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 For Patients With Severe Shoulder Symptoms, A Local Surgeon Uses Implants To
                      Reverse The Anatomy of The Shoulder

Imagine if your shoulders were so stiff and painful that you could not lift your arm to
comb your hair. For local residents with a certain type of shoulder problem, that’s the
daily reality, and until now, there were few options for treatment.

There may be new hope. That’s the news from Joe Sample, MD, of Acme Orthopaedic
Group, who says a new type of technology can help relieve intense shoulder pain and, in
some cases, even restore arm mobility.

Dr. Sample is among a growing number of surgeons trained to use a procedure that
actually reverses the anatomy of the shoulder to treat a condition known as end-stage
cuff-tear arthropathy. Most patients with the condition are age 65 or older and have
severe shoulder symptoms. For many of these patients, driving a car, reaching for a book
on a shelf, and other daily activities are out of reach.

About end-stage cuff-tear arthropathy

In a healthy shoulder, the humerus ends in a ball shape. This ball fits into a socket formed
by the shoulder blade (scapula). Together, this ball-and-socket joint makes up the

End-stage cuff-tear arthropathy (ESCTA) is a condition in which the rotator cuff muscles
have degenerated to the point where they can no longer hold the shoulder intact or allow
it to function normally. In many cases, the cause of the weakness may be arthritis, a
previous shoulder injury such as a shoulder fracture, rotator cuff tear or failed previous
shoulder surgeries. Patients often complain of extreme pain and a severe loss of shoulder

The new procedure used by Dr. Sample uses a reverse shoulder system made by DePuy
Orthopaedics, Inc., a Johnson & Johnson company, to treat patients with arthritis and
ESCTA. It is called the Delta CTA® Reverse Shoulder System.
The surgical procedure reverses the anatomy of the shoulder. The implant is designed so
that the ball portion is attached to the scapula (shoulder blade) and the socket portion to
the humerus (upper arm). A functional deltoid muscle is needed for use of this device.

Why reverse the anatomy of the shoulder?

Dr. Sample says reversing the mechanism of the shoulder may help restore some arm
mobility and relieve pain. The stronger muscles in other parts of the shoulder can lift the
arm more efficiently.

“This technology has made a big difference in the way we treat shoulders,” says Dr.
Sample. “Patients who have irreparable cuff tears and arthritis are often in serious pain.
The Delta System may help them considerably.”

“The Delta System has been used for over 15 years in Europe and has demonstrated
restored motion, pain relief and stability,” Dr. Sample said. “Reversing the anatomy of
the shoulder and using the healthy deltoid muscle may help restore pain-free shoulder
function and enable patients to return to their daily activities.”

The surgery is not for everyone and results will vary. As with any surgery, there are risks.
Rehabilitation takes a lot of work and dedication.

For more information, visit

About DePuy Orthopaedics, Inc.

DePuy Orthopaedics, Inc., a Johnson & Johnson company, is committed to helping
surgeons and patients achieve excellence in orthopaedic care.


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