Reverse Shoulder Replacement (Reverse Shoulder Arthroplasty)

Overview

In a reverse shoulder replacement, the normal ball-and-socket arrangement is switched: a metal ball is attached to the shoulder socket and a plastic cup to the top of the arm bone. This design lets the large deltoid muscle lift the arm instead of the rotator cuff.

Reverse replacement is used when the rotator cuff is torn beyond repair or not functioning, including rotator cuff tear arthropathy, massive irreparable rotator cuff tears, some complex fractures in older adults, and revision of a failed earlier replacement. It provides reliable pain relief and restores the ability to lift the arm for most patients.

Dr. Joshi also performs anatomic total shoulder replacement, hemiarthroplasty and pyrocarbon hemiarthroplasty, and helps each patient choose the type that fits their shoulder.

Benefits

• Reliable pain relief
• Restores overhead elevation when the rotator cuff is deficient
• Options for complex fractures and failed prior surgery

Who is a Candidate?

Reverse Shoulder Replacement may be appropriate for patients who meet certain criteria. Ideal candidates include:

• Rotator cuff tear arthropathy
• Massive irreparable rotator cuff tears with pain and weakness
• Arthritis with a deficient rotator cuff
• Complex proximal humerus fractures in older adults
• Failed anatomic replacement or hemiarthroplasty

Recovery & Rehabilitation

Most patients stay in the hospital one night or go home the same day. A sling is worn for several weeks, and therapy progresses over three to six months. Rotation, particularly reaching behind the back, may be more limited than with an anatomic replacement.