title: Reverse shoulder arthroplasty.
abstract: The reverse shoulder arthroplasty is considered to be one of the most significant technological advancements in shoulder reconstructive surgery over the past 30 years. It is able to successfully decrease pain and improve function for patients with rotator cuff-deficient shoulders. The glenoid is transformed into a sphere that articulates with a humeral socket. The current reverse prosthesis shifts the center of rotation more medial and distal, improving the deltoid's mechanical advantage. This design has resulted in successful improvement in both active shoulder elevation and in quality of life.
authors.affiliation: Upper Extremity Reconstructive Surgery, The Emory Orthopaedic Center, Emory University School of Medicine, 59 Executive Park South, Suite 2000, Atlanta, GA 30329, USA.
authors.forename: Claudius D
authors.initials: CD
authors.lastname: Jarrett
authors.forename: Brandon T
authors.initials: BT
authors.lastname: Brown
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Schmidt
mesh_terms: D001172:Arthritis, Rheumatoid / Q000601:surgery; D019643:Arthroplasty, Replacement / Q000379:methods* / Q000534:rehabilitation; D001696:Biomechanical Phenomena; D006801:Humans; D007595:Joint Prosthesis / Q000009:adverse effects; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000453:epidemiology; D016059:Range of Motion, Articular / Q000502:physiology; D012399:Rotation; D017006:Rotator Cuff / Q000473:pathology / Q000502:physiology; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery*
keywords: Cuff deficient shoulder; Cuff tear arthropathy; Implant designs; Proximal humerus fractures; Reverse shoulder arthroplasty; Revision shoulder arthroplasty; Rheumatoid arthritis; Shoulder arthritis