Fracture of the scapular spine a year after a reverse total shoulder.

One of the important aspects of a reverse total shoulder is that it enables use of a shoulder that has not been used for many years before. This places loads on bones that may have 'gone soft'.

Here's an example of an 84 year old lady who was doing fabulously well with her reveverse until suddenly she developed pain in the back of her shoulder and loss of her ability to lift it over her head.

Careful review of her axillary x-ray shows a crack through her scapular spine (see arrow below).

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