Orthopedics Book

Shoulder Disorders

  • Total Shoulder Arthroplasty

http://www.fpnotebook.com/

Total Shoulder ArthroplastyAka: Shoulder Replacement Surgery, Shoulder Arthroplasty

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  1. Definitions
    1. Glenoid and humeral head replacement
  2. Indications
    1. Severe Shoulder Osteoarthritis
    2. Shoulder Pain and loss of function refractory to conservative therapy or prior surgery
    3. End-stage rotator cuff arthropathy
    4. Osteonecrosis
  3. Contraindications
    1. Recent infection
    2. Neuropathic joint
    3. Deltoid or rotator cuff complete paralysis
    4. Debilitating comorbid illness
    5. Shoulder Instability that cannot be surgically corrected
  4. Efficacy
    1. Most effective and long-lasting procedure for severe Shoulder Arthritis
  5. Procedure
    1. Performed under general anesthesia with supplemental regional anesthesia in some cases
    2. Minimal blood loss
    3. Replacement
      1. Glenoid fossa resurfaced with solid polyethylene part
      2. Humeral head and neck replaced with metal prosthesis
  6. Protocol: Post-operative Management
    1. Sling used for 3-6 weeks after surgery
    2. Post-operative rehabilitation
      1. Day 1
        1. Start active range of motion of elbow, wrist and hand
        2. Start passive range of motion of shoulder
      2. Day 21
        1. Start pulley Exercises
      3. Day 35
        1. Start Isometric Exercises
  7. References
    1. Edwards (2003) J Shoulder Elbow Surg 12(3):207
    2. Gartsman (2000) J Bone Joint Surg Am 82(1):26
    3. Millet (2008) Am Fam Physician 78(5):605

Arthroplasty of shoulder with synthetic joint prosthesis (C0186623)

ConceptsTherapeutic or Preventive Procedure (T061)
EnglishArthroplasty of shoulder with synthetic joint prosthesis, Prosthetic arthroplasty of the shoulder, Shoulder replacement
Spanishartroplastia del hombro con protesis articular sintetica, artroplastia protesica del hombro, reemplazo de hombro
Parent ConceptsArthroplasty of shoulder with synthetic joint prosthesis (C0186623), Arthroplasty of shoulder (C0186662), Shoulder joint operations NOS (C0407843), Procedure by device (C1285536), Musculoskeletal system implantation (C1293148), Shoulder implantation (C1293231)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Total shoulder replacement (C0186657)

ConceptsTherapeutic or Preventive Procedure (T061)
ICD981.80
EnglishProsthetic total arthroplasty of the shoulder, TOTAL SHOULDER REPLACE, Total shoulder replacement, TSR - Total shoulder replacement
Spanishreemplazo total de la articulacion del hombro, reemplazo total de la articulacion escapulohumeral
Parent ConceptsArthroplasty and repair of shoulder and elbow (C0177570), Arthroplasty, Replacement (C0185317), Procedure on joint of upper extremity (C1292931), Shoulder implantation (C1293231), Duplicate concept (C1274013), Procedure on shoulder joint (C1292924)
SourcesICD9CM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Arthroplasty of shoulder (C0186662)

ConceptsTherapeutic or Preventive Procedure (T061)
EnglishArthroplasty of shoulder, Arthroplasty of the shoulder, Repair of shoulder, Shoulder repair
Spanishartroplastia de la articulacion del hombro, artroplastia de la articulacion escapulohumeral, artroplastia del hombro, reparacion de hombro, reparacion de la articulacion escapulohumeral, reparacion del hombro, reparacion quirurgica del hombro
Parent ConceptsArthroplasty (C0003893), Operative procedure on shoulder (C0186321), Shoulder reconstruction (C0850226), Ambiguous concept (C1274012), Duplicate concept (C1274013), Surgical repair of upper extremity (C1285450), Procedure on joint of upper extremity (C1292931), Arthroplasty of shoulder (C0186662), Shoulder joint operations NOS (C0407843)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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