Transverse Periprosthetic Fracture With a Bent Stem Following Reverse Total Shoulder Arthroplasty - A Case Report.

Journal of Orthopaedic Case Reports Pub Date : 2025-09-01 DOI:10.13107/jocr.2025.v15.i09.6090

James H Padley, Emanuel-Youssef Dib, Alexander R Zhu, Eve R Glenn, Henry M Fox, Edward G McFarland

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Abstract

Introduction: Reverse total shoulder arthroplasty (RTSA) is increasingly performed, with a corresponding rise in associated complications such as periprosthetic fractures. Although implant failure and loosening are well documented, deformation of a humeral stem without loosening has not been previously reported.

Case report: A 77-year-old woman, 9 years after an RTSA, presented with left shoulder pain after a fall. Initial radiographs revealed a transverse periprosthetic proximal diaphyseal fracture and a deformed humeral component. She was treated nonoperatively with range-of-motion exercises and pain management. One year later, radiographs confirmed fracture healing, and the patient had no pain and had regained full motion.

Conclusion: This is the first reported case of deformation of a humeral stem in a shoulder arthroplasty. Nonoperative management was successful for fracture healing.

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反向全肩关节置换术后假体周围横向骨折伴弯柄1例报告。

导言：反向全肩关节置换术（RTSA）的应用越来越多，相关并发症如假体周围骨折的发生率也相应上升。虽然植入物失败和松动已被广泛报道，但肱骨柄变形而不松动的报道尚未见报道。病例报告：一名77岁女性，在RTSA术后9年，在跌倒后出现左肩疼痛。最初的x线片显示一个横向假体周围近端骨干骨折和肱骨部分变形。她接受了非手术治疗，进行了活动范围练习和疼痛管理。一年后，x光片证实骨折愈合，患者没有疼痛，并恢复了完全活动。结论：这是首次报道肩关节置换术中肱骨柄变形的病例。非手术治疗骨折愈合成功。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Case Reports

自引率

0.00%

发文量

128

审稿时长

30 weeks