Conversion to reverse shoulder arthroplasty fifty-one years after shoulder arthrodesis:A case report

• 作者: Annelies F van Bemmel Arthur van Noort Melissa N Dogger Tjarco D W Alta
• 来源期刊: 世界骨科杂志:英文版
• 学科: 医学
• 关键词: Shoulder arthrodesis CONVERSION Reverse shoulder arthroplasty ELECTROMYOGRAPHY Case report
• 年，卷（期）: 2020,（10）
• 页码范围: 465-472
• 页数: 8页
• 分类号: R68

摘要

BACKGROUND Patients with a shoulder arthrodesis generally experience restriction in range of motion and limitations in activities of daily living.In addition,up to one-third of the patients deals with serious peri scapular pain.The conversion of a shoulder arthrodesis in a reverse shoulder arthroplasty(RSA)has been described as an effective treatment to achieve better function and decreased pain,although literature is sparse.We present the case of a conversion from a painful shoulder arthrodesis to RSA,after a 51 years interval.CASE SUMMARY A 71-year-old male presented with severe peri scapular pain and limited function 51 years after shoulder arthrodesis.Preoperative workup showed a normal bone stock of the glenoid and an intact axillary nerve,but atrophic posterior part of the deltoid muscle.The shoulder arthrodesis was successfully converted to RSA.Twelve months postoperative the patient was very satisfied.He has no pain at rest,nor with exercise and experienced definite improvements in activities of daily living,despite his limited range of motion.CONCLUSION Conversion from shoulder arthrodesis to a RSA can be performed safely,with a high chance of peri scapular pain relief;even after a longstanding arthrodesis.