Kantonsspital St.Gallen

Shoulder arthroplasty

Florian M Buck, Bernhard Jost & Juerg Hodler

abstract Shoulder prostheses are now commonly used. Clinical results and patient satisfaction are usually good. The most commonly used types are humeral hemiarthroplasty, unconstrained total shoulder arthroplasty, and semiconstrained inversed shoulder prosthesis. Complications of shoulder arthroplasty depend on the prosthesis type used. The most common complications are prosthetic loosening, glenohumeral instability, periprosthetic fracture, rotator cuff tears, nerve injury, infection, and deltoid muscle dysfunction. Standard radiographs are the basis of both pre- and postoperative imaging. Skeletal scintigraphy has a rather limited role because there is overlap between postoperative changes which may persist for up to 1 year and early loosening and infection. Sonography is most commonly used postoperatively in order to demonstrate complications (hematoma and abscess formation) but may also be useful for the demonstration of rotator cuff tears occurring during follow-up. CT is useful for the demonstration of bone details both pre- and postoperatively. MR imaging is mainly used preoperatively, for instance for demonstration of rotator cuff tears.
citation Buck F M, Jost B, Hodler J. Shoulder arthroplasty. Eur Radiol 2008; 18:2937-48.
type journal paper/review (English)
date of publishing 11-07-2008
journal title Eur Radiol (18/12)
ISSN electronic 1432-1084
pages 2937-48
PubMed 18618117
DOI 10.1007/s00330-008-1093-8