Reverse shoulder replacement is a surgical procedure used to treat certain shoulder conditions, particularly those involving severe rotator cuff damage or irreparable rotator cuff tears. It is called “reverse” because the normal anatomy of the shoulder joint is reversed, with the ball component being placed on the glenoid (shoulder socket) and the socket component being placed on the humerus (upper arm bone).
Reverse shoulder replacement is typically performed for two main reasons:
Rotator Cuff Arthropathy:
This condition occurs when the rotator cuff tendons, which are responsible for stabilizing the shoulder joint, are severely damaged or torn. As a result, the shoulder joint becomes unstable, causing pain, limited range of motion, and functional impairment. Reverse shoulder replacement can provide pain relief and restore shoulder function by relying on the deltoid muscle rather than the damaged rotator cuff for arm movement.
Proximal Humeral Fractures:
Reverse shoulder replacement may also be considered for older patients with complex fractures of the proximal humerus (the top part of the upper arm bone). These fractures can be challenging to treat, especially if the patient has poor bone quality or compromised rotator cuff tendons. Reverse shoulder replacement can provide stability and function by replacing the damaged joint surfaces.
During the surgery, the surgeon removes the damaged or degenerated parts of the shoulder joint and prepares the bone surfaces. The ball component is then placed on the glenoid socket, and the socket component is placed on the humerus. This configuration changes the mechanics of the shoulder joint, allowing the deltoid muscle to control and power arm movements.
Recovery after reverse shoulder replacement involves a period of immobilization, followed by a rehabilitation program to regain strength, range of motion, and function. Physical therapy plays a crucial role in the recovery process, and it usually starts soon after the surgery. The rehabilitation program is customized based on the patient’s specific needs and progress.
While reverse shoulder replacement can provide significant pain relief and improve shoulder function in certain cases, it is important to note that it is not suitable for all shoulder conditions. The decision to proceed with reverse shoulder replacement is made after a thorough evaluation by an orthopedic surgeon specializing in shoulder conditions. They will consider various factors, including the patient’s age, overall health, shoulder condition, and goals of treatment, to determine the most appropriate surgical approach. At Alabama Bone and Joint Clinic our specialists are able to guide you through your treatment options. Call today to schedule an appointment with one of our experts in orthopedic care.
