Функция подлопаточной мышцы при реверсивном эндопротезировании плечевого сустава

Суюнов Р.А.¹, Айрапетов Г.А.², Джоджуа А.В.³, Карпович Н.И.², Закирова А.Р.²

Хотя, в настоящее время, реверсивное эндопротезирование плечевого сустава является достаточно распространённой операцией, до сих пор продолжаются обсуждения различных аспектов биомеханики реверсивного эндопротеза. В частности, нет единого мнения о роли и функции подлопаточной мышцы. Было выполнено несколько клинических и биомеханических исследований, посвященных ее влиянию на стабильность сустава и объем движений. Полученные результаты были противоречивыми. Часть авторов указывает, что подлопаточная мышца улучшает стабильность сустава, но может ограничивать объем движений в нем. Другие авторы не выявили связи между восстановлением крепления подлопаточной мышцы, количеством вывихов и объемом движений. В данной статье представлен обзор медицинских исследований, посвященных изучению функции подлопаточной мышцы после реверсивного эндопротезирования плечевого сустава.

1. Gerber C, Yian EH, Pfirrmann CA, Zumstein MA. Werner CM. Subscapularis muscle function and structure after total shoulder replacement with lesser tuberosity osteotomy and repair. J Bone Joint Surg Am. 2005; 87(8): 1739-1745.

2. Armstrong AD, Southam JD, Horne AH, Hollenbeak CS, Flemming DJ, Kothari MJ. Subscapularis function after total shoulder arthroplasty: electromyography, ultrasound, and clinical correlation. J Shoulder Elbow Surg. 2016; 25(10): 1674-1680.

3. Gobezie R, Denard PJ, Shishani Y, Romeo AA, Lederman E. Healing and functional outcome of a subscapularis peel repair with a stem-based repair after total shoulder arthroplasty. J Shoulder Elbow Surg. 2017; 26(9): 1603-1608.

4. Jackson JD, Cil A, Smith J, Steinmann SP. Integrity and function of the subscapularis after total shoulder arthroplasty. J Shoulder Elbow Surg. 2010; 9(7): 1085-1090.

5. Louie PK, Levy DM, Bach BR Jr, Nicholson GP, Romeo AA. Subscapularis tenotomy versus lesser tuberosity osteotomy for total shoulder arthroplasty: a systematic review. Am J Orthop (Belle Mead NJ). 2017; 46(2): E131–E138.

6 Miller SL, Hazrati Y, Klepps S, Chiang A, Flatow EL. Loss of subscapularis function after total shoulder replacement: a seldom recognized problem. J Shoulder Elbow Surg. 2003; 12(1): 29-34.

7. Moeckel BH, Altchek DW, Warren RF, Wickiewicz TL, Dines DM. Instability of the shoulder after arthroplasty. J Bone Joint Surg Am. 1993; 75(4): 492-497.

8. Sacevich N, Athwal GS, Lapner P. Subscapularis management in total shoulder arthroplasty. J Hand Surg Am. 2015; 40(5): 1009-1011.

9. Shields E, Ho A, Wiater JM. Management of the subscapularis tendon during total shoulder arthroplasty. J Shoulder Elbow Surg. 2017; 26(4): 723-731.

10. Bohsali KI, Bois AJ, Wirth MA. Complications of shoulder arthroplasty. J Bone Joint Surg Am. 2017; 99(3): 256-269.

11. Kany J, Jose J, Katz D, et al. The main cause of instability after unconstrained shoulder prosthesis is soft tissue deficiency. J Shoulder Elbow Surg. 2017; 26(8): e243-e251.

12. Lapner PL, Sabri E, Rakhra K, Bell K, Athwal GS. Comparison of lesser tuberosity osteotomy to subscapularis peel in shoulder arthroplasty: a randomized controlled trial. J Bone Joint Surg Am. 2012; 94(24): 2239-2246.

13. Choate WS, Kwapisz A, Momaya AM, Hawkins RJ, Tokish JM. Outcomes for subscapularis management techniques in shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2018; 27(2): 363-370.

14. Grammont P, Trouilloud P, Laffay JP, Deries X. Etude et realisation d’une nouvelle prothese de´paule. Rheumatologie. 1987; 39: 407-418.

15. Alexandre L, Stephen SB, Pierre H, et al. Classification of full-thickness rotator cuff lesions: a review. EFORT Open Rev. 2016; 1(12): 420-430.

16. Collin P, L€adermann A, Le Bourg M, Walch G. Subscapularis minor — an analogue of the Teres minor? Orthop Traumatol Surg Res. 2013; 99(4 S): S255-S258.

17. Ackland DC, Richardson M, Pandy MG. Axial rotation moment arms of the shoulder musculature after reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2012; 94(20): 1886-1895.

18. Hansen ML, Nayak A, Narayanan MS, et al. Role of subscapularis repair on muscle force requirements with reverse shoulder arthroplasty. Bull Hosp Jt Dis. 2015; 73(S1): S21-S27.

19. Oh JH, Shin SJ, McGarry MH, et al. Biomechanical effects of humeral neckshaft angle and subscapularis integrity in reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2014; 23(8): 1091-1098.

20. Giles JW, Langohr GD, Johnson JA, Athwal GS. The rotator cuff muscles are antagonists after reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2016; 25(10): 1592-1600.

21. Ackland DC, Roshan-Zamir S, Richardson M, Pandy MG. Moment arms of the shoulder musculature after reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2010; 92(5): 1221-1230.

22. Pastor MF, Kraemer M, Wellmann M, Hurschler C, Smith T. Anterior stability of the reverse shoulder arthroplasty depending on implant configuration and rotator cuff condition. Arch Orthop Trauma Surg. 2016; 136(11): 1513-1519.

23. Ladermann A, Denard PJ, Boileau P, et al. What is the best glenoid configuration in onlay reverse shoulder arthroplasty? Int Orthop, 2018; 42: 1339-1346.

24. Friedman RJ, Flurin PH, Wright TW, Zuckerman JD, Roche CP. Comparison of reverse total shoulder arthroplasty outcomes with and without subscapularis repair. J Shoulder Elbow Surg. 2017; 26(4): 662-668.

25. Gulotta LV, Choi D, Marinello P, et al. Humeral component retroversion in reverse total shoulder arthroplasty: a biomechanical study. J Shoulder Elbow Surg. 2021; 21(9): 1121-1127.

26. Rhee YG, Cho NS, Moon SC. Effects of humeral component retroversion on functional outcomes in reverse total shoulder arthroplasty for cuff tear arthropathy. J Shoulder Elbow Surg. 2015; 24(10): 1574-1581.

27. Aleem AW, Feeley BT, Austin LS, et al. Effect of humeral component version on outcomes in reverse shoulder arthroplasty. Orthopedics. 2017; 40(3): 179-186.

28. Daniel M, Frank W, Charles D, Philippe V, Franc¸ois S. Surgical technique: the anterosuperior approach for reverse shoulder arthroplasty. Clin Orthop Relat Res. 2011; 469(9): 2461-2468.

29. Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg. 2011; 20(1): 146-157.

30. Ladermann A, Lo EY, Schwitzgue´bel AJ, Yates E. Subscapularis and deltoid preserving anterior approach for reverse shoulder arthroplasty. Orthop Traumatol Surg Res. 2016; 102(7): 905-908.

31. Ladermann A, Denard PJ, Tirefort J, et al. Subscapularis – and deltoid-sparing vs traditional deltopectoral approach in reverse shoulder arthroplasty: a prospective case-control study. J Orthop Surg Res. 2017; 12(1): 112.

32. Chae J, Siljander M, Wiater JM. Instability in reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2018; 26(17): 587-596.

33. Chalmers PN, Rahman Z, Romeo AA, Nicholson GP. Early dislocation after reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2014; 23(5): 737-744.

34. Padegimas EM, Zmistowski BM, Restrepo C, et al. Instability after reverse total shoulder arthroplasty: which patients dislocate? Am J Orthop (Belle Mead NJ). 2016; 45(7): E444-E450.

35. Kohan EM, Chalmers PN, Salazar D, Keener JD, Yamaguchi K, Chamberlain AM. Dislocation following reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2017; 26(7): 1238-1245.

36. Ladermann A, Denard PJ, Boileau P, et al. Effect of humeral stem design on humeral position and range of motion in reverse shoulder arthroplasty. Int Orthop, 2015; 39(11): 2205-2213.

37. Edwards TB, Williams MD, Labriola JE, et al. Subscapularis insufficiency and the risk of shoulder dislocation after reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2009; 18(6): 892-896.

38. Alentorn-Geli E, Samitier G, Torrens C, Wright TW. Reverse shoulder arthroplasty. Part 2: systematic review of reoperations, revisions, problems, and complications. Int J Shoulder Surg. 2015; 9(2): 60-67.

39. Wall B, Nove´-Josserand L, O’Connor DP, Edwards TB, Walch G. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am. 2007; 89(7): 1476-1485.

40. Dedy NJ, Gouk CJ, Taylor FJ, Thomas M, Tan SLE. Sonographic assessment of the subscapularis after reverse shoulder arthroplasty: impact of tendon integrity on shoulder function. J Shoulder Elbow Surg, 2018; 26(17): 587-596.

41. Clark JC, Ritchie J, Song FS, et al. Complication rates, dislocation, pain, and postoperative range of motion after reverse shoulder arthroplasty in patients with and without repair of the subscapularis. J Shoulder Elbow Surg. 2012; 21(1): 36-41.

42. Grassi FA, Zorzolo I. Reverse shoulder arthroplasty without subscapularis repair for the treatment of proximal humeral fractures in the elderly. Musculoskelet Surg. 2014; 98(Sl): 5-13.

43. Werner BC, Wong AC, Mahony GT, et al. Clinical outcomes after reverse shoulder arthroplasty with and without subscapularis repair: the importance of considering glenosphere lateralization. J Am Acad Orthop Surg. 2018; 26(5): e114-e119.

44. Boileau P, Watkinson D, Hatzidakis AM, Hovorka I. Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg. 2006; 15(5): 527-540.

45. Vourazeris JD, Wright TW, Struk AM, King JJ, Farmer KW. Primary reverse total shoulder arthroplasty outcomes in patients with subscapularis repair versus tenotomy. J Shoulder Elbow Surg. 2017; 26(3): 450-457.

46. Boulahia A, Edwards TB, Walch G, Baratta RV. Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear. Orthopedics, 2002; 25(2): 129-133.

47. Trappey GJ 4th, O’Connor DP, Edwards TB. What are the instability and infection rates after reverse shoulder arthroplasty? Clin Orthop Relat Res. 2011; 469(9): 2505-2511.

48. Gallo RA, Gamradt SC, Mattern CJ, et al. Instability after reverse total shoulder replacement. J Shoulder Elbow Surg. 2011; 20(4): 584-590.