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April 1, 2001Journal of Bone and Joint Surgery

Shoulder Arthrodesis

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Authors

DCDavid J. ClareThe University of Texas Health Science Center at San AntonioMWMichael A. WirthUniversity Hospital of ZurichGGGordon I. GrohUniversity of Nebraska–Lincoln

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Overview

Clinical review demonstrates surgical indications and stabilization techniques for shoulder arthrodesis, highlighting the necessity of functional periscapular musculature.

Key Points

  • Review the clinical indications, anatomical prerequisites, positioning considerations, and modern surgical techniques for performing successful shoulder arthrodesis.
  • Evaluated clinical indications for joint fusion, including brachial plexus injuries, severe paralysis, failed arthroplasty, and tumor resection.
  • Assessed surgical methods for joint stabilization, surface decortication, and the impact of limb positioning on chronic pain.
  • Optimized functional outcomes require intact, functional periscapular musculature, specifically the trapezius, levator scapulae, serratus anterior, and rhomboids.
  • Excessive abduction or flexion correlates with chronic postoperative pain, while acromiohumeral and glenohumeral decortication with AO plate fixation provides reliable fusion.

Cite This Study

Clare et al. (2001) studied this question.

synapsesocial.com/papers/6a96f11523945b244882476ahttps://doi.org/10.2106/00004623-200104000-00018
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1External Compression Arthrodesis of the Shoulder Joint1983 · 19 citations
  2. 2RIGID INTERNAL FIXATION FOR SHOULDER ARTHRODESIS1991 · 36 citations
  3. 3Shoulder arthrodesis using a pelvic-reconstruction plate. A report of eleven cases.1988 · 94 citations