JBJS | The Reverse Total Shoulder Arthroplasty

The Journal of Bone & Joint Surgery, Volume 89, Issue 3

Selected Instructional Course Lecture | March 01, 2007

The Reverse Total Shoulder Arthroplasty

Frederick A. MatsenIII, MD¹; Pascal Boileau, MD²; Gilles Walch, MD³; Christian Gerber, MD⁴; Ryan T. Bicknell, MSc, MD¹

¹ Department of Orthopaedics and Sports Medicine, 1959 Pacific Street, Room BB1065D, Seattle, WA 98195-6500. E-mail address: matsen@u.washington.edu
² Department of Orthopaedic Surgery BP 79, Hôpital de l'Archet, 151 Route de St. Antoine de Ginestiere, Nice 06202, France
³ Clinique Ste. Anne Lumière, 85 cours Albert Thomas, Lyon 690033, France
⁴ Department of Orthopedics, University of Zurich, Balgrist, Forchstrasse 340, CH-8008 Zurich, Switzerland

The Journal of Bone & Joint Surgery. 2007; 89:660-667

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Extract

A reverse total shoulder arthroplasty is a procedure considered for patients whose shoulder problem cannot be effectively managed with a conventional total shoulder replacement. The reverse total shoulder prosthesis is based on a concept introduced by Professor Paul Grammont, in which a convex articular surface is fixed to the glenoid and a concave articular surface is fixed to the proximal part of the humerus1 (Fig. 1). This prosthesis addresses some of the limitations of conventional arthroplasty. To understand the role of the reverse total shoulder arthroplasty, one must first understand the limitations of conventional arthroplasty.

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Topics

shoulder replacement arthroplasty ; humerus ; arthroplasty ; deltoid muscle ; shoulder joint prosthesis, glenoid component

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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