Wednesday, September 10, 2014

Failed ingrowth hemiarthroplasty - revision to reverse

A lady in her late 70s presented with a painful shoulder after a prior hemiarthroplasty performed elsewhere. She could not perform any of the twelve functions of the Simple Shoulder Test. Her shoulder was very stiff and painful on movement.
Her radiographs showed a superiorly placed bone ingrowth humeral component that was eroding into her upper glenoid and acromion.

At surgery the supraspinatus tendon was absent and the remainder of the cuff thin. After a challenging prosthesis removal, we revised her to a reverse total shoulder.

Today, 7 weeks after surgery she reported that her shoulder was very comfortable, that she could once more do her own hair and that she was headed out on a cruise.

Consultation for those who live a distance away from Seattle.

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