"I just saw a 64-year-old woman who had a TSA in March of
2011 by Dr X (shoulder fellowship trained). She says it was great for a
year and then she began to have vague pain that progressed to more severe pain
with movement of the shoulder. She tried to go back to see Dr. X but he
wouldn't see her as she changed insurance to X, which he apparently doesn't
take. So, she came to see me.
X-rays show that her glenoid component appears to have
loosened or dislodged and is sitting, with a large amount of cement on it,
anteriorly and her humeral head is subluxated anteriorly as well. She has
a lot of pain and it is difficult to assess her subscap function, but it
doesn't seem great. I told her that she would very likely need a
revision.
Basically, she wants to see you to revise her shoulder and is happy to wait as long as she needs. I gave her the info and ordered a CT scan to get a better look at her glenoid bone and the position of the components. She's a nice woman."
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