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Reverse tsr replacement for The tight Shoulder

6/23/2022

2 Comments

 
Picture

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

Reply
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

Reply



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Serving The Villages,  Clermont , Haines City and  Davenport 
Heart of Florida Adventhealth, Orlando Health Southlake 


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M-F: 7am - 9pm

Telephone

352-243-6899

Email

focusorthopedics@hotmail.com
  • Home
  • dataset
  • Blog
  • Butlers
  • Rp measurement
  • humeral measurement
  • contact
  • Messieh Tuberosity
  • humeral cutting technique
  • diameter to stem size
  • reverse poly
  • ruleof3
  • trial
  • trail2
  • images
  • New Page
  • New Page1

About us

Dr. Michael Messieh is a specialized shoulder surgeon specializing in reverse shoulder replacement surgery. Our mission is to provide patients with the best possible care and support throughout the surgical process.

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