Shoulder Arthroplasty

Shoulder Arthroplasty

By Gary M. Gartsman, MD, Clinical Professor, Director, Shoulder and Elbow Fellowship, Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston Medical School, Fondren Orthopaedic Group, Houston, TX; and T. Bradley Edwards, MD, Clinical Instructor, Department of Orthopaedic Surgery, University of Texas Health Sciences Center at Houston; Fondren Orthopaedic Group, Houston, TX


1. Evolution of Shoulder Arthroplasty

2. Becoming a Shoulder Arthroplasty Surgeon

3. Operating Room Setup

4. Anesthesia, Patient Positioning, and Patient Preparation

5. Long Head of the Biceps Tendon

SECTION TWO Unconstrained Shoulder Arthroplasty for Chronic Disease

6. Indications and Contraindications

7. Preoperative Planning and Imaging

8. Surgical Approach

9. Subscapularis

10. Glenoid Exposure

11. Humeral Component

12. Glenoid Component

13. Soft Tissue Balancing

14. Subscapularis and Rotator Interval Repair

15. Wound Closure and Postoperative Orthosis

16. Results and Complications

SECTION THREE Unconstrained Shoulder Arthroplasty for Fracture

17. Indications and Contraindications

18. Preoperative Planning and Imaging

19. Surgical Approach and Handling of the Tuberosities

20. Humeral Prosthetic Positioning

21. Tuberosity Reduction and Fixation

22. Wound Closure and Postoperative Orthosis

23. Results and Complications

SECTION FOUR Reverse Shoulder Arthroplasty

24. Indications and Contraindications

25. Preoperative Planning and Imaging

26. Surgical Approach

27. Glenoid Exposure

28. Humeral Component

29. Glenoid Component

30. Reduction and Deltoid Tensioning

31. Wound Closure and Postoperative Orthosis

32. Results and Complications

SECTION FIVE Alternatives to Conventional Unconstrained Shoulder Arthroplasty

33. Humeral Surface Replacement

34. Biologic Glenoid Resurfacing

SECTION SIX Revision Shoulder Arthroplasty

35. Indications and Contraindications

36. Preoperative Planning, Imaging, and Special Tests

37. Surgical Approach

38. Humeral Stem Removal and Glenoid Exposure

39. Humeral Component

40. Glenoid Component

41. Wound Closure and Postoperative Orthosis

42. Results and Complications

SECTION SEVEN Postoperative Rehabilitation

43. Rehabilitation after Shoulder Arthroplasty


44. Future Directions in Shoulder Arthroplasty