Treatment of Chronic Shoulder Dislocation with Reverse Shoulder Arthroplasty and Glenoplasty: A Case Report
Abstract
Glenohumeral dislocation is one of the most common joint dislocations, accounting for 45% of all cases. More than 90% are anterior dislocations. Chronic anterior shoulder dislocation is common in older patients; however, many cases are not diagnosed early, making treatment challenging. The objective of this article is to describe a glenoplasty technique using an autologous humeral head graft combined with reverse shoulder arthroplasty. We present the case of a 79-year-old woman with pain and functional impairment of the right shoulder of more than 3 years’ duration. Her range of motion was 20° of forward flexion, 20° of extension, and 10° of abduction, with no external or internal rotation. Radiographs and computed tomography scans revealed bone loss in both the glenoid and the humeral head. Reverse shoulder arthroplasty was performed. Satisfactory outcomes were achieved in terms of range of motion, pain relief, and return to activities of daily living. Conclusion: This technique is useful in older patients with chronic dislocation and glenoid bone loss and provides satisfactory outcomes.Downloads
References
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https://doi.org/10.2106/jbjs.e.00368
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