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. 2022 Sep 17;11(10):e1763-e1768.
doi: 10.1016/j.eats.2022.06.012. eCollection 2022 Oct.

Arthroscopic Management of Stiffness and Anterior Shoulder Pain Following Reverse Shoulder Arthroplasty

Javier Ardebol  1 , Ignacio Pasqualini  1 , Robert U Hartzler  2 , Justin W Griffin  3 , Evan Lederman  4 , Patrick J Denard  1
Affiliations

Arthroscopic Management of Stiffness and Anterior Shoulder Pain Following Reverse Shoulder Arthroplasty

Javier Ardebol et al. Arthrosc Tech. .

Abstract

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.

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Figures

Fig 1
Fig 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.
Fig 2
Fig 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.
Fig 3
Fig 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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References

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