Total shoulder arthroplasty combined with superior capsular reconstruction using tensor fascia lata: A case report

JOS Case Reports Pub Date : 2023-12-01 Epub Date: 2023-07-17 DOI:10.1016/j.joscr.2023.07.001

Kenji Kawashima , Nobuo Terabayashi , Hiromi Asano , Haruhiko Akiyama

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Abstract

Background

Recently, superior capsular reconstruction (SCR) has been suggested as an effective procedure for treating irreparable rotator cuff tears and for restoring superior glenohumeral stability of the shoulder joint. We present the case of a patient with osteonecrosis who was successfully managed with a combination of total shoulder arthroplasty (TSA) and SCR.

Case presentation

A 66-year-old woman presented with chronic right-sided shoulder pain. Preoperative radiographs revealed a collapsed humeral head and arthritic changes with glenohumeral joint space narrowing. Magnetic resonance imaging revealed massive rotator cuff tears. She was successfully treated with TSA and SCR using the tensor fascia lata (TFL) graft. At the two-year follow-up, an uneventful postoperative course was noted, and she was satisfied with her good functional outcomes and quality of life.

Conclusions

TSA and SCR using TFL may be performed successfully in non-elderly patients with osteoarthritis due to osteonecrosis and irreparable rotator cuff tears.

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全肩关节置换术联合阔筋膜张肌上囊重建1例

最近，上囊重建(SCR)被认为是治疗不可修复的肩袖撕裂和恢复肩关节上盂肱稳定性的有效方法。我们提出的病例患者骨坏死谁是成功地管理与全肩关节置换术(TSA)和SCR的组合。66岁女性，慢性右肩疼痛。术前x线片显示肱骨头塌陷，关节改变伴肩关节间隙狭窄。磁共振成像显示大量肩袖撕裂。她使用阔筋膜张肌(TFL)移植物成功地接受了TSA和SCR治疗。在两年的随访中，术后过程平淡无奇，患者对良好的功能结果和生活质量感到满意。结论采用TFL的stsa和SCR可成功治疗因骨坏死和不可修复的肩袖撕裂引起的非老年骨关节炎。

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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JOS Case Reports

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