Publication: Análisis de la incidencia y repercusión clínica de lesiones neurológicas tras la implantación de una artroplastia invertida en artropatía de manguito rotador
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2021-08-18
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Universidad Complutense de Madrid
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Abstract
La artroplastia invertida de hombro (AIH) es una opción de tratamiento eficaz para pacientes con artropatía de manguito rotador. Sin embargo, la tasa de complicaciones es mayor que la de la artroplastia total de hombro convencional. Algunas de estas complicaciones son específicas de su diseño y comportamiento biomecánico. Un ejemplo es la lesión neurológica de los nervios axilar y supraescapular, pudiendo estar relacionada con el abordaje quirúrgico, la fijación con tornillos del componente glenoideo o el diseño no anatómico de la prótesis. Por otro lado, destacan las lesiones neurológicas preoperatorias presentes en la propia artropatía de manguito, como la lesión por tracción del nervio supraescapular debido a una rotura masiva, cuya prevalencia resulta desconocida...
Reverse shoulder arthroplasty (RSA) is an effective treatment option for patients with rotator cuff arthropathy. However, the complication rate is higher than that of conventional total shoulder arthroplasty. Some of these complications are specific to its design and biomechanical behavior. One example is neurological injury in the axillary and suprascapular nerves, which may be related to the surgical approach, screw fixation of the glenoid component, or the non-anatomical design of the prosthesis. On the other hand, preoperative neurological lesions are present in the cuff arthropathy itself, such as the traction injury of the suprascapular nerve due to a massive tear, whose prevalence is unknown...
Reverse shoulder arthroplasty (RSA) is an effective treatment option for patients with rotator cuff arthropathy. However, the complication rate is higher than that of conventional total shoulder arthroplasty. Some of these complications are specific to its design and biomechanical behavior. One example is neurological injury in the axillary and suprascapular nerves, which may be related to the surgical approach, screw fixation of the glenoid component, or the non-anatomical design of the prosthesis. On the other hand, preoperative neurological lesions are present in the cuff arthropathy itself, such as the traction injury of the suprascapular nerve due to a massive tear, whose prevalence is unknown...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Cirugía, leída el 17-06-2021