Download PDF
Semin Musculoskelet Radiol 2006; 10(1): 005-021
DOI: 10.1055/s-2006-934213
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Radiology of Shoulder Prostheses

Frieda Feldman1 , 2
  • 1Columbia University College of Physicians and Surgeons, New York, New York
  • 2Columbia Presbyterian Medical Center, New York, New York
Further Information

Publication History

Publication Date:
23 March 2006 (online)

Also available at
    Permissions and Reprints

ABSTRACT

This article is chiefly limited to the routine radiographic evaluation of shoulder arthroplasties and guidelines to their interpretation. Other imaging modalities for the evaluation of joint replacements are discussed elsewhere in this issue. The basic types of shoulder reconstructions and some of the shoulder replacement designs in previous and current use at The New York Orthopedic Hospital at Columbia Presbyterian Medical Center are illustrated, along with the indications and contraindications of the various types of reconstructions. Their complications and pertinent anatomy are included.

KEYWORDS

Shoulder arthroplasty - shoulder replacement

REFERENCES

  • 1 Péan J E. Des moyen prosthetiques destinés à obtenir la réparation départies ossueses.  Gaz Hop Paris. 1894;  67 291
    PubMedGoogle Scholar
  • 2 Rovsing T. Ein fall von freier knochentroneplantation zum ersatz der swei oberen drettelk des oberarment mit hilfe du fibula des patienten.  Zentralbl F Chir. 1910;  37 870
    PubMedGoogle Scholar
  • 3 Albee F H. Restoration of shoulder function in cases of loss of head and upper portion of humerus.  Surg Gynecol Obstet. 1921;  32 1-19
    PubMedGoogle Scholar
  • 4 Imbriglia J E, Neer C S, Dick H M. Resection of the proximal one-half of the humerus in a child for chondrosarcoma. Preservation of function using a fibular graft and Neer prosthesis.  J Bone Joint Surg Am. 1978;  60 262-264
    PubMedGoogle Scholar
  • 5 Jones L. Reconstructive operation for non-reducible fractures of the head of the humerus.  Ann Surg. 1933;  97 217-225
    PubMedGoogle Scholar
  • 6 Charnley J. Anchorage of the femoral head prosthesis to the shaft of the femur.  J Bone Joint Surg Br. 1960;  42 28-30
    PubMedGoogle Scholar
  • 7 Neer II C S. Articular replacement of the humeral head.  J Bone Joint Surg Am. 1955;  37 215-228
    PubMedGoogle Scholar
  • 8 Neer II C S. Replacement arthroplasty for glenohumeral osteoarthritis.  J Bone Joint Surg Am. 1974;  56 1-13
    PubMedGoogle Scholar
  • 9 Neer II C S, Cruess R L, Sledge C B et al.. Total glenohumeral replacement: A preliminary report.  Orthopaedic Transactions. 1977;  1 244-245
    PubMedGoogle Scholar
  • 10 Brems J J. Complications of shoulder arthroplasty: infections, instability, and loosening.  Instr Course Lect. 2002;  51 29-39
    PubMedGoogle Scholar
  • 11 Hayes R L, Flatow E L. Total shoulder arthroplasty in the young patient.  AAOS Instr Lect. 2001;  50 73-87
    PubMedGoogle Scholar
  • 12 Bigliani L U, Bauer G S, Murthi A M. Humeral head replacement: techniques and soft-tissue preparation.  Instr Course Lect. 2002;  51 11-20
    PubMedGoogle Scholar
  • 13 Feldman F. The radiology of total shoulder prostheses.  Semin Roentgenol. 1986;  21 47-65
    CrossrefPubMedGoogle Scholar
  • 14 Blaine T A, Kim Y S, Voloshin I et al.. The molecular pathophysiology of subacromial bursitis in rotator cuff disease.  J Shoulder Elbow Surg. 2005;  14 84S-89S
    CrossrefPubMedGoogle Scholar
  • 15 Neer II C S, Craig E V, Fukuda H. Cuff tear arthopathy.  J Bone Joint Surg Am. 1983;  65 1232-1244
    PubMedGoogle Scholar
  • 16 Sperling J W, Cofield R H, Rowland C M. Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results.  J Bone Joint Surg Am. 1998;  80 464-473
    PubMedGoogle Scholar
  • 17 Neer II C S, Watson K C, Stanton F J. Recent experience in total shoulder replacement.  J Bone Joint Surg Am. 1982;  64 319-337
    PubMedGoogle Scholar
  • 18 Walker P S, Bullough P G. The effects of friction and wear in artificial joints.  Orthop Clin North Am. 1973;  4 275-293
    PubMedGoogle Scholar
  • 19 Evans E M, Freemen MAR, Miller A J et al.. Metal sensitivity as a cause of bone necrosis and loosening of the prosthesis in total joint replacement.  J Bone Joint Surg Br. 1974;  56 626-642
    PubMedGoogle Scholar
  • 20 Haynes D R, Rogers S D, Hay S, Pearcy M J, Howie D W. The difference in toxicity and release of bone-resorbing; mediators inducing titanium and cobalt-chromium-alloy wear particles.  J Bone Joint Surg Am. 1993;  75 825-834
    PubMedGoogle Scholar
  • 21 Reckling F W, Dillon W L. The bone-cement interface temperature during total joint replacement.  J Bone Joint Surg Am. 1977;  59 80-82
    PubMedGoogle Scholar
  • 22 Harris W H, Schiller A L, Scholler J, Freiberg R A, Scott R. Extensive localized bone resorption in the femur following total hip replacement.  J Bone Joint Surg Am. 1976;  58 612-618
    PubMedGoogle Scholar
  • 23 Shanbhag A S, Jacobs J J, Black J, Galante J O, Giant T T. Human monocyte response to particulate biomaterials generated in-vivo and vitro.  J Orthop Res. 1995;  13 792-801
    PubMedGoogle Scholar
  • 24 Wirth M A, Agrawal M C, Mabrey J D et al.. Isolation and characterization of polyethylene wear debris associated with osteolysis following total shoulder arthroplasty.  J Bone Joint Surg Am. 1999;  81 29-37
    PubMedGoogle Scholar
  • 25 Danter M R, King G J, Chess D G, Johnson J A, Faber K J. The effect of cement restrictors on the occlusion of the humeral canal: an in vitro comparative study of 2 devices.  J Arthroplasty. 2000;  15 113-119
    CrossrefPubMedGoogle Scholar
  • 26 Bigliani L U, Weinstein D M, Glasgow M T, Pollock R G, Flatow E L. Glenohumeral arthroplasty for arthritis after instability surgery.  J Shoulder Elbow Surg. 1995;  4 87-94
    PubMedGoogle Scholar
  • 27 Boyd Jr A D, Aliabadi P, Thornhill T S. Postoperative proximal migration in total shoulder arthroplasty.  J Arthroplasty. 1991;  6 31-37
    PubMedGoogle Scholar
  • 28 Cuomo F, Checroun A. Avoiding pitfalls and complications in total shoulder arthroplasty.  Orthop Clin North Am. 1998;  29 507-518
    CrossrefPubMedGoogle Scholar
  • 29 Friedman R J. Glenohumeral translation after total shoulder arthroplasty.  J Shoulder Elbow Surg. 1992;  1 312-316
    PubMedGoogle Scholar
  • 30 Lehtinen J T, Kaarela K, Belt E A, Kautiainen H J, Kauppi M J, Lehto M U. Relation of glenohumeral and acromioclavicular joint destruction in rheumatoid shoulder: a 15 year follow up study.  Ann Rheum Dis. 2000;  59 158-160
    CrossrefPubMedGoogle Scholar
  • 31 Berquist T H. Imaging Atlas of Orthopedic Appliances and Prostheses. Philadelphia, PA; Lippincott Williams & Wilkins 1995
    Google Scholar
  • 32 Boyd A D, Thornhill T S, Barnes CL. Fractures adjacent to humeral prostheses.  J Bone Joint Surg Am. 1992;  74 1498-1501
    PubMedGoogle Scholar
  • 33 Worland R K, Kim D Y, Arendondo J. Periprosthetic humeral fractures: management and classification.  J Shouder Elbow Surg. 1999;  8 590-594
    PubMedGoogle Scholar
  • 34 Wright T W, Cofield R H. Humeral fractures after shoulder arthroplasty.  J Bone Joint Surg Am. 1995;  77 1340-1346
    PubMedGoogle Scholar
  • 35 Kumar S, Sperling J W, Haidukewych G H, Cofield R H. Periprosthetic humeral fractures after shoulder arthroplasty.  J Bone Joint Surg Am. 2004;  86 680-689
    PubMedGoogle Scholar
  • 36 Cofield R H, Edgerton B C. Total shoulder arthroplasty: complications and revision surgery.  Instr Course Lect. 1990;  39 449-462
    PubMedGoogle Scholar
  • 37 Fenlin Jr J M, Vaccaro A, Andreychik D, Lin S. Modular total shoulder; early experience and impressions.  Semin Arthroplasty. 1990;  1 102-111
    PubMedGoogle Scholar
  • 38 Fenlin Jr J M, Ramsey M L, Allardyce T J, Frieman B G. Modular total shoulder replacement. Design rationale, indications, and results.  Clin Orthop Relat Res. 1994;  307 37-46
    PubMedGoogle Scholar
  • 39 Gartsman G M, Russell J A, Gaenslen E. Modular shoulder arthroplasty.  J Shoulder Elbow Surg. 1997;  6 333-339
    CrossrefPubMedGoogle Scholar
  • 40 Blevins F T, Pollo F E, Torzilli P A, Warren R F. Effect of humeral head component size on hemiarthroplasty translations and rotations.  J Shoulder Elbow Surg. 1998;  7 591-598
    CrossrefPubMedGoogle Scholar
  • 41 Karduna A R, Williams G R, Iannotti J P, Williams JL. Total shoulder arthroplasty biomechanics: a study of the forces and strains at the glenoid component.  J Biomech Eng. 1998;  120 92-99
    PubMedGoogle Scholar
  • 42 Pearl M L, Kurutz S. Geometric analysis of commonly used prosthetic systems for proximal humeral replacement.  J Bone Joint Surg Am. 1999;  81 660-671
    CrossrefPubMedGoogle Scholar
  • 43 Shapiro J, Zuckerman J. Glenohumeral arthroplasty: indications and preoperative considerations.  Instr Course Lect. 2002;  51 3-10
    PubMedGoogle Scholar
  • 44 Alund M, Hoe-Hansen C, Tillander B, Heden B A, Norlin R. Outcome after cup hemiarthroplasty in the rheumatoid shoulder: a retrospective evaluation of 39 patients followed for 2-6 years.  Acta Orthop Scand. 2000;  71 180-184
    CrossrefPubMedGoogle Scholar
  • 45 Nwakama A C, Cofield R H, Kavanagh B F, Loehr J F. Semiconstrained total shoulder arthroplasty for glenohumeral arthritis and massive rotator cuff tearing.  J Shoulder Elbow Surg. 2000;  9 302-307
    CrossrefPubMedGoogle Scholar
  • 46 Wirth M A, Rockwood Jr C A. Complications of total shoulder-replacement arthroplasty.  J Bone Joint Surg Am. 1996;  78 603-616
    PubMedGoogle Scholar
  • 47 Harris T E, Jobe C M, Dai Q G. Fixation of proximal humeral prostheses and rotational micromotion.  J Shoulder Elbow Surg. 2000;  9 205-210
    CrossrefPubMedGoogle Scholar
  • 48 Boileau P, Walch G. The three-dimensional geometry of the proximal humerus: implications for surgical technique and prosthetic design.  J Bone Joint Surg Br. 1997;  79 857-865
    CrossrefPubMedGoogle Scholar
  • 49 Frich L H, Odgaard A, Dalstra M. Glenoid bone architecture.  J Shoulder Elbow Surg. 1998;  7 356-361
    CrossrefPubMedGoogle Scholar
  • 50 Anglin C, Wyss U P, Pichora D R. Mechanical testing of shoulder prostheses and recommendations for glenoid design.  J Shoulder Elbow Surg. 2000;  9 323-331
    CrossrefPubMedGoogle Scholar
  • 51 Friedman R J, LaBerg M, Dooley R L, O'Hara A L. Finite element modeling of the glenoid component: effect of design parameters on stress distribution.  J Shoulder Elbow Surg. 1992;  1 261-270
    CrossrefPubMedGoogle Scholar
  • 52 Stone K D, Grabowski J J, Cofield R H et al.. Stress analyses of glenoid components in total shoulder arthroplasty.  J Shoulder Elbow Surg. 1999;  8 151-158
    CrossrefPubMedGoogle Scholar
  • 53 Brems Jr J. Complications of shoulder arthroplasty. Infections instability and loosening.  Instr Course Lect. 2002;  51 29-39
    PubMedGoogle Scholar
  • 54 Torchia M E, Cofield R H, Settergren C R. Total shoulder arthoplasty with the Neer prosthesis: long-term results.  J Shoulder Elbow Surg. 1997;  6 495-505
    CrossrefPubMedGoogle Scholar
  • 55 Giori N J, Beaupre G S, Carter D R. The influence of fixation peg design on the sheer stability of prosthetic implants.  J Orthop Res. 1990;  8 892-898
    CrossrefPubMedGoogle Scholar
  • 56 Lazarus M D, Jensen K L, Southworth C et al.. The radiographic evaluation of keeled and pegged glenoid component insertion.  J Bone Joint Surg Am. 2002;  84 1174-1182
    Google Scholar
  • 57 Collins D, Tencer A, Sidles J, Matsen III F. Edge displacement and deformation of glenoid components in response to eccentric loading. The effect of preparation of the glenoid bone.  J Bone Joint Surg Am. 1992;  74 501-507
    PubMedGoogle Scholar
  • 58 Reckling F W, Asher M A, Dillon W L. A longitudinal study of the radiolucent line at the bone-cement interface following total joint replacement procedures.  J Bone Joint Surg Am. 1977;  59 355-358
    PubMedGoogle Scholar
  • 59 Sperling J W, Kozak T K, Hanssen A D, Cofield R H. Infection after shoulder arthroplasty.  Clin Orthop Relat Res. 2001;  382 206-216
    PubMedGoogle Scholar
  • 60 Coste J S, Trojani R C, Berg M, Boileau W P. The management of infection in arthroplasty of the shoulder.  J Bone Joint Surg Br. 2004;  86 65-69
    PubMedGoogle Scholar
  • 61 Ramsey M L, Fenlin Jr J M. Use of an antibiotic-impregnated bone cement block in the revision of an infected shoulder arthroplasty.  J Shoulder Elbow Surg. 1996;  5 479-482
    PubMedGoogle Scholar
  • 62 Spangehl M, Masri M A, O'Connell J X et al.. Prospective analysis of preoperative and intraoperative investigations for the diagnoses of infection at the sites of 202 revision total hip arthroplasties.  J Bone Joint Surg Am. 1999;  81 672-683
    CrossrefPubMedGoogle Scholar
  • 63 Rosenthall L, Lisbona R, Hernandez M et al.. 99mTc and 67Ga imaging following insertion of orthopedic devices.  Radiology. 1979;  133 717-721
    PubMedGoogle Scholar
  • 64 Al-Sheikh W, Sfakianakis G N, Hourani M et al.. A prospective comparative study of the sensitivity and specificity of IN III leukocyte, gallium 67 and bone scintigraphy and roentgenograms in the diagnosis of osteomyelitis with and without orthopedic prosthesis.  J Nucl Med. 1982;  23 29-30
    PubMedGoogle Scholar
  • 65 Maurer A H, Chen DCP, Camargo E E et al.. Utility of 3 phase skeletal scintigraphy in suspected osteomyelitis.  J Nucl Med. 1981;  22 941-949
    PubMedGoogle Scholar
  • 66 Ivancevic V, Perka C, Hasart O et al.. Imaging of low grade bone infection with a Tc99m labeled monoclonal anti-NCA-90 Fab' fragment in patients with previous surgery.  Eur J Nucl Med Mol Imaging. 2002;  29 547-551
    CrossrefPubMedGoogle Scholar
  • 67 Zimmerli W, Trampuz A, Ochsner P E et al.. Prosthetic-joint infections.  N Engl J Med. 2004;  351 1645-1654
    CrossrefPubMedGoogle Scholar

Frieda FeldmanM.D. F.A.C.R. 

Director of Musculoskeletal Radiology, Columbia Presbyterian Medical Center

622 West 168 Street, New York, NY 10032

      >