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As reverse shoulder replacement has become more popular, the indications have expanded to include shoulder “pseudoparalysis” due to massive rotator cuff tears, shoulder fractures, severe bone loss on the scapula or humerus precluding the use of standard implants and failed prior shoulder replacement procedures. [6]
A 1992 study concluded that 73% of workers aged 20 to 50 years have a right rounded shoulder, [3] and 66% of them have a left rounded shoulder. [3] It is commonly believed that digitalisation [ 4 ] combined with the improper use of digital devices have resulted in the prevalence of sedentary lifestyles, which contribute to bad posture.
People diagnosed with glenohumeral arthritis and rotator cuff anthropathy have the alternative of total shoulder arthroplasty, if the cuff is largely intact or repairable. If the cuff is incompetent, a reverse shoulder arthroplasty is available and, although not as robust a prosthesis, does not require an intact cuff to maintain a stable joint.
Reverse total shoulder arthroplasties are typically indicated when the rotator cuff muscles are severely damaged. [14] There are a few major approaches for reverse total shoulder arthroplasties. The first is the deltopectoral approach, which is the approach described above for the traditional total shoulder arthroplasty.
A graded exercise programme is needed initially, as the person's muscles take time to heal after the surgery; exercises for range of motion of the joints and ambulation should not be strenuous. Later when the muscles have healed, the aim of exercise expands to include strengthening and recovery of function.
Passive exercises of the shoulder are movements in which a physical therapist maintains the arm in a particular position, manipulating the rotator cuff without any effort by the patient. [26] These exercises are used to increase stability, strength and range of motion of the subscapularis, supraspinatus, infraspinatus, and teres minor muscles ...
The Spencer technique (also known as the "7 stages of Spencer") is an articulatory technique used in Osteopathic medicine to help relieve restriction and pain at the shoulder. [1] Although variations exist, normally 7 steps are included. [2] Indications for the Spencer technique include adhesive capsulitis. [3] The following is a common ...
Typical non-operative treatment consists of shoulder immobilization with a sling. Close follow-up and weekly x-rays are recommended in order to ensure that the fracture is healing and maintaining good alignment. [8] Passive range of motion exercises for the shoulder can be done when pain has subsided. This can be done with the assistance of a ...
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