A man in his 60s who has Parkinson's disease had a reverse total shoulder.
After a number of falls, he presented to us with a painful, functionless shoulder and this x-ray
His reverse was reversed to a hemiarthropaslty.
He continued to have problems with falling, but in spite of these episodes his function reamained good as shown here
Comment: This case illustrates the risk of performing a reverse total shoulder for an individual with a tendency to fall. It also illustrates that a hemiarthroplasty may have been a better choice for the initial procedure.
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