Rotator cuff arthropathy |
Classically described as arthritis that develops first at the acromiohumeral interface |
Massive irreparable rotator cuff tear in the elderly |
With or without previous attempt at repair |
Four part unreconstructable proximal humerus fracture |
Particularly in the elderly |
Chronic shoulder dislocation in the elderly |
Reconstruction after tumor resection |
Failed previous replacement with cuff failure and/or instability |
Any of the diagnoses listed in table one with rotator cuff problem, bone loss, instability, or severe deformity not conducive to anatomic TSA |
For example, an elderly patient with intact rotator cuff may be better suited for reverse TSA due to glenoid bone loss due to B2 or B3 glenoid morphology |