Effect of humeral head component size on hemiarthroplasty translations androtations

Glenohumeral translation and rotation were measured in 6 grossly normal, Fr esh frozen shoulder preparations while a manual load was applied to the hum erus. The same tests (maximum elevation, total rotation, anterior/posterior (A/P) translation, and inferior translation) were repeated for each should er through 8 series: 1 with the shoulder intact, 1 with the shoulder vented , and 6 with progressively larger humeral head components after hemiarthrop lasty. There was an inverse linear relation between humeral head component size and all 4 outcome variables. Replacing the native head with a componen t of equal diameter reduced elevation 20%, rotation 40%, A/P translation 50 %, and inferior translation 60% in the vented shoulder Replacing the native head with a component of equal effective volume decreased elevation 8%, ro tation 20%, A/P translation 25%, and inferior translation 40% in the vented shoulder Increasing humeral head component size decreased rotation, A/P tr anslation, and inferior translation by similar percentages and elevation so mewhat less. Humeral head component size is better described in terms of vo lume than in terms of diameter or offset.