{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:59:35Z","timestamp":1790420375406,"version":"4.1.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T00:00:00Z","timestamp":1670284800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T00:00:00Z","timestamp":1670284800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Berufsgenossenschaftliches Klinikum Bergmannsheil gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Amputations of the upper extremity are rare but present a life-altering event that is accompanied with considerable restrictions for the affected patients. Even with functional prosthesis, tasks of the amputated limb are usually transferred to the unaffected arm which could result in complaints of the unaffected shoulder in the mid and long term. We therefore aimed to investigate musculoskeletal pain and morphological degenerative changes of the shoulder following a contralateral amputation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>We included all patients with a major amputation treated at our institution with a minimum of three years since the amputation. All patients received an MRI of both shoulders and were investigated using validated scores for the upper extremity and physical activity (SSV, ASES, DASH, GPAQ, SF-36). Results of the MRIs were investigated for morphological changes by two blinded investigators comparing the side of the amputation and the unharmed upper extremity and results were correlated to the time since amputation and their physical activity.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 20 patients with a mean age of 56\u2009\u00b1\u200919.9\u00a0years (range, 23\u201382\u00a0years) could be included in the study. The mean time since the amputation was 26.3\u2009\u00b1\u200919\u00a0years (range, 3\u201373\u00a0years). On the unharmed upper extremity, the mean SSV was 61.9\u2009\u00b1\u200924.6, the mean ASES-Score 54.5\u2009\u00b1\u200920.3, the Constant-score of 63.7\u2009\u00b1\u200940.4 and a DASH-score of 47.6\u2009\u00b1\u200923.8. The MRI of the unharmed shoulder showed significant more full-thickness rotator cuff tears and joint effusion compared to the side of the amputation. Significant differences in the degree of a glenohumeral arthritis, AC-joint arthritis, or partial rotator cuff tears could not be found between shoulders.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Amputations of the upper extremity are associated with a high disability of the unharmed upper extremity and more full thickness rotator cuff tears compared to the side of the amputation. However, the small number of patients and rotator cuff injuries should be kept in mind when interpreting the data.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>IV (retrospective case series).<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-022-04720-x","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T11:25:30Z","timestamp":1670325930000},"page":"4221-4227","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Shoulder complaints and incidence of shoulder pathologies after contralateral major amputation in the mid and long-term"],"prefix":"10.1007","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7987-5173","authenticated-orcid":false,"given":"Valentin","family":"Rausch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Heider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Heute","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Rosteius","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Seybold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Ge\u00dfmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas A.","family":"Schildhauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"K\u00f6nigshausen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,12,6]]},"reference":[{"key":"4720_CR1","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1097\/00007611-200208000-00018","volume":"95","author":"TR Dillingham","year":"2002","unstructured":"Dillingham TR, Pezzin LE, Mackenzie EJ (2002) Limb amputation and limb deficiency\u202f: epidemiology and recent trends in the United States. South Med J 95:875\u2013884. https:\/\/doi.org\/10.1097\/00007611-200208000-00018","journal-title":"South Med J"},{"key":"4720_CR2","doi-asserted-by":"crossref","unstructured":"Das N, Nagpal N, Bankura SS (2018) A review on the advancements in the field of upper limb prosthesis. J Med Eng Technol","DOI":"10.1080\/03091902.2019.1576793"},{"key":"4720_CR3","doi-asserted-by":"publisher","first-page":"55","DOI":"10.3109\/03093649909071611","volume":"23","author":"LE Jones","year":"1999","unstructured":"Jones LE, Davidson JH (1999) Save that arm: a study of problems in the remaining arm of unilateral upper limb amputees. Prosthet Orthot Int 23:55\u201358. https:\/\/doi.org\/10.3109\/03093649909071611","journal-title":"Prosthet Orthot Int"},{"key":"4720_CR4","doi-asserted-by":"publisher","DOI":"10.1191\/0269215504cr716oa","author":"D Datta","year":"2004","unstructured":"Datta D, Selvarajah K, Davey N (2004) Functional outcome of patients with proximal upper limb deficiency - Acquired and congenital. Clin Rehabil. https:\/\/doi.org\/10.1191\/0269215504cr716oa","journal-title":"Clin Rehabil"},{"key":"4720_CR5","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3181b306ec","author":"MA Hanley","year":"2016","unstructured":"Hanley MA, Ehde DM, Jensen M, Czerniecki J, Smith DG, Robinson LR (2016) Chronic pain associated with upper-limb loss. Am J Phys Med Rehabil. https:\/\/doi.org\/10.1097\/PHM.0b013e3181b306ec","journal-title":"Am J Phys Med Rehabil"},{"key":"4720_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2016.01.031","author":"SG Postema","year":"2016","unstructured":"Postema SG, Bongers RM, Brouwers MA, Burger H, Norling-Hermansson LM, Reneman MF, Dijkstra PU, Van Der Sluis CK (2016) Musculoskeletal complaints in transverse upper limb reduction deficiency and amputation in the netherlands: prevalence, predictors, and effect on health. Arch Phys Med Rehabil. https:\/\/doi.org\/10.1016\/j.apmr.2016.01.031","journal-title":"Arch Phys Med Rehabil"},{"key":"4720_CR7","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1177\/0309364615584658","volume":"40","author":"H Burger","year":"2016","unstructured":"Burger H, Vidmar G (2016) A survey of overuse problems in patients with acquired or congenital upper limb deficiency. Prosthet Orthot Int 40:497\u2013502. https:\/\/doi.org\/10.1177\/0309364615584658","journal-title":"Prosthet Orthot Int"},{"key":"4720_CR8","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1191\/0269215504cr716oa","volume":"18","author":"D Datta","year":"2004","unstructured":"Datta D, Selvarajah K, Davey N (2004) Functional outcome of patients with proximal upper limb deficiency\u2013acquired and congenital. Clin Rehabil 18:172\u2013177. https:\/\/doi.org\/10.1191\/0269215504cr716oa","journal-title":"Clin Rehabil"},{"key":"4720_CR9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136944","author":"AHY Chu","year":"2015","unstructured":"Chu AHY, Ng SHX, Koh D, M\u00fcller-Riemenschneider F, Brucki S (2015) Reliability and validity of the self- and interviewer-administered versions of the Global Physical Activity Questionnaire (GPAQ). PLoS ONE. https:\/\/doi.org\/10.1371\/journal.pone.0136944","journal-title":"PLoS ONE"},{"key":"4720_CR10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365040-00005","author":"RL Samilson","year":"1983","unstructured":"Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Jt Surg Ser A. https:\/\/doi.org\/10.2106\/00004623-198365040-00005","journal-title":"J Bone Jt Surg Ser A"},{"key":"4720_CR11","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1177\/1753193413481302","volume":"39","author":"T Aasheim","year":"2014","unstructured":"Aasheim T, Finsen V (2014) The DASH and the QuickDASH instruments. Normative values in the general population in Norway. J Hand Surg Eur 39:140\u2013144. https:\/\/doi.org\/10.1177\/1753193413481302","journal-title":"J Hand Surg Eur"},{"key":"4720_CR12","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.jse.2004.07.003","volume":"14","author":"EH Yian","year":"2005","unstructured":"Yian EH, Ramappa AJ, Arneberg O, Gerber C (2005) The constant score in normal shoulders. J Shoulder Elb Surg 14:128\u2013133. https:\/\/doi.org\/10.1016\/j.jse.2004.07.003","journal-title":"J Shoulder Elb Surg"},{"key":"4720_CR13","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1055\/s-2003-38662","volume":"141","author":"M Thomas","year":"2003","unstructured":"Thomas M, Dieball O, Busse M (2003) Normalwerte der Schulterkraft in Abh\u00e4ngigkeit von Alter und Geschlecht - Vergleich zum Constant-, UCLA-, ASES-score und SF-36 Fragebogen. Z Orthop Ihre Grenzgeb 141:160\u2013170. https:\/\/doi.org\/10.1055\/s-2003-38662","journal-title":"Z Orthop Ihre Grenzgeb"},{"key":"4720_CR14","doi-asserted-by":"publisher","first-page":"120","DOI":"10.3928\/01477447-20070201-16","volume":"30","author":"AE Freeland","year":"2007","unstructured":"Freeland AE, Psonak R (2007) Traumatic below-elbow amputations. Orthopedics 30:120\u2013126","journal-title":"Orthopedics"},{"key":"4720_CR15","doi-asserted-by":"publisher","first-page":"479","DOI":"10.3109\/17483107.2011.653296","volume":"7","author":"K Ostlie","year":"2012","unstructured":"Ostlie K, Lesj\u00f8 IM, Franklin RJ, Garfelt B, Skjeldal OH, Magnus P (2012) Prosthesis use in adult acquired major upper-limb amputees: Patterns of wear, prosthetic skills and the actual use of prostheses in activities of daily life. Disabil Rehabil Assist Technol 7:479\u2013493. https:\/\/doi.org\/10.3109\/17483107.2011.653296","journal-title":"Disabil Rehabil Assist Technol"},{"key":"4720_CR16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0213578","volume":"14","author":"L Resnik","year":"2019","unstructured":"Resnik L, Ekerholm S, Borgia M, Clark MA (2019) A national study of Veterans with major upper limb amputation: Survey methods, participants, and summary findings. PLoS ONE 14:e0213578. https:\/\/doi.org\/10.1371\/journal.pone.0213578","journal-title":"PLoS ONE"},{"key":"4720_CR17","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.06.026","author":"K \u00d8stlie","year":"2011","unstructured":"\u00d8stlie K, Franklin RJ, Skjeldal OH, Skrondal A, Magnus P (2011) Musculoskeletal pain and overuse syndromes in adult acquired major upper-limb amputees. Arch Phys Med Rehabil. https:\/\/doi.org\/10.1016\/j.apmr.2011.06.026","journal-title":"Arch Phys Med Rehabil"},{"key":"4720_CR18","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.09.032","author":"M Akbar","year":"2015","unstructured":"Akbar M, Brunner M, Ewerbeck V, Wiedenh\u00f6fer B, Grieser T, Bruckner T, Loew M, Raiss P (2015) Do overhead sports increase risk for rotator cuff tears in wheelchair users? Arch Phys Med Rehabil. https:\/\/doi.org\/10.1016\/j.apmr.2014.09.032","journal-title":"Arch Phys Med Rehabil"},{"key":"4720_CR19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.03.021","author":"M Akbar","year":"2011","unstructured":"Akbar M, Brunner M, Balean G, Grieser T, Bruckner T, Loew M, Raiss P (2011) A cross-sectional study of demographic and morphologic features of rotator cuff disease in paraplegic patients. J Shoulder Elb Surg. https:\/\/doi.org\/10.1016\/j.jse.2011.03.021","journal-title":"J Shoulder Elb Surg"},{"key":"4720_CR20","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1016\/S1058-2746(99)90148-9","volume":"8","author":"S Tempelhof","year":"1999","unstructured":"Tempelhof S, Rupp S, Seil R (1999) Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elb Surg 8:296\u2013299","journal-title":"J Shoulder Elb Surg"},{"key":"4720_CR21","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.jor.2013.01.008","volume":"10","author":"H Minagawa","year":"2013","unstructured":"Minagawa H, Yamamoto N, Abe H, Fukuda M, Seki N, Kikuchi K, Kijima H, Itoi E (2013) Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. J Orthop 10:8\u201312. https:\/\/doi.org\/10.1016\/j.jor.2013.01.008","journal-title":"J Orthop"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-022-04720-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-022-04720-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-022-04720-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T19:15:44Z","timestamp":1687806944000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-022-04720-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,6]]},"references-count":21,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["4720"],"URL":"https:\/\/doi.org\/10.1007\/s00402-022-04720-x","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,6]]},"assertion":[{"value":"7 September 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 November 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 December 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All authors confirm that there are no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was reviewed and approved by the local IRB-committee of the Ruhr-University-Bochum (Reg.-nr.: 17-6169).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}