Orthopaedics Upper Limb: Total Shoulder Arthroplasty

Question 1

Total Shoulder Arthroplasty is a standard treatment intervention for patients with underlying advanced joint pathology. These pathologies include:

Answer 1

OA, RA, Cuff Tear Arthropathy, Osteonecrosis and fractures of the humeral head.

Overall outcomes for these patients that have undergone TSA are good

Question 2

Often the primary indication for TSA for patients with RA is for ___________

Answer 2

Pain control

Question 3

For TSA, ____ is typically one of the last (and least) recovered motions during rehabilitation

Answer 3

Internal Rotation

Question 4

The primary operative concerns in patients with OA are the

Answer 4

severity of glenoid wear and the amount of capsular contracture (patients frequently have significant capsular contractors and surgical releases are needed to restore motion and optimise function).

Question 5

Patients with severe RA benefit greatly from TSA. However what confounding factors may complicate the surgical procedure and optimal reconstruction?

Answer 5

Poor bone stock and soft tissue deficiencies

Question 6

A excessive hypervascular synovial pannus that erodes the joint surfaces and the surrounding soft tissues is typical with a patient with

Answer 6

Rheumatoid Arthritis

Question 7

What are two most common complications in Reverse Shoulder Joint Replacement?

Answer 7

Infection and instability

Question 8

Reverse Total Shoulder Arthroplasty is specifically designed for the

Answer 8

Treatment of glenohumeral joint arthritis or complex fractures, when associated with irreparable rotator cuff damage or in presence of RC athropathy

Question 9

What kind of surgery alters the mechanics of the shoulder to enhance deltoid function in the absence of a competent rotator cuff?

Answer 9

Reverse Total Shoulder Arthroplasty (the ball and socket is reversed)