Shoulder joint replacements

Total shoulder arthroplasty TSA or Total shoulder replacement (humeral head and glenoid replaced)

(Normal anatomy humeral head is ball and glenoid is socket)

Performed when person has degenerative or inflammatory conditions such as osteoarthritis

Humeral head replacement or hemi arthroplasty (glenoid still intact only head is replaced)

For people with rheumatoid arthritis, ostheoarthritis, or Avascular necrosis ( blood supply shoulder interrupted)

Reverse total shoulder arthroplasty (glenoid becomes ball and humeral head becomes socket)

Indicated for patients with a degenerative or inflammatory condition present in the shoulder complex but also with some deficiency in the rotator cuff

This relies on deltoid muscle for shoulder movement rather than rotator cuff

When should a shoulder sling be worn?

During functional activities, during ambulation and sleep

When and what are the precautions

For approx 6-8 weeks

No weight bearing

No lifting more than 2lbs

Shoulder extension past neutral

Shoulder abduction past 45 degrees

External rotation past 30 degrees

Internal rotation past 60 degrees

Which side do you donn first for UE dressing?

Affected side

Which side do you doff first when undressing UE?

Unaffected side