Abstract
Posttraumatic degeneration of the shoulder is one of the more difficult categories with which to deal when considering replacement surgery. On the whole, these patients tend to be young, they are disabled at an active and productive time in their lives, and the demands and stresses they will subsequently place on the prosthesis will be greater and of longer duration than those anticipated for the older osteoarthritic and the less active rheumatoid groups. The dominant arm will be involved more frequently, and there will usually have been previous surgery. In addition, these patients are more likely to have partial or complete nerve palsy (especially axillary) as well as bone loss or deformity (e.g., malunion or nonunion). The presence of these complicating factors requires a thorough preoperative assessment including multiple radiographic views or techniques and often electromyographic evaluation. Postinjury pain and scar may mask a partial axillary nerve palsy picked up on electromyography, which could alter the prognosis or the timing of any reconstructive surgery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Neer CS, Watson KC, Stanton FM (1982) Recent experience in total shoulder replacement. J Bone Joint Surg [Am] 64: 319–337
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Watson, K.C. (1987). Indications and Considerations of Shoulder Replacement in Posttraumatic Conditions. In: Kölbel, R., Helbig, B., Blauth, W. (eds) Shoulder Replacement. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71625-6_20
Download citation
DOI: https://doi.org/10.1007/978-3-642-71625-6_20
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-71627-0
Online ISBN: 978-3-642-71625-6
eBook Packages: Springer Book Archive