This case series from Mayo Clinic evaluated semiconstrained total shoulder arthroplasty using the Neer 600% hooded glenoid component in 6 patients (7 shoulders) with glenohumeral arthritis and massive rotator cuff tears, asking whether this construct could provide stability and pain relief in this notoriously difficult patient population. Average follow-up was 69 months.
When you encounter a patient with cuff tear arthropathy and glenohumeral arthritis requiring surgery, this series reinforces why semiconstrained TSA has been abandoned: the hooded glenoid cannot substitute for dynamic rotator cuff stabilization, producing predictable loosening and anterior-superior escape.
The authors' own conclusion — and the weight of contemporary evidence. Points to hemiarthroplasty (preserving the coracoacromial arch) as the appropriate reconstruction when conservative management fails.
This case series from Mayo Clinic evaluated semiconstrained total shoulder arthroplasty using the Neer 600% hooded glenoid component in 6 patients (7 shoulders) with glenohumeral arthritis and massive rotator cuff tears, asking whether this construct could provide stability and pain relief in this notoriously difficult patient population. Average follow-up was 69 months.
When you encounter a patient with cuff tear arthropathy and glenohumeral arthritis requiring surgery, this series reinforces why semiconstrained TSA has been abandoned: the hooded glenoid cannot substitute for dynamic rotator cuff stabilization, producing predictable loosening and anterior-superior escape.
The authors' own conclusion — and the weight of contemporary evidence. Points to hemiarthroplasty (preserving the coracoacromial arch) as the appropriate reconstruction when conservative management fails.