Shoulder Arthroplasty

Soft tissue balancing

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Glenoid component

Historically, the glenoid component has been the “weak link” of shoulder replacement. In addition to being the most difficult part of the surgical procedure, the glenoid component is the most likely site of component failure, which has led many surgeons…

Humeral component

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Glenoid exposure

Whenever we have questioned surgeons who routinely perform hemiarthroplasty instead of total shoulder arthroplasty for conditions such as primary osteoarthritis about why they chose not to resurface the glenoid, by far the most common response is that they encounter problems…

Subscapularis

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Surgical approach

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Preoperative planning and imaging

Although the majority of cases of unconstrained shoulder arthroplasty are routine, certain patients have unique characteristics that merit special consideration. Preoperative planning identifies patients who may require deviation from routine unconstrained shoulder arthroplasty. Preoperative planning should be done well in…

Indications and contraindications

Indications for unconstrained shoulder arthroplasty can be divided into arthroplasty performed for acute fracture and arthroplasty performed for chronic shoulder disease. This chapter focuses on indications for unconstrained shoulder arthroplasty in patients with chronic shoulder disease. Indications for unconstrained shoulder…

Long head of the biceps tendon

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