Thursday, March 17, 2022

71 year old man with rotator cuff tear arthropathy - 11 year followup after CTAA

 A 71 year old man presented with pain in his right shoulder. While he had weakness of his shoulder, he had retained active elevation to 140 degrees. His preoperative images show severe cuff tear arthropathy with a large humeral cyst.




He wished to avoid a reverse total shoulder and instead opted for a cuff tear arthropathy arthroplasty (see this link).

He came by the office for a routine followup eleven years after his surgery. He reported no problems with his right shoulder and had full active elevation.

His eleven year postoperative radiograph is shown below.


Comment: The cuff tear arthropathy arthroplasty is a useful alternative to reverse total shoulder in patients with preserved active elevation. Impaction autografting of a standard humeral stem avoided any issues with his large humeral cyst.


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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link).
Shoulder rehabilitation exercises (see this link).