Total shoulder - failure at 10 years

A 60 year old active patient presented to an outside medical center with pain, stiffness and x-rays showing degenerative joint disease.

A total shoulder replacement was performed. Note the white area of cement inserted underneath the face of the glenoid implant (arrow)

After surgery she developed progressive pain and loss of function. Eight years later x-rays of the shoulder showed loosening of the glenoid component (upper arrow) and loosening of the humeral component with a shift in position of the humeral component (lower arrow). Of note is the degradation of the cement originally placed beneath the glenoid component. It is possible that cement debris contributed to the failure of her joint replacement.

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