The effect of glenosphere diameter and eccentricity on deltoid power in reverse shoulder arthroplasty
2016
Aims The eccentric glenosphere was principally introduced into reverse
shoulder arthroplasty to reduce the incidence of scapular notching.
There is only limited information about the influence of its design
on deltoid power and joint reaction forces. The aim of our study was to investigate how the diameter and
eccentricity of the glenosphere affect the biomechanics of the deltoid
and the resultant joint reaction forces. Methods Different sizes of glenosphere and eccentricity were serially
tested in ten cadaveric shoulders using a custom shoulder movement
simulator. Results Increasing the diameter of the glenosphere alone did not alter
the deltoid moment arm. However, using an eccentric glenosphere
increased the moment arm of the deltoid, lowered the joint reaction
force and required less deltoid force to generate movement. Conclusion Eccentricity is an independent variable which increases deltoid
efficiency and lowers joint reaction forces in a reverse shoulder
arthroplasty. Cite this article: Bone Joint J 2016;98-B:218–23.
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