Table 2. Clinical Data in the Literature on Acromial Fracture after RTSA.
Study | No. of fractures | Age (mean) | Sex (M:F) | Mean time to fracture after RTSA (mo) | Fracture location | Treatment | Union rate (%) | Mean followup after fracture (mo) | Outcome measurement |
---|---|---|---|---|---|---|---|---|---|
Gillespie et al. (2015)7) | 1 | 13 | Scapular spine (1) | Conservative | SANE | ||||
Kennon et al. (2017)12) | 9 | 70 | 3:6 | 16.9 | Scapular spine (9) | Conservative (3) | 38.7 | ASES score, UCLA score, | |
ORIF (5) | |||||||||
Revision RTSA & ORIF (1) | |||||||||
Lopiz et al. (2015)15) | 4 | 74.7 | 1:3 | 11.9 | Acromion (3) | Conservative (3) | 50 | 39.6 | Constant score |
Scapular spine (1) | ORIF (1) | ||||||||
Stephens et al. (2015)17) | 2 | Acromion (1) | Conservative | ASES score, VAS, SST | |||||
Scapular spine (1) | |||||||||
Mulieri et al. (2010)16) | 2 | 11 | Acromion (2) | Conservative | ASES score | ||||
Teusink et al. (2014)18) | 25 | 72.2 | 4:21 | 16.1 | Acromion (17) | Conservative | 61.1 | 50 | ASES score, VAS |
Scapular spine (8) | |||||||||
Hattrup (2010)9) | 9 | 72.4 | 1:8 | 10.9 | Acromion (3) | Conservative | 11.1 | 30.4 | ASES score, VAS, SST |
Scapular spine (6) | |||||||||
Hattrup et al. (2012)10) | 3 | 65.3 | 0:3 | 10.3 | Acromion (1) | Conservative | 33.3 | 45 | ASES score, SST, VAS |
Scapular spine (2) | |||||||||
Ladermann et al. (2009)13) | 2 | 3 | Acromion (2) | Conservative | 50 | Constant score | |||
Walch et al. (2009)20) | 4 | 5.3 | Scapular spine (4) | Conservative (3) | 25 | ASES score, Constant score | |||
ORIF (1) | |||||||||
Hess et al. (2018)11) | 3 | 74.7 | 0:3 | 5.1 | Acromion (3) | ORIF (3) | 100 | Constant score, SSV | |
Levy et al. (2013)14) | 16 | 77 | 3:13 | 3 | Acromion (10) | Conservative | SANE, ASES score, VAS, SST | ||
Scapular spine (6) | |||||||||
Hamid et al. (2011)8) | 8 | 76.3 | 0:8 | 14.1 | Acromion (4) | Conservative | 25 | 35 | ASES score, SF-12, DASH score |
Scapular spine (4) | |||||||||
Wahlquist et al. (2011)19) | 5 | 74.2 | 1:4 | 5.4 | Scapular spine (5) | Conservative (2) | 100 | 11.6 | VAS, NFO |
ORIF (3) | |||||||||
Dubrow et al. (2014)6) | 14 | 72.1 | 2:12 | 5.1 | Conservative | 19.7 | ASES score, VAS, SANE |
RTSA: reverse total shoulder arthroplasty, M: male, F: female, SANE: Single Assessment Numeric Evaluation, ORIF: open reduction and internal fixation, ASES: American Shoulder and Elbow Surgeons, UCLA: University of California at Los Angeles, VAS: visual analog scale, SST: Simple Shoulder Test, SSV: Subjective Shoulder Value, SF-12: 12-item Short Form Survey, DASH: Disabilities of the Arm, Shoulder and Hand, NFO: Neer's functional outcomes.