ARTHROSCOPIC MANAGEMENT OF STIFFNESS AND ANTERIOR SHOULDER PAIN FOLLOWING REVERSE SHOULDER ARTHROPLASTY
Figure 1 - Right shoulder posterior subacromial view portal. (A) Dense adhesions (blue arrow) are initially present in the subacromial space. (B) Following reestablishment of the subacromial space, the superior aspect of the rotator cuff (RC) can be visualized.
Arthroscopy following shoulder arthroplasty has primarily been described as a diagnostic tool in the setting of unexplained pain. However, this tool also can be used to potentially manage postoperative stiffness and pain following reverse shoulder arthroplasty. This Technical Note provides a stepwise approach to assessing and addressing limitations in range of motion as well as causes of postoperative impingement following reverse shoulder arthroplasty.
Figure 2 - Right shoulder posterior subacromial view portal. (A) Lateral adhesions (blue arrow) between the rotator cuff (RC) and deltoid. (B) Following re-establishment of the lateral gutter.
Figure 3 - Right shoulder posterior subacromial view portal viewed with a 70° arthroscope. (A) There are initially dense adhesions (red arrow) in the subcoracoid space which are gently cleared by following the rotator cuff (RC) medially until, (B) the tip of the coracoid (CT) is identified. (C) Dissection continues along bone until the base of the coracoid is identified, the subscapularis (SSc) is seen if intact, and the glenosphere is visualized posterior to the subscapularis (white arrow).
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Published September 17, 2022 in Arthroscopic Techniques (Volume 11 - Issue 10).