Department of Diagnostic Radiology, Eulji University Medical Center, 68 Hangeulbiseok-ro, Nowon-gu, Seoul, 01830, South Korea.
Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, 10021, USA.
Skeletal Radiol. 2020 Jan;49(1):19-30. doi: 10.1007/s00256-019-03275-0. Epub 2019 Jul 18.
Although not as common as hip or knee arthroplasty, shoulder arthroplasty is becoming a more common procedure. Reverse total shoulder arthroplasty (RTSA) is known to be an effective surgical procedure for massive irreparable rotator cuff tears, comminuted proximal humerus fractures, and revision shoulder arthroplasty. The utilization of RTSA has been increasing, and although complications following reverse arthroplasty have been reported, there are few reports in the literature that focus on the imaging features of RTSA. Herein, we demonstrate the biomechanics of RTSA, prosthesis components, indications, and imaging features of the normal postoperative appearance and various complications after RTSA. Familiarization with the normal and abnormal imaging appearances after RTSA can be helpful for appropriate management of patients.
虽然不如髋关节或膝关节置换术常见,但肩关节置换术正变得越来越常见。反向全肩关节置换术(RTSA)是治疗巨大不可修复的肩袖撕裂、粉碎性肱骨近端骨折和肩关节翻修的有效手术方法。RTSA 的应用日益增多,虽然已经报道了反向关节置换术后的并发症,但文献中很少有专门针对 RTSA 影像学特征的报道。在此,我们展示了 RTSA 的生物力学、假体组件、适应证以及 RTSA 术后正常和各种并发症的影像学特征。熟悉 RTSA 后的正常和异常影像学表现有助于对患者进行适当的治疗。