[The total shoulder prosthesis]. 1990

F Mazas, and O Gagey
Service d'orthopédie, hôpital de Bicêtre, Le Kremlin-Bicêtre.

Prosthetic shoulder replacement is impeded by two main obstacles: the articular cavity is very shallow, and the small glenoid surface rests on a narrow neck to which prosthetic pieces are difficult to attach. The principal, currently used prostheses are non-retentive models which reproduce the anatomy of the joint. They differ from each other mainly in the glenoid piece pattern which may be sealed only to the glenoid cavity or also fixed onto the acromion. On the whole, the clinical results reported are encouraging, particularly as regards the absence of pain, but the radiological course of the glenoidal sealing is a source of concern. Obvious unsealing is rare, but cracks between bone and cement are very frequent and some of them become wider as time goes by. In addition, there is still no satisfactory solution to the problem of big rotator cuff tears. This type of prosthesis must be envisaged with caution and should be reserved to very painful shoulders, but it would be wise not to wait until the rotator cuff is destroyed. The best indications are glenohumeral osteoarthritis, rheumatoid arthritis and necrosis of the tumoral head.

UI MeSH Term Description Entries
D007595 Joint Prosthesis Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999) Joint Prostheses,Prostheses, Joint,Prosthesis, Joint
D010003 Osteoarthritis A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans. Arthritis, Degenerative,Osteoarthrosis,Osteoarthrosis Deformans,Arthroses,Arthrosis,Arthritides, Degenerative,Degenerative Arthritides,Degenerative Arthritis,Osteoarthritides,Osteoarthroses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012785 Shoulder Joint The articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA. Glenohumeral Joint,Glenoid Labrum,Glenohumeral Joints,Joint, Glenohumeral,Joint, Shoulder,Joints, Glenohumeral,Joints, Shoulder,Labrum, Glenoid,Shoulder Joints

Related Publications

F Mazas, and O Gagey
January 1977, Revue de chirurgie orthopedique et reparatrice de l'appareil moteur,
F Mazas, and O Gagey
July 1984, The Journal of bone and joint surgery. American volume,
F Mazas, and O Gagey
January 2011, Bulletin of the NYU hospital for joint diseases,
F Mazas, and O Gagey
December 2017, The Journal of the American Academy of Orthopaedic Surgeons,
F Mazas, and O Gagey
February 2018, Instructional course lectures,
F Mazas, and O Gagey
December 1988, AJR. American journal of roentgenology,
F Mazas, and O Gagey
April 1980, The Journal of bone and joint surgery. American volume,
F Mazas, and O Gagey
January 1985, Acta orthopaedica Belgica,
F Mazas, and O Gagey
June 2002, Revue de chirurgie orthopedique et reparatrice de l'appareil moteur,
F Mazas, and O Gagey
November 1975, Hefte zur Unfallheilkunde,
Copied contents to your clipboard!