A young man under the age of 50 presented after four prior surgical procedures on his right shoulder. The first, 5 years ago, was an arthroscopic labral repair after which he noted increasing posterior instability. 4 years ago an arthroscopic debridement was performed with findings of severe arthritis. 3 years ago he had a hemicap with a cadaveric bone graft to the posterior glenoid fixed with two screws. 1 year ago he head a total shoulder followed by a wound infection.
Now he presents with pain and severe posterior instability as shown in this video
His radiographs show a tightly fixed humeral stem and posterior subluxation of the humeral head on the glenoid.
We are posting this case to illustrate the complexities of revision arthroplasty in a young man. We're still discussing the revision options with him. We are facing (1) a possible low grade infection, (2) a well fixed ingrowth stem, (3) screws that would complicate fixation of a new anatomic or a reverse glenoid - all in an active muscular young man.
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You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'