Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2, Supplement , Pages 59-65, March 2010

Can shoulder arthroplasty restore the range of motion in activities of daily living? A prospective 3D video motion analysis study

  • Philip Kasten, MD, PhD

      Affiliations

    • Division of Shoulder and Elbow Surgery and Sports Medicine, Department of Orthopaedic Surgery, University of Dresden Dresden, Germany
    • Department of Orthopaedic Surgery, University of Heidelberg, Heidelberg, Germany
    • Corresponding Author InformationReprint requests: Philip Kasten, MD, PhD, Division of Shoulder and Elbow Surgery and Sports Medicine, Department of Orthopaedic Surgery, University of Dresden, Fetscherstr 74, D-01307 Dresden, Germany.
    • ,
  • Michael Maier, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Philipp Wendy, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Oliver Rettig, PhD

      Affiliations

    • Department of Orthopaedic Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Patric Raiss, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Sebastian Wolf, PhD

      Affiliations

    • Department of Orthopaedic Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Markus Loew, MD, PhD

      Affiliations

    • Division for Upper Limb Surgery, Department of Orthopaedic Surgery, University of Heidelberg, Heidelberg, Germany

published online 05 February 2010.

Hypothesis

There are limited data how total shoulder arthroplasty (TSA) improves shoulder function during activities of daily living (ADL). The hypothesis of this study was that the range of motion (ROM) in ADL gets back to normal after TSA .

Materials and method

We examined 13 patients before they received TSA for osteoarthritis and 6 months postoperatively with a 3D motion video analysis during 3 ADL and compared them with a control group without any shoulder pathology.

Result

Comparing the TSA status preoperatively and postoperatively resulted in a significant increase of the mean values of the ROMs in the ADL in all planes (P < .05). When the postoperative ROM was compared with the controls, TSA was able to restore the ROM in all planes except for abduction in 2 of 3 ADL. The patients were not able to use their maximum active abduction during the course of the ADL.

Discussion

TSA improves the ROM in ADL, but it cannot return completely to normal in abduction after 6 months.

Conclusion

This is not related to limitations of active or passive ROM but may be due to impaired proprioception or pathologic movement patterns, or both.

Level of Evidence: Level III, Case-Control Study, Treatment Study

Keywords: Shoulder arthroplasty, outcome, total shoulder arthroplasty, 3D video analysis, marker based system, upper extremity, biomechanic model

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 This work was performed at the University of Heidelberg.

PII: S1058-2746(09)00461-3

doi:10.1016/j.jse.2009.10.012

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2, Supplement , Pages 59-65, March 2010

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