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Rehabilitation Following Reverse Shoulder Arthroplasty

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Shoulder Arthritis across the Life Span

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Abstract

Reverse shoulder arthroplasty (RSA) shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain. However, there is no consensus concerning the rehabilitation protocol following surgery. Many patients undergoing RSA are expecting to be able to participate in recreational activities or sports, and the majority of them accomplishes that goal. Past rehabilitation protocols included an immobilization period of 2–6 weeks to allow for shoulder and remaining cuff recovery. Newer protocols have been more aggressive on mobilizing the shoulder girdle from the first postoperative days, since subscapularis repair in lateralized models is not deemed necessary. There are occasions where a RSA will need immobilization during the first 3–6 weeks, as increased deltoid length, low bone mineral mass, and revision surgery are risk factors for an acromial fracture. Cryotherapy, electrotherapy, pool workouts, and blood flow restriction training may be used as adjuncts to physiotherapy in order to optimize shoulder function.

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Authors and Affiliations

  1. First Orthopaedic Department, Aristotle University of Thessaloniki, “Georgios Papanikolaou” Hospital, Thessaloniki, Greece

    Nikolaos Platon Sachinis

  2. ATOS Orthoparc Klinik, Cologne, Germany

    Knut Beitzel

Authors
  1. Nikolaos Platon Sachinis
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  2. Knut Beitzel
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Correspondence to Knut Beitzel .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

    Augustus D. Mazzocca

  2. Department of Orthopedic Surgery and Traumatology, Fundacion Jimenez Diaz Universidad Autonoma, Madrid, Spain

    Emilio Calvo

  3. Concordia Hospital, Rome, Italy

    Giovanni Di Giacomo

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Sachinis, N.P., Beitzel, K. (2023). Rehabilitation Following Reverse Shoulder Arthroplasty. In: Mazzocca, A.D., Calvo, E., Di Giacomo, G. (eds) Shoulder Arthritis across the Life Span. Springer, Cham. https://doi.org/10.1007/978-3-031-33298-2_29

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  • DOI: https://doi.org/10.1007/978-3-031-33298-2_29

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-031-33298-2

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