Revision Shoulder Surgery
Revision Shoulder Surgery - Related Videos
10:10
Reverse Total Shoulder Arthroplasty
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Cited by 5 •
2011
Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder.
08:57
Shoulder Exam I
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2023
Source: Robert E. Sallis, MD. Kaiser Permanente, Fontana, California, USA Examination of the shoulder can be complex, because it actually consists of four separate joints: are the glenohumeral (GH) joint, the acromioclavicular (AC) joint, the sternoclavicular joint, and the scapulothoracic joint. The GH joint is primarily responsible for shoulder motion and is the most mobile joint in the body. It has been likened to a golf ball sitting on a tee and is prone to instability. It is held in place...
08:30
Intra-articular Shoulder Injection for Reduction Following Shoulder Dislocation
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2023
Source: Rachel Liu, BAO, MBBCh, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA The anterior shoulder dislocation is one of the most common joint dislocations seen in emergency settings. In anterior shoulder dislocation, the humeral head is displaced out of the glenohumeral joint in front of the scapular glenoid, resulting in a loss of the articulation between the arm and the rest of the shoulder. This can be caused by a fall onto an abducted, extended, and externally...
01:23
Muscles of the Shoulder
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2024
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula. Anterior Thoracic Muscles The anterior thoracic muscles include the serratus anterior, subclavius, and...
07:38
Shoulder Exam II
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2015
Source: Robert E. Sallis, MD. Kaiser Permanente, Fontana, California, USA The shoulder exam continues by checking the strength of the rotator cuff muscles and biceps tendons. The rotator cuff muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) act as compressors, holding the humeral head in place against the glenoid. Injury and degeneration of the rotator cuff tendons are the most common sources of shoulder pain. The strength testing of the rotator muscle is performed by...
FAQs
Accurate diagnosis determines which structures require treatment and prevents a reconstruction from addressing the wrong problem. Clinical examination and imaging help distinguish persistent pain, instability, stiffness, infection, implant failure, bone loss, and soft-tissue deficiency. This information guides decisions about repairing tissue, modifying an implant, or choosing a more extensive reconstruction, directly influencing alignment, stability, and functional recovery.
Remaining bone and muscle or other soft tissues determine how securely the shoulder can be reconstructed. Bone loss may limit implant positioning or fixation, while deficient soft tissue can compromise stability and movement even when implant components are addressed. Revision planning therefore must account for both structural support and tissue quality rather than treating the implant problem in isolation.
Infection control is a central determinant of whether revision treatment can achieve a durable result. If infection contributes to pain or implant failure, it must be recognized and addressed as part of the reconstruction plan. Managing this problem supports restoration of shoulder alignment and stability, whereas overlooking it can undermine implant management, tissue repair, and later rehabilitation.
Planning combines the patient’s clinical findings with imaging and the known history of the earlier operation. The team evaluates the cause of symptoms, implant condition and position, available bone, and the state of surrounding soft tissue. These findings establish whether the procedure should emphasize repair, implant removal or replacement, repositioning, augmentation, or management of infection.
The operative strategy may include repairing damaged tissues and removing, replacing, repositioning, or augmenting an implant. Surgeons may also address bone loss and soft-tissue deficiency during the same reconstruction when those problems affect alignment or stability. Combining these measures allows treatment to match the underlying failure pattern instead of relying on a single corrective step.
In medicine, revision is considered when complications after an earlier shoulder operation continue to cause pain, instability, stiffness, infection, implant failure, or impaired function. Follow-up evaluates whether reconstruction has restored alignment, stability, and shoulder use. Recovery also depends on careful rehabilitation, accurate diagnosis, infection control, and preservation or reconstruction of remaining bone and muscle.