Outcomes of reverse shoulder arthroplasty in patients with os acromiale: a systematic review

Q4 Medicine

Seminars in Arthroplasty Pub Date : 2025-04-03 DOI:10.1053/j.sart.2025.03.004

Gregorio Secci MD , Mark Mouchantaf MD , Philipp Schippers MD , Manon Biegun MD , Luigi Zanna MD , Matteo Innocenti MD , Raffaele Tucci MD , Pascal Boileau MD, PhD

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引用次数: 0

Abstract

Background

When the acromion does not fully fuse during development, the resulting condition is known as os acromiale. Since the deltoid muscle, a key player in reverse shoulder arthroplasty (RSA), attaches to the acromion, surgeons may be hesitant to implant an RSA in these patients. Hence, the aim of this study is to report the clinical and radiological outcomes, as well as safety and effectiveness of RSA in patients with os acromiale.

Methods

A systematic review of the literature was conducted to evaluate the outcomes of RSA in patients with os acromiale, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Four studies with a total of 100 patients (103 shoulders) were reviewed. Data on clinical outcomes, range of motion, pain relief, and complications were reported.

Results

Patients with os acromiale undergoing RSA showed significant improvements in clinical outcomes. The mean weighted postoperative Constant-Murley score was 69 points, with improved range of motion. In 38.8% of cases, a postoperative acromial tilt was reported; however, this did not significantly affect the outcome.

Conclusions

RSA can be considered a safe and reliable procedure for patients with os acromiale, offering improvements in both pain and function, similar to those observed in patients without os acromiale. More than one-third of patients (38.8%) experience os acromiale tilting, which did not show clinical relevance.

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肩峰性骨质疏松患者的反向肩关节置换术的疗效：一项系统综述

当肩峰在发育过程中没有完全融合时，产生的情况被称为肩峰畸形。由于三角肌是反向肩关节置换术（RSA）的关键部位，它附着于肩峰，外科医生可能会对在这些患者中植入RSA犹豫不决。因此，本研究的目的是报告RSA治疗肩峰性骨质疏松患者的临床和放射学结果，以及安全性和有效性。方法根据系统评价和荟萃分析指南的首选报告项目，对文献进行了系统回顾，以评估肩峰性骨质疏松患者的RSA结果。我们回顾了4项共100例患者（103个肩关节）的研究。报告了临床结果、活动范围、疼痛缓解和并发症的数据。结果肩峰性骨质疏松患者行RSA治疗后临床疗效明显改善。术后平均加权Constant-Murley评分为69分，活动范围改善。38.8%的病例术后出现肩峰倾斜；然而，这并没有显著影响结果。结论srsa对于肩峰性骨骼肌患者是一种安全可靠的治疗方法，与无肩峰性骨骼肌患者相比，其疼痛和功能都得到了改善。超过三分之一的患者（38.8%）出现肩峰倾斜，无临床相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Arthroplasty Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

104

期刊介绍： Each issue of Seminars in Arthroplasty provides a comprehensive, current overview of a single topic in arthroplasty. The journal addresses orthopedic surgeons, providing authoritative reviews with emphasis on new developments relevant to their practice.