Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature

Reverse shoulder arthroplasty (RSA) has become an optimal treatment for numerous orthopedic entities, such as rotator cuff tear arthropathies, pseudoparalysis, fracture sequelae, acute fractures, failed arthroplasties, osteoarthritis, and rheumatoid arthritis, and is linked with relief of topical pa...

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Autores principales:	Paraskevas Georgoulas, Aliki Fiska, Athanasios Ververidis, Georgios I. Drosos, Evanthia Perikleous, Konstantinos Tilkeridis
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	reverse shoulder arthroplasty deltopectoral approach anterosuperior approach notching cuff tear arthropathy Surgery RD1-811
Acceso en línea:	https://doaj.org/article/82798fd96169418dba07743db76b5f05
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spelling	oai:doaj.org-article:82798fd96169418dba07743db76b5f052021-11-18T05:03:33ZReverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature2296-875X10.3389/fsurg.2021.721054https://doaj.org/article/82798fd96169418dba07743db76b5f052021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.721054/fullhttps://doaj.org/toc/2296-875XReverse shoulder arthroplasty (RSA) has become an optimal treatment for numerous orthopedic entities, such as rotator cuff tear arthropathies, pseudoparalysis, fracture sequelae, acute fractures, failed arthroplasties, osteoarthritis, and rheumatoid arthritis, and is linked with relief of topical pain and regaining of functionality. Presently, RSA has been conducted through anterosuperior (AS) or deltopectoral (DP) approach. The aim of the study was to discuss both approaches and to examine broadly their features to render a comparison in terms of clinical effectiveness. An electronic search in PubMed, EMBASE, and Google Scholar databases was performed, using combinations of the following keywords: RSA, DP approach, AS approach, notching, and cuff tear arthropathy. A total of 61 studies were found, and 16 relevant articles were eventually included. Currently published literature has not shown significant diversities in the clinical course due to approach preference; risk of instability seems to be greater in DP approach, while regarding scapular notching and fracture rates the findings were conflicted. In addition, the AS approach has been associated with decreased risk of acromial and scapular spine fractures. In conclusion, both surgical approaches have shown similar clinical outcomes and effectiveness concerning pain and restoring range of motion (ROM) in rotator cuff tear arthropathies. In the future, further investigations based on large-scale well-designed studies are required to address clinical gaps allowing in-depth comparison of both approaches.Paraskevas GeorgoulasAliki FiskaAliki FiskaAthanasios VerveridisAthanasios VerveridisGeorgios I. DrososGeorgios I. DrososEvanthia PerikleousKonstantinos TilkeridisKonstantinos TilkeridisFrontiers Media S.A.articlereverse shoulder arthroplastydeltopectoral approachanterosuperior approachnotchingcuff tear arthropathySurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	reverse shoulder arthroplasty deltopectoral approach anterosuperior approach notching cuff tear arthropathy Surgery RD1-811
spellingShingle	reverse shoulder arthroplasty deltopectoral approach anterosuperior approach notching cuff tear arthropathy Surgery RD1-811 Paraskevas Georgoulas Aliki Fiska Aliki Fiska Athanasios Ververidis Athanasios Ververidis Georgios I. Drosos Georgios I. Drosos Evanthia Perikleous Konstantinos Tilkeridis Konstantinos Tilkeridis Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature
description	Reverse shoulder arthroplasty (RSA) has become an optimal treatment for numerous orthopedic entities, such as rotator cuff tear arthropathies, pseudoparalysis, fracture sequelae, acute fractures, failed arthroplasties, osteoarthritis, and rheumatoid arthritis, and is linked with relief of topical pain and regaining of functionality. Presently, RSA has been conducted through anterosuperior (AS) or deltopectoral (DP) approach. The aim of the study was to discuss both approaches and to examine broadly their features to render a comparison in terms of clinical effectiveness. An electronic search in PubMed, EMBASE, and Google Scholar databases was performed, using combinations of the following keywords: RSA, DP approach, AS approach, notching, and cuff tear arthropathy. A total of 61 studies were found, and 16 relevant articles were eventually included. Currently published literature has not shown significant diversities in the clinical course due to approach preference; risk of instability seems to be greater in DP approach, while regarding scapular notching and fracture rates the findings were conflicted. In addition, the AS approach has been associated with decreased risk of acromial and scapular spine fractures. In conclusion, both surgical approaches have shown similar clinical outcomes and effectiveness concerning pain and restoring range of motion (ROM) in rotator cuff tear arthropathies. In the future, further investigations based on large-scale well-designed studies are required to address clinical gaps allowing in-depth comparison of both approaches.
format	article
author	Paraskevas Georgoulas Aliki Fiska Aliki Fiska Athanasios Ververidis Athanasios Ververidis Georgios I. Drosos Georgios I. Drosos Evanthia Perikleous Konstantinos Tilkeridis Konstantinos Tilkeridis
author_facet	Paraskevas Georgoulas Aliki Fiska Aliki Fiska Athanasios Ververidis Athanasios Ververidis Georgios I. Drosos Georgios I. Drosos Evanthia Perikleous Konstantinos Tilkeridis Konstantinos Tilkeridis
author_sort	Paraskevas Georgoulas
title	Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature
title_short	Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature
title_full	Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature
title_fullStr	Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature
title_full_unstemmed	Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature
title_sort	reverse shoulder arthroplasty, deltopectoral approach vs. anterosuperior approach: an overview of the literature
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/82798fd96169418dba07743db76b5f05
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Reverse Shoulder Arthroplasty, Deltopectoral Approach vs. Anterosuperior Approach: An Overview of the Literature

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