Muscle and Joint Function After Anatomic and Reverse Total Shoulder Arthroplasty Using a Modular Shoulder Prosthesis Article Swipe
David C. Ackland
,
Wen Wu
,
Richard J. Thomas
,
Minoo Patel
,
Richard S. Page
,
Morgan Sangeux
,
Martin Richardson
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1002/jor.24335
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1002/jor.24335
Changes in joint architecture and muscle loading resulting from total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RSA) are known to influence joint stability and prosthesis survivorship. This study aimed to measure changes in muscle moment arms, muscle lines of action, as well as muscle and joint loading following TSA and RSA using a metal‐backed uncemented modular shoulder prosthesis. Eight cadaveric upper extremities were assessed using a customized testing rig. Abduction, flexion, and axial rotation muscle moment arms were quantified using the tendon‐excursion method, and muscle line‐of‐force directions evaluated radiographically pre‐operatively, and after TSA and revision RSA. Specimen‐specific musculoskeletal models were used to estimate muscle and joint loading pre‐ and post‐operatively. TSA lateralized the glenohumeral joint center by 4.3 ± 3.2 mm, resulting in small but significant increases in middle deltoid force (2.0%BW) and joint compression during flexion (2.1%BW) ( p < 0.05). Revision RSA significantly increased the moment arms of the major abductors, flexors, adductors, and extensors, and reduced their peak forces ( p < 0.05). The superior inclination of the deltoid significantly increased while the inferior inclination of the rotator cuff muscles decreased ( p < 0.05). TSA using an uncemented metal‐backed modular shoulder prosthesis effectively restores native joint function; however, lateralization of the glenoid component should be minimized intra‐operatively to mitigate increased glenohumeral joint loading and polyethylene liner contact stresses. Revision RSA reduces muscle forces required during shoulder function but produces greater superior joint shear force and less joint compression. The findings may help to guide component selection and placement to mitigate joint instability after arthroplasty. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:1988–2003, 2019
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/jor.24335
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jor.24335
- OA Status
- bronze
- Cited By
- 30
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2943432858
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2943432858Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/jor.24335Digital Object Identifier
- Title
-
Muscle and Joint Function After Anatomic and Reverse Total Shoulder Arthroplasty Using a Modular Shoulder ProsthesisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-05-01Full publication date if available
- Authors
-
David C. Ackland, Wen Wu, Richard J. Thomas, Minoo Patel, Richard S. Page, Morgan Sangeux, Martin RichardsonList of authors in order
- Landing page
-
https://doi.org/10.1002/jor.24335Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jor.24335Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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-
bronzeOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jor.24335Direct OA link when available
- Concepts
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Deltoid curve, Deltoid muscle, Cadaveric spasm, Arthroplasty, Rotator cuff, Prosthesis, Medicine, Orthodontics, Shoulder joint, Joint stability, Joint (building), Biomechanics, Shear force, Anatomy, Surgery, Structural engineering, Engineering, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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30Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 6, 2023: 3, 2022: 4, 2021: 9Per-year citation counts (last 5 years)
- References (count)
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41Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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