Cofield's 1983 review synthesizes early Mayo Clinic experience and published multi-center data on unconstrained total shoulder arthroplasty using the Neer prosthesis. It characterizes rotator cuff pathology by diagnosis, describes surgical technique, and reports intermediate-term pain, motion, and radiographic outcomes across 176 consecutive cases and several external series.
When planning total shoulder arthroplasty, expect the rotator cuff to be intact or straightforwardly repairable in ~90% of cases — but assess preoperatively by diagnosis, since rheumatoid patients carry a 27% intraoperative tear rate and cuff tear arthropathy shoulders universally have massive tears requiring a different surgical strategy.
Glenoid lucent lines on postoperative radiographs are common and usually benign, but lines wider than 2 mm or showing progressive widening on serial films warrant clinical correlation for loosening.
Cofield's 1983 review synthesizes early Mayo Clinic experience and published multi-center data on unconstrained total shoulder arthroplasty using the Neer prosthesis. It characterizes rotator cuff pathology by diagnosis, describes surgical technique, and reports intermediate-term pain, motion, and radiographic outcomes across 176 consecutive cases and several external series.
When planning total shoulder arthroplasty, expect the rotator cuff to be intact or straightforwardly repairable in ~90% of cases — but assess preoperatively by diagnosis, since rheumatoid patients carry a 27% intraoperative tear rate and cuff tear arthropathy shoulders universally have massive tears requiring a different surgical strategy.
Glenoid lucent lines on postoperative radiographs are common and usually benign, but lines wider than 2 mm or showing progressive widening on serial films warrant clinical correlation for loosening.