PMID- 37974605
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231118
IS  - 1758-5732 (Print)
IS  - 1758-5740 (Electronic)
IS  - 1758-5732 (Linking)
VI  - 15
IP  - 4 Suppl
DP  - 2023 Nov
TI  - Comparable outcomes of reverse shoulder arthroplasty for proximal humerus 
      fractures and for rotator cuff arthropathy in a predominantly asian population.
PG  - 53-62
LID - 10.1177/17585732221097415 [doi]
AB  - BACKGROUND: Reverse shoulder arthroplasty (RSA) was initially developed for 
      rotator cuff arthropathy but has been expanded to treat comminuted proximal 
      humerus fractures. Few studies have compared RSA for traumatic and degenerative 
      indications. We present the first report of mid-term outcomes of RSA comparing 
      both indications in an Asian population. METHODS: 113 degenerative and 20 
      fracture patients underwent RSA from 2010 to 2019. Patients with degenerative 
      indications were 4:1 propensity-score matched to fractures and adjusted for age 
      and sex. Patients were assessed for range of motion (ROM), strength, pain, 
      Constant-Murley score (CMS), University of California Los Angeles Shoulder Score 
      (UCLA) and Oxford shoulder score (OSS) preoperatively, at 6-months and 1-year. 
      Patients' satisfaction, expectation fulfilment and minimal clinically important 
      difference (MCID) were analysed. RESULTS: Degenerative patients had better ROM, 
      isometric strength and CMS at 6-months, although at 1-year only abduction was 
      superior (104.8  +/-  17.3 degrees  vs 86.7  +/-  19.8 degrees ). No significant differences in pain, 
      UCLA and OSS were observed. Most improvements occurred within 6 months. Similar 
      proportions of patients were satisfied (83.3% vs 73.3%, p = 0.460) and attained 
      MCID (85.0% vs 86.7%, p = 1.000) at 1-year. DISCUSSION: Although initially 
      exhibiting slower recovery, patients with proximal humerus fractures can expect 
      similar functional recovery and satisfaction at 1-year compared to those who 
      received RSA for degenerative indications.
CI  - (c) The Author(s) 2022.
FAU - Tan, Marcus Wei Ping
AU  - Tan MWP
AUID- ORCID: 0000-0002-8279-3790
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore. RINGGOLD: 37581
FAU - Sim, David Shaoen
AU  - Sim DS
AUID- ORCID: 0000-0002-7716-0980
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore. RINGGOLD: 37581
FAU - Cher, Eric Wei Liang
AU  - Cher EWL
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore. RINGGOLD: 37581
FAU - Puah, Ken Lee
AU  - Puah KL
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore. RINGGOLD: 37581
FAU - Lie, Denny Tjiauw Tjoen
AU  - Lie DTT
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore. RINGGOLD: 37581
LA  - eng
PT  - Journal Article
DEP - 20220503
PL  - United States
TA  - Shoulder Elbow
JT  - Shoulder & elbow
JID - 101506589
PMC - PMC10649475
OTO - NOTNLM
OT  - outcomes
OT  - proximal humerus fracture
OT  - reverse shoulder arthroplasty
OT  - rotator cuff arthropathy
OT  - trauma
COIS- The author(s) declared no potential conflicts of interest with respect to the 
      research, authorship, and/or publication of this article.
EDAT- 2023/11/17 15:23
MHDA- 2023/11/17 15:24
PMCR- 2024/11/01
CRDT- 2023/11/17 03:52
PHST- 2021/08/18 00:00 [received]
PHST- 2022/04/10 00:00 [revised]
PHST- 2022/04/11 00:00 [accepted]
PHST- 2024/11/01 00:00 [pmc-release]
PHST- 2023/11/17 15:24 [medline]
PHST- 2023/11/17 15:23 [pubmed]
PHST- 2023/11/17 03:52 [entrez]
AID - 10.1177_17585732221097415 [pii]
AID - 10.1177/17585732221097415 [doi]
PST - ppublish
SO  - Shoulder Elbow. 2023 Nov;15(4 Suppl):53-62. doi: 10.1177/17585732221097415. Epub 
      2022 May 3.