Rotador cuff tears after anatomic shoulder arthroplasty: “Simple” revision to reverse arthroplasty
Abstract
Rotator cuff injury in patients with anatomical total shoulder prosthesis is becoming more frequent. These cases present with the dilemma of whether to repair the rupture or make a revision towards a reverse arthroplasty. We present the case of a patient who suffered a massive rotator cuff rupture of the right shoulder, after lifting a 30-kg object, 6 months ago. Because of glenohumeral osteoarthritis, the patient underwent a modular total shoulder arthroplasty 16 months before. Given the irreparable lesion, the adequate proximal biological integration of the cemented humeral stem, and the uncemented glenoid metallic plate, a conversion to reverse shoulder arthroplasty was performed by exchanging only the modular components of the prosthesis. Postoperative evolution was favorable; the patient regained a satisfactory range of motion during rehabilitation. Universal modular prostheses offer the possibility of “simple” conversion to a reverse arthroplasty, without exchanging the humeral stem or the glenoid plate, and thus reducing the morbidity of the procedure. Key words: Shoulder; arthroplasty; rotator cuff; reverse arthroplasty.References
- Allan A. Young, MD, Gilles Walch, MD, Guido Pape, MD, Frank Gohlke, MD, and Luc Favard, MD Secondary Rotator Cuff Dysfunction Following TotalShoulder Arthroplasty for Primary Glenohumeral Osteoarthritis: Results of a Multicenter Study with More Than Five Years of Follow-up, J Bone Joint Surg Am. 2012;94:685-93
- Khan A, Bunker TD, Kitson JB. Clinical and radiological follow-up of the Aequalis third-generation cemented total shoulder replacement: a minimum ten-year study. J Bone Joint Surg Br. 2009;91:1594-600.
- Chin PY, Sperling JW, Cofield RH, Schleck C. Complications of total shoulder arthroplasty: are they fewer or different? J Shoulder Elbow Surg. 2006;15:19-22.
- Bohsali KI, Wirth MA, Rockwood CA Jr. Complications of total shoulder arthroplasty.J Bone Joint Surg Am. 2006;88:2279-92.
- Wirth MA, Rockwood CA Jr. Complications of total shoulder-replacement arthroplasty.J Bone Joint Surg Am. 1996;78:603-16.
- Franklin JL, Barrett WP, Jackins SE, Matsen FA 3rd. Glenoid loosening in totalshoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplasty. 1988;3:39-46.
-Brian R, Warren R. Indications for repair of full-thickness rotator cuff tears. Am .J. Sports Medicine . 2007;35;1007
-Luke S, Brian R. Indications for rotator cuff repair . Clin Orthop Relat Res 2006;45:52-63
- Flury M, Frey P, Goldhahn. Reverse shoulder arthroplasty as a salvage procedure for failed conventional shoulder replacement due to cuff failure-midterm results. International Orthopaedics. 35:53-60. 2011.
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