Monday, November 2, 2015

Acromial fatigue fracture 3.5 years after a reverse total shoulder

An 85 year old lady presented with severe cuff tear arthropathy as shown below.

She had a reverse total shoulder in early 2012. Two years after surgery she had excellent comfort and function. Here x-rays at that point are shown below.

Three and a half years after her procedure she developed the atraumatic onset of posterior shoulder pain. Her axillary x-ray shows a fatigue fracture of the scapular spine (to the left of the red line).

We anticipate that this will heal with non operative management.

Consultation for those who live a distance away from Seattle.

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