplasty . . . . 167 John Basti

Index . . . . 209

Contributors

xi

Christopher S. Ahmad, MD

Assistant Professor, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY 10032, USA

Steven Aviles, MD

Third-Year Resident, Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, New York, NY 10032, USA

John Basti, PT

Lecturer, Department of Orthopaedics, Columbia University, New York, NY 10032, USA

Louis U. Bigliani, MD

Frank E. Stinchfield Professor and Chairman, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY 10032, USA

Theodore A. Blaine, MD

Assistant Professor, Department of Orthopaedic Surgery; Associate Director, The Shoulder Service, New York Orthopaedic Hospital, Columbia University Medical Center, New York, NY 10032, USA

Evan L. Flatow, MD

Lasker Professor of Orthopaedic Surgery, Chief of Shoulder Surgery, Department of Orthopaedic Surgery, Mount Sinai Medical Center, Mount Sinai School of Medicine, New York, NY 10029, USA

Ian G. Kelly, BSc, MB, ChB, MD, FRCS(Edin), FRCPS(Glas)

Consultant Orthopaedic Surgeon, Honorary Clinical Senior Lecturer, University of Glasgow; Royal Infirmary, Glasgow G4 0SF, Scotland

Edward W. Lee, MD

Clinical Shoulder Fellow, Department of Orthopaedic Surgery, Mount

Sinai School of Medicine, New York, NY 10029, USA

William N. Levine, MD

Assistant Professor, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY 10032, USA

Angus D. MacLean, MB, ChB, AFRCS(Edin), MRCS(Glas)

Specialist Registrar, Orthopaedic Surgery, Royal Infirmary, Glasgow G4 0SF, Scotland

Gregory P. Nicholson, MD

Assistant Professor, Department of Orthopaedic Surgery, Rush University Medical Center; Midwest Orthopaedics at Rush, Chicago, IL 60612, USA

Kevin J. Setter, MD

Postdoctoral Clinical Fellow, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY 10032, USA

Ilya Voloshin, MD

Fellow, The Shoulder Service, New York Orthopaedic Hospital,

Columbia-Presbyterian Medical Center, New York, NY 10032, USA