The influence of deltoid tensioning on functional outcomes following reverse shoulder arthroplasty

dc.contributor.authorAydın, Mahmud
dc.contributor.authorÇapkın, Sercan
dc.contributor.authorYılmaz, Murat
dc.date.accessioned2023-01-11T05:59:19Z
dc.date.available2023-01-11T05:59:19Z
dc.date.issued2022
dc.departmentTıp Fakültesi
dc.description.abstractBackground: We aimed to investigate the relationship between functional outcomes and radiological and clinical measurements (based on deltoid moment arm length measurements) of reverse total shoulder arthroplasty (RTSA) performed in patients for irreparable rotator cuff tears. Methods: Thirty-eight patients who underwent RTSA after irreparable rotator cuff tears between 2016 and 2019 were included in the study. Patients with primary osteoarthritis, rheumatoid arthritis, or post-traumatic RTSA were excluded from the study. The patients were evaluated functionally using the range of motion, Quick DASH, and Constant Scores (CS). Deltoid lengthening was measured both clinically by the difference in upper extremity length (dUEL) and radiologically by the acromiohumeral distance (AHD) and deltoid lever length (DLL). AHD was measured with true anteroposterior radiographs and ultrasound guidance. Results: The mean age of the patients was 66.39 ± 7.92 (range, 49–83) years. Of 38 patients, 31 (81.57%) were female and 7 (18.43%) were male. The mean follow-up durations were 26.43 ± 17.05 (range, 12–58) months. The mean active anterior elevation (AAE), abduction (AAB), and external rotation (AER) increased from 57.32°, 41.25°, and 22.32° preoperatively to 149°, 110°, and 34° at the last follow-up, respectively. Preoperatively, the mean QuickDASH score was 58.04, and at the last follow-up, it was 38.19. The mean Constant Score rose from 24.75 preoperatively to 60.64 at the last follow-up. The AHD, DLL, and dUEL mean values were 2.346, 1.89, and 1.746 cm, respectively. There was a significant relation between the DLL and the AAE (P < .01). Conclusion: Optimizing deltoid tension plays an essential role in regaining function, and this study demonstrates that lengthening the deltoid increases the patient's ability to elevate anteriorly, likely by recreating the force-length relationship of the deltoid muscle.
dc.identifier.doi10.1053/j.sart.2022.06.006
dc.identifier.endpage741en_US
dc.identifier.issn1045-4527
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage736en_US
dc.identifier.urihttps:/dx.doi.org/10.1053/j.sart.2022.06.006
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9863
dc.identifier.volume32en_US
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherW.B. Saunders
dc.relation.ispartofSeminars in Arthroplasty JSES
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCromiohumeral Distance
dc.subjectDeltoid Lengthening
dc.subjectDeltoid Muscle
dc.subjectLevel IV
dc.subjectRetrospective Case Series Treatment Study
dc.subjectReverse Shoulder Arthroplasty
dc.subjectRotator Cuff
dc.subjectUpper Extremity Length
dc.titleThe influence of deltoid tensioning on functional outcomes following reverse shoulder arthroplasty
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
aydin-mahmud-2022.pdf
Boyut:
673.15 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama: