However, the axillary view showed a non-displaced crack in the acromion.
This case reveals the potential of fracture of an acromion that is not used to being loaded.
Here's a similar case:
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 these will heal with non operative management.
Comment: It is worthwhile informing patients of this risk and advising a slow return to activities after a reverse total shoulder.
Consultation for those who live a distance away from Seattle.
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