Information for Medical Professionals

Reverse shoulder arthroplasty can restore active elevation

Reverse shoulder arthroplasty can be used to successfully restore active elevation in patients with missing infraspinatus and teres minor muscles.

According to the researchers behind the new study, patients with a combined loss of active elevation and external rotation can benefit from a modified L'Episcopo surgical procedure.

"The combined procedure, performed in the same session through a deltopectoral approach, is indicated in a selected subgroup of patients with a rotator cuff-deficient shoulder and an absent or atrophied infraspinatus/teres minor muscles," they said.

Adding: "Our technique is easier to perform than the two-incision procedure and appears to avoid problems such as extensive scarring, adhesions and axillary nerve lesions."

Recently orthopaedic surgeon Michael Bey told Ortho Supersite that rotator cuff repair almost never restores total shoulder functionality.

He claimed that the difference in motion profile between good shoulders and those that have undergone surgical repair remain significantly different over time.

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