Friday, November 4, 2016

A difficult combination: simultaneous humeral head and glenoid defects

We were recently sent the x-rays from the right shoulder of a young person with a shoulder injury. While the AP view appeared to show arthritis.

the axillary 'truth' view showed a posterior fracture dislocation with major loss of anterior humeral bone and posterior glenoid bone.

A CT scan added no additional information
He was treated with a hemiarthroplasty
After an early post operative injury, an axillary view was taken showing displacement of the prosthetic humeral head into the posterior glenoid defect.
We not confident that any surgical procedure will meet the needs of this young active person. In our experience a posterior bone graft is unlikely to withstand the loads that will be put on it by the hemiarthroplasty. A reverse total shoulder could be considered using the residual anterior glenoid bone, but this approach may not be appropriate for a young person with high activity expectations.


Information about shoulder exercises can be found at this link.

Use the "Search" box to the right to find other topics of interest to you.

You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'