{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:22:52Z","timestamp":1791498172071,"version":"4.3.4"},"reference-count":53,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb Arthroscopy may be used to diagnose symptomatic glenoid loosening following anatomic total shoulder arthroplasty (aTSA), and arthroscopic glenoid component removal may suffice as treatment for some patients.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Arthroscopy may be used to diagnose shoulder prosthetic joint infection (PJI) following aTSA and reverse shoulder arthroplasty (RSA). Tissues are biopsied from multiple sites within the joint and the subdeltoid or subacromial space, and they are cultured for a minimum of 14 days.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Postoperative adhesions arising after prosthetic shoulder arthroplasty (PSA) may be released arthroscopically. However, other problems contributing to shoulder stiffness such as component malpositioning or shoulder PJI require additional intervention.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Arthroscopy may be used to repair select rotator cuff tears that arise acutely following aTSA, but chronic attritional tears do not heal after repair; therefore, revision to RSA often is needed.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Many complications following PSA, such as infection, fixed instability, humeral component loosening, and major humeral or glenoid bone loss, are not adequately treated using arthroscopic techniques. However, arthroscopy following PSA may help to diagnose and treat other complications, even as the precise indications following aTSA and RSA remain unclear.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.20.00020","type":"journal-article","created":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T13:48:27Z","timestamp":1598363307000},"page":"e20.00020-8","source":"Crossref","is-referenced-by-count":18,"title":["Arthroscopic Evaluation and Treatment of Complications That Arise Following Prosthetic Shoulder Arthroplasty"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2996-739X","authenticated-orcid":false,"given":"David B.","family":"Parker","sequence":"first","affiliation":[{"name":"Integris Orthopedics Central, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2555-6131","authenticated-orcid":false,"given":"Andrew C.","family":"Smith","sequence":"additional","affiliation":[{"name":"Northwest Allied Bone and Joint, Tucson, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3172-4349","authenticated-orcid":false,"given":"Cassie M.","family":"Fleckenstein","sequence":"additional","affiliation":[{"name":"Mercy Health-Cincinnati SportsMedicine and Orthopaedic Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5344-9245","authenticated-orcid":false,"given":"Samer S.","family":"Hasan","sequence":"additional","affiliation":[{"name":"Mercy Health-Cincinnati SportsMedicine and Orthopaedic Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,8]]},"reference":[{"issue":"3","key":"r1-20230807","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/j.jse.2015.09.013","article-title":"Indications and outcomes of shoulder arthroscopy after shoulder arthroplasty","volume":"25","author":"Horner","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"issue":"1","key":"r2-20230807","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1007\/s12178-016-9318-y","article-title":"Safety and efficacy of arthroscopy in the setting of shoulder arthroplasty","volume":"9","author":"Heaven","year":"2016","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"1","key":"r3-20230807","doi-asserted-by":"crossref","first-page":"23","DOI":"10.5435\/JAAOS-21-01-23","article-title":"Soft-tissue management in revision total shoulder arthroplasty","volume":"21","author":"Abboud","year":"2013","journal-title":"J Am Acad Orthop Surg"},{"issue":"5","key":"r4-20230807","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1067\/mse.2002.125806","article-title":"Characteristics of unsatisfactory shoulder arthroplasties","volume":"11","author":"Hasan","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"key":"r5-20230807","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/00003086-198210000-00025","article-title":"Revision of humeral head and total shoulder arthroplasties","volume":"170","author":"Neer","year":"1982","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"r6-20230807","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1067\/mse.2002.125806","article-title":"Characteristics of unsatisfactory shoulder arthroplasties","volume":"11","author":"Hasan","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"issue":"6","key":"r7-20230807","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/0749-8063(95)90106-X","article-title":"Arthroscopy of symptomatic total knee replacements","volume":"11","author":"Bae","year":"1995","journal-title":"Arthroscopy"},{"key":"r8-20230807","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/00003086-199110000-00018","article-title":"Arthroscopic treatment of symptomatic total knee arthroplasty","volume":"271","author":"Bocell","year":"1991","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"r9-20230807","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/S0749-8063(97)90150-X","article-title":"The efficacy of arthroscopy following total knee replacement","volume":"13","author":"Diduch","year":"1997","journal-title":"Arthroscopy"},{"issue":"1","key":"r10-20230807","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s00167-014-3379-5","article-title":"Hip arthroscopy in the setting of hip arthroplasty","volume":"24","author":"Heaven","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"r11-20230807","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.knee.2007.08.009","article-title":"Arthroscopic treatment of patellofemoral soft tissue impingement after posterior stabilized total knee arthroplasty","volume":"15","author":"Koh","year":"2008","journal-title":"Knee"},{"issue":"3","key":"r12-20230807","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/S0749-8063(05)80421-9","article-title":"Arthroscopic assessment of glenoid component loosening after total shoulder arthroplasty","volume":"9","author":"Bonutti","year":"1993","journal-title":"Arthroscopy"},{"issue":"6","key":"r13-20230807","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1053\/jars.2000.8243","article-title":"Arthroscopy for failed shoulder arthroplasty","volume":"16","author":"Hersch","year":"2000","journal-title":"Arthroscopy"},{"issue":"2","key":"r14-20230807","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.jse.2009.05.016","article-title":"Revision shoulder arthroplasty: an analysis of indications and outcomes","volume":"19","author":"Sajadi","year":"2010","journal-title":"J Shoulder Elbow Surg"},{"issue":"6S","key":"r15-20230807","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.1016\/j.jse.2019.04.016","article-title":"Proceedings from the 2018 International Consensus Meeting on Orthopedic Infections: evaluation of periprosthetic shoulder infection","volume":"28","author":"Garrigues","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"issue":"1","key":"r16-20230807","doi-asserted-by":"crossref","first-page":"46","DOI":"10.2106\/00004623-200101000-00007","article-title":"Damage to cobalt-chromium surfaces during arthroscopy of total knee replacements","volume":"83","author":"Raab","year":"2001","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"r17-20230807","doi-asserted-by":"crossref","first-page":"597","DOI":"10.2106\/JBJS.15.00568","article-title":"Propionibacterium in shoulder arthroplasty: what we think we know today","volume":"98","author":"Hsu","year":"2016","journal-title":"J Bone Joint Surg Am"},{"issue":"9","key":"r18-20230807","doi-asserted-by":"crossref","first-page":"2809","DOI":"10.1007\/s11999-014-3696-5","article-title":"Patient and procedure-specific risk factors for deep infection after primary shoulder arthroplasty","volume":"472","author":"Richards","year":"2014","journal-title":"Clin Orthop Relat Res"},{"issue":"22","key":"r19-20230807","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.2106\/JBJS.K.00861","article-title":"Prognostic factors for bacterial cultures positive for Propionibacterium acnes and other organisms in a large series of revision shoulder arthroplasties performed for stiffness, pain, or loosening","volume":"94","author":"Pottinger","year":"2012","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"r20-20230807","doi-asserted-by":"crossref","first-page":"1878","DOI":"10.1128\/JCM.01686-08","article-title":"Microbiologic diagnosis of prosthetic shoulder infection by use of implant sonication","volume":"47","author":"Piper","year":"2009","journal-title":"J Clin Microbiol"},{"issue":"7","key":"r21-20230807","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1016\/j.jse.2014.12.021","article-title":"\u03b1-defensin as a predictor of periprosthetic shoulder infection","volume":"24","author":"Frangiamore","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"issue":"7","key":"r22-20230807","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1097\/CORR.0000000000000762","article-title":"What is the diagnostic accuracy of alpha-defensin and leukocyte esterase test in periprosthetic shoulder infection?","volume":"477","author":"Unter Ecker","year":"2019","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"r23-20230807","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1007\/s00264-020-04532-x","article-title":"Alpha-defensin lateral flow test does not appear to be useful in predicting shoulder periprosthetic joint infections","volume":"44","author":"Weigelt","year":"2020","journal-title":"Int Orthop"},{"key":"r24-20230807","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/00003086-200101000-00028","article-title":"Infection after shoulder arthroplasty","volume":"382","author":"Sperling","year":"2001","journal-title":"Clin Orthop Relat Res"},{"issue":"23","key":"r25-20230807","doi-asserted-by":"crossref","first-page":"1952","DOI":"10.2106\/JBJS.M.01512","article-title":"Arthroscopic tissue culture for the evaluation of periprosthetic shoulder infection","volume":"96","author":"Dilisio","year":"2014","journal-title":"J Bone Joint Surg Am"},{"issue":"9","key":"r26-20230807","doi-asserted-by":"crossref","first-page":"2571","DOI":"10.1016\/j.arthro.2019.03.058","article-title":"Diagnostic arthroscopy for detection of periprosthetic infection in painful shoulder arthroplasty","volume":"35","author":"Akg\u00fcn","year":"2019","journal-title":"Arthroscopy"},{"issue":"5","key":"r27-20230807","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.jse.2014.07.016","article-title":"Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up","volume":"24","author":"Schoch","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"issue":"1","key":"r29-20230807","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S0883-5403(88)80051-2","article-title":"Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency","volume":"3","author":"Franklin","year":"1988","journal-title":"J Arthroplasty"},{"key":"r30-20230807","first-page":"86","article-title":"Unconstrained shoulder arthroplasty. A five-year average follow-up study","volume":"257","author":"Weiss","year":"1990","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"r31-20230807","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/S1058-2746(09)80138-9","article-title":"The glenoid component in total shoulder arthroplasty","volume":"2","author":"Brems","year":"1993","journal-title":"J Shoulder Elbow Surg"},{"issue":"2","key":"r32-20230807","doi-asserted-by":"crossref","first-page":"229","DOI":"10.3928\/0147-7447-19990201-13","article-title":"Treatment of symptomatic glenoid loosening following unconstrained shoulder arthroplasty","volume":"22","author":"Hawkins","year":"1999","journal-title":"Orthopedics"},{"issue":"5","key":"r33-20230807","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.jse.2004.03.001","article-title":"Radiographic analysis of polyethylene glenoid components using modern cementing techniques","volume":"13","author":"Mileti","year":"2004","journal-title":"J Shoulder Elbow Surg"},{"issue":"10","key":"r34-20230807","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1016\/j.jse.2015.06.027","article-title":"Assessment of painful total shoulder arthroplasty using computed tomography arthrography","volume":"24","author":"Mallo","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"issue":"5","key":"r35-20230807","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/j.jse.2013.12.003","article-title":"The evaluation of the failed shoulder arthroplasty","volume":"23","author":"Wiater","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"issue":"11","key":"r36-20230807","doi-asserted-by":"crossref","first-page":"862","DOI":"10.3928\/01477447-20110922-19","article-title":"Arthroscopically assisted conversion of total shoulder arthroplasty to hemiarthroplasty with glenoid bone grafting","volume":"34","author":"Namdari","year":"2011","journal-title":"Orthopedics"},{"issue":"4","key":"r37-20230807","doi-asserted-by":"crossref","first-page":"858","DOI":"10.2106\/JBJS.C.01732","article-title":"Arthroscopic removal of the glenoid component for failed total shoulder arthroplasty. A report of five cases","volume":"87","author":"O\u2019Driscoll","year":"2005","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r38-20230807","doi-asserted-by":"crossref","first-page":"e529","DOI":"10.1016\/j.eats.2016.11.011","article-title":"Arthroscopic removal of a loose polyethylene glenoid component with bone grafting and patch augmentation for glenoid osseous defect","volume":"6","author":"Abildgaard","year":"2017","journal-title":"Arthrosc Tech"},{"issue":"2","key":"r39-20230807","doi-asserted-by":"crossref","first-page":"e149","DOI":"10.1016\/j.eats.2014.12.001","article-title":"Arthroscopic removal of a polyethylene glenoid component in total shoulder arthroplasty","volume":"4","author":"Venjakob","year":"2015","journal-title":"Arthrosc Tech"},{"issue":"6","key":"r40-20230807","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/j.jse.2011.08.069","article-title":"Fate of large structural allograft for treatment of severe uncontained glenoid bone deficiency","volume":"21","author":"Iannotti","year":"2012","journal-title":"J Shoulder Elbow Surg"},{"issue":"5","key":"r41-20230807","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.jse.2006.11.004","article-title":"The complex characteristics of 282 unsatisfactory shoulder arthroplasties","volume":"16","author":"Franta","year":"2007","journal-title":"J Shoulder Elbow Surg"},{"issue":"10","key":"r42-20230807","doi-asserted-by":"crossref","first-page":"1971","DOI":"10.1016\/j.jse.2019.02.027","article-title":"Arthroscopy of the symptomatic shoulder arthroplasty","volume":"28","author":"Doherty","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"issue":"9","key":"r43-20230807","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1016\/j.arthro.2005.07.021","article-title":"Arthroscopic capsular release after hemiarthroplasty of the shoulder for fracture: a new treatment paradigm","volume":"21","author":"Barth","year":"2005","journal-title":"Arthroscopy"},{"issue":"7","key":"r44-20230807","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/S0749-8063(98)70091-X","article-title":"Impingement syndrome following total shoulder arthroplasty and humeral hemiarthroplasty: treatment with arthroscopic acromioplasty","volume":"14","author":"Freedman","year":"1998","journal-title":"Arthroscopy"},{"issue":"12","key":"r45-20230807","doi-asserted-by":"crossref","first-page":"2606","DOI":"10.2106\/JBJS.H.00012","article-title":"Range of impingement-free abduction and adduction deficit after reverse shoulder arthroplasty. Hierarchy of surgical and implant-design-related factors","volume":"90","author":"Guti\u00e9rrez","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"r46-20230807","first-page":"135","article-title":"Complications in total shoulder arthroplasty","volume":"62","author":"Sperling","year":"2013","journal-title":"Instr Course Lect"},{"issue":"1","key":"r47-20230807","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jse.2005.06.002","article-title":"Rotator cuff repair after shoulder replacement","volume":"15","author":"Hattrup","year":"2006","journal-title":"J Shoulder Elbow Surg"},{"issue":"4","key":"r48-20230807","doi-asserted-by":"crossref","first-page":"603","DOI":"10.2106\/00004623-199604000-00018","article-title":"Complications of total shoulder-replacement arthroplasty","volume":"78","author":"Wirth","year":"1996","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"r49-20230807","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1016\/j.jse.2017.12.018","article-title":"Risk factors for failing to achieve improvement after anatomic total shoulder arthroplasty for glenohumeral osteoarthritis","volume":"27","author":"Mahony","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"issue":"2","key":"r50-20230807","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1038\/nrrheum.2014.174","article-title":"Advances in arthroscopy-indications and therapeutic applications","volume":"11","author":"Carr","year":"2015","journal-title":"Nat Rev Rheumatol"},{"issue":"3","key":"r51-20230807","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1067\/mse.2002.122257","article-title":"The role of arthroscopy for the problem shoulder arthroplasty","volume":"11","author":"Tytherleigh-Strong","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"issue":"4","key":"r52-20230807","doi-asserted-by":"crossref","first-page":"492","DOI":"10.2106\/00004623-199304000-00003","article-title":"Instability of the shoulder after arthroplasty","volume":"75","author":"Moeckel","year":"1993","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"r53-20230807","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/s11420-013-9373-5","article-title":"Shoulder instability after total shoulder arthroplasty: a case of arthroscopic repair","volume":"10","author":"Gee","year":"2014","journal-title":"HSS J"},{"issue":"3","key":"r54-20230807","doi-asserted-by":"crossref","first-page":"e71","DOI":"10.2106\/JBJS.CC.17.00048","article-title":"Arthroscopic repair of recurrent posterior shoulder subluxation after total shoulder arthroplasty: a case report","volume":"7","author":"Grieshaber-Bouyer","year":"2017","journal-title":"JBJS Case Connect"}],"container-title":["JBJS Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.20.00020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:41Z","timestamp":1787751521000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.20.00020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":53,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.rvw.20.00020","relation":{},"ISSN":["2329-9185"],"issn-type":[{"value":"2329-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}