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Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report
BACKGROUND: Acromial and scapular spine fractures after reverse total shoulder arthroplasty (RTSA) are a well-known complication that may negatively impact the effects of long-term outcomes. However, to the best of our knowledge, there has been no report of simultaneous bilateral fractures of the ac...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809656/ https://www.ncbi.nlm.nih.gov/pubmed/33511198 http://dx.doi.org/10.12998/wjcc.v9.i1.284 |
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author | Kim, Du-Han Kim, Beom-Soo Cho, Chul-Hyun |
author_facet | Kim, Du-Han Kim, Beom-Soo Cho, Chul-Hyun |
author_sort | Kim, Du-Han |
collection | PubMed |
description | BACKGROUND: Acromial and scapular spine fractures after reverse total shoulder arthroplasty (RTSA) are a well-known complication that may negatively impact the effects of long-term outcomes. However, to the best of our knowledge, there has been no report of simultaneous bilateral fractures of the acromion or scapular spine that occurred following staged RTSA. CASE SUMMARY: A 79-year-old right-handed male visited our outpatient clinic with a chief complaint of pain and limited motion of both shoulder joints for a one-year duration. Based on plain radiographs and magnetic resonance images, the preoperative diagnosis was bilateral cuff tear arthropathy with failed rotator cuff repair. This patient was treated with staged bilateral RTSA at a two-month interval. At 5 and 3 mo after right and left side surgery, the patient returned to the outpatient clinic with severe pain and limited motion of both shoulder joints for 2 wk without a traumatic event. A computed tomography scan revealed non-displaced acromial base fractures of both shoulders. Considering bilateral involvement, fracture location, and patient’s demand, open reduction and internal fixation (ORIF) using plate for bilateral acromial base fractures were performed. At 2 years after ORIF, the fracture was completely healed, and the patient was satisfied with shoulder status. CONCLUSION: This report describes an extremely rare case of simultaneous bilateral acromial base fractures after staged RTSA managed successfully by ORIF with a pre-contoured plate designed for distal clavicle fractures. Although acromial fracture after RTSA can be treated conservatively, simultaneous bilateral fractures may warrant surgical intervention as a means of addressing difficulties in activities of daily living. |
format | Online Article Text |
id | pubmed-7809656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-78096562021-01-27 Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report Kim, Du-Han Kim, Beom-Soo Cho, Chul-Hyun World J Clin Cases Case Report BACKGROUND: Acromial and scapular spine fractures after reverse total shoulder arthroplasty (RTSA) are a well-known complication that may negatively impact the effects of long-term outcomes. However, to the best of our knowledge, there has been no report of simultaneous bilateral fractures of the acromion or scapular spine that occurred following staged RTSA. CASE SUMMARY: A 79-year-old right-handed male visited our outpatient clinic with a chief complaint of pain and limited motion of both shoulder joints for a one-year duration. Based on plain radiographs and magnetic resonance images, the preoperative diagnosis was bilateral cuff tear arthropathy with failed rotator cuff repair. This patient was treated with staged bilateral RTSA at a two-month interval. At 5 and 3 mo after right and left side surgery, the patient returned to the outpatient clinic with severe pain and limited motion of both shoulder joints for 2 wk without a traumatic event. A computed tomography scan revealed non-displaced acromial base fractures of both shoulders. Considering bilateral involvement, fracture location, and patient’s demand, open reduction and internal fixation (ORIF) using plate for bilateral acromial base fractures were performed. At 2 years after ORIF, the fracture was completely healed, and the patient was satisfied with shoulder status. CONCLUSION: This report describes an extremely rare case of simultaneous bilateral acromial base fractures after staged RTSA managed successfully by ORIF with a pre-contoured plate designed for distal clavicle fractures. Although acromial fracture after RTSA can be treated conservatively, simultaneous bilateral fractures may warrant surgical intervention as a means of addressing difficulties in activities of daily living. Baishideng Publishing Group Inc 2021-01-06 2021-01-06 /pmc/articles/PMC7809656/ /pubmed/33511198 http://dx.doi.org/10.12998/wjcc.v9.i1.284 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Kim, Du-Han Kim, Beom-Soo Cho, Chul-Hyun Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report |
title | Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report |
title_full | Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report |
title_fullStr | Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report |
title_full_unstemmed | Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report |
title_short | Simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: A case report |
title_sort | simultaneous bilateral acromial base fractures after staged reverse total shoulder arthroplasty: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809656/ https://www.ncbi.nlm.nih.gov/pubmed/33511198 http://dx.doi.org/10.12998/wjcc.v9.i1.284 |
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