Reverse Shoulder Arthroplasty

Reverse Shoulder Arthroplasty

  • Overview
  • Indications
  • Treatment

    • What is reverse shoulder arthroplasty?

    Reverse shoulder arthroplasty is a type of shoulder replacement that is typically used when the rotator cuff is severely damaged and the shoulder joint no longer functions normally. This is becoming more commonly performed even when the rotator cuff is intact for challenging shoulder arthritis cases. The procedure changes the mechanics of the shoulder so other muscles can help lift the arm. 

    What conditions might indicate the need for a reverse shoulder arthroplasty?

    • Severe rotator cuff tear with arthritis 

    • Complex shoulder fractures 

    • Failed prior shoulder replacement 

    • Long-standing shoulder instability 

    • Severe shoulder arthritis with poor tendon function

    • Shoulder pain 

    • Difficulty lifting the arm 

    • Weakness 

    • Limited range of motion 

    • Trouble sleeping due to shoulder discomfort  

    What are the treatment options for shoulder injuries?


    Nonsurgical Treatment

    Nonsurgical treatment may include: 

    • Rest from painful overhead activity 

    • Ice after activity 

    • Physical therapy 

    • Activity modification 

    • Anti-inflammatory medication 

    • Injections in select cases 

    Surgical Treatment 

    Surgery may be recommended depending on the injury, symptoms, activity level, and response to non-surgical care. Surgical options may include: 

    • Reverse total shoulder replacement: Replacing the ball-and-socket joint in a reversed configuration to improve function when the rotator cuff is not working. 

    • Implant fixation: Components are placed in the shoulder blade and upper arm bone to create a stable new joint. 

    • Revision or conversion procedures: In selected cases, reverse replacement may be used after failed previous shoulder surgery or fracture treatment. 

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