Causes of a tight shoulder with a reverse shoulder arthroplasty: SUPERIOR HUMERAL MIGRATION MEDIALIZED HUMERUS TIGHT CAPSULE HIGH NECK CUT EXCESSIVE LATERALIZATION OF BASE PLATE EXCESSIVE LATERALIZATION OF SPHERE LARGE MUSCULAR MALE LOW GLENOSPHERE OVERSIZED GLENOSPHERE ONLAY SYSTEM INTACT ROTATOR CUFF PRIOR SURGERY PREOPERATIVE STIFFNESS LARGE DELTOID INCOMPLETE PARALYSIS FAILED INTERSCALENE BLOCK Expect a tight reduction of the reverse shoulder if the preop planning software shows a distalization greater than 20 mm and DSA angle greater than 60 degrees in my opinion. This is not validated.
2 Comments
Michael Messieh
6/23/2022 07:20:19 pm
The inlay system has 3 polyethylene liner sizes: 0,3,6 mm which is helpful in tight cases
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michael messieh
6/24/2022 05:44:58 am
Can the change of COR( distal and lateral) determined from CT preop planning help determine the difficulty with intraoperative reduction of a reverse TSR? Can this information help determine the degree of inferior glenosphere placement and size and the choice for inlay vs onlay humeral stems
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