PMID- 30097729
OWN - NLM
STAT- MEDLINE
DCOM- 20200128
LR  - 20200805
IS  - 1432-5195 (Electronic)
IS  - 0341-2695 (Linking)
VI  - 43
IP  - 3
DP  - 2019 Mar
TI  - Assessment of anatomical and reverse total shoulder arthroplasty with the 
      scapula-weighted Constant-Murley score.
PG  - 659-667
LID - 10.1007/s00264-018-4088-3 [doi]
AB  - AIM OF THE STUDY: To evaluate total (TSA) and reverse total shoulder arthroplasty 
      (RTSA) using the Constant-Murley score (CMS) and the scapula-weighted (SW) CMS, 
      an integrated outcome measure that takes into account the compensatory movements 
      of the scapula. METHODS: Twenty-five consecutive patients, 12 with TSA and 13 
      with RTSA, underwent kinematic analysis before and after shoulder replacement. 
      Measurements included flexion (FLEX) and abduction (ABD) for the humerus and 
      Protraction-Retraction (PR-RE), Medio-Lateral rotation (ME-LA), and 
      Posterior-Anterior tilting (P-A) for the scapula. They were recorded at baseline 
      (T0) and at six (T1) and 12 months (T2). Reference data were obtained from 31 
      control shoulders. RESULTS: At T1, differences in CMS and SW-CMS were not 
      significant in either group, whereas values at T2 were significantly lower in 
      RTSA patients (p = 0.310 and p = 0.327, respectively). In TSA shoulders, the 
      compensatory scapular movements in FLEX were all reduced from T0 to T2, whereas 
      P-A was increased in ABD. In RTSA patients, the compensatory scapular movements 
      in FLEX showed a general reduction at T1, with an increase in P-A at T2, whereas 
      in ABD, all increased at T1 and decreased at T2 except for P-A, which did not 
      decrease. DISCUSSION: The SW-CMS showed that the physiological scapulothoracic 
      motion was not restored in TSA and RTSA patients; it may be used as a reference 
      for the gradual progression of deltoid and scapular muscle rehabilitation. 
      CONCLUSIONS: The worse CMS and SW-CMS scores found in RTSA patients at six months 
      may be due to the biomechanics of the reverse prosthesis and to the weakness of 
      deltoid and periscapular muscles.
FAU - Merolla, Giovanni
AU  - Merolla G
AD  - Shoulder and Elbow Unit, D. Cervesi Hospital, Cattolica, AUSL Romagna, Ambito 
      Rimini, Italy. giovannimerolla@hotmail.com.
AD  - "Marco Simoncelli" Biomechanics Laboratory, D. Cervesi Hospital, Cattolica, AUSL 
      della Romagna, Ambito Rimini, Italy. giovannimerolla@hotmail.com.
FAU - Parel, Ilaria
AU  - Parel I
AD  - "Marco Simoncelli" Biomechanics Laboratory, D. Cervesi Hospital, Cattolica, AUSL 
      della Romagna, Ambito Rimini, Italy.
FAU - Cutti, Andrea Giovanni
AU  - Cutti AG
AD  - INAIL Prostheses Center, Vigorso di Budrio, Italy.
FAU - Filippi, Maria Vittoria
AU  - Filippi MV
AD  - Functional Recovery and Rehabilitation Unit, AUSL della Romagna, Ambito Rimini, 
      Italy.
FAU - Paladini, Paolo
AU  - Paladini P
AD  - Shoulder and Elbow Unit, D. Cervesi Hospital, Cattolica, AUSL Romagna, Ambito 
      Rimini, Italy.
FAU - Porcellini, Giuseppe
AU  - Porcellini G
AD  - Orthopaedic and Trauma Unit, Policlinico di Modena, University of Modena and 
      Reggio Emilia, Modena, Italy.
LA  - eng
PT  - Journal Article
DEP - 20180810
PL  - Germany
TA  - Int Orthop
JT  - International orthopaedics
JID - 7705431
SB  - IM
MH  - Aged
MH  - Arthroplasty, Replacement, Shoulder/*methods
MH  - Biomechanical Phenomena
MH  - Female
MH  - Humans
MH  - Joint Diseases/*physiopathology/*surgery
MH  - Male
MH  - Middle Aged
MH  - Range of Motion, Articular
MH  - Rotation
MH  - Scapula/physiopathology/*surgery
MH  - Shoulder Joint/*physiopathology/*surgery
OTO - NOTNLM
OT  - Constant-Murley score
OT  - Kinematic analysis
OT  - Reverse
OT  - Scapular dyskines
OT  - Shoulder osteoarthritis
OT  - Total arthroplasty
EDAT- 2018/08/12 06:00
MHDA- 2020/01/29 06:00
CRDT- 2018/08/12 06:00
PHST- 2017/12/27 00:00 [received]
PHST- 2018/08/01 00:00 [accepted]
PHST- 2018/08/12 06:00 [pubmed]
PHST- 2020/01/29 06:00 [medline]
PHST- 2018/08/12 06:00 [entrez]
AID - 10.1007/s00264-018-4088-3 [pii]
AID - 10.1007/s00264-018-4088-3 [doi]
PST - ppublish
SO  - Int Orthop. 2019 Mar;43(3):659-667. doi: 10.1007/s00264-018-4088-3. Epub 2018 Aug 
      10.