J Korean Orthop Assoc.  2010 Oct;45(5):413-416.

Acromion Fracture after Reverse Total Shoulder Arthroplasty

Affiliations
  • 1Department of Orthopedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. oslion@chungbuk.ac.kr

Abstract

Reverse total shoulder arthroplasty is one of the methods of surgical treatment for cuff tear arthropathy. Reverse total shoulder arthroplasty is increasingly being performed, but various complications have been reported. We experienced a case of acromion fracture after reverse total shoulder arthroplasty, which is quite a rare complication. So we report on this case along with reviewing the relevant literature.

Keyword

acromion; acromion fracture; stress fracture; reverse total shoulder arthroplasty

MeSH Terms

Acromion
Arthroplasty
Fractures, Stress
Shoulder

Figure

  • Figure 1 (A) The anteroposterior radiograph of the right shoulder shows degerative change and collapse of the humeral head. (B) MR-arthrogram of the patient shows massive full thickness rotator cuff tear of supraspinatus tendon and infraspinatus tendon.

  • Figure 2 Immediate post-operative radiograph.

  • Figure 3 The radiograph taken 4 months after surgery shows acromial fatigue fracture.

  • Figure 4 The anteroposterior radiograph taken 9 months after surgery shows bony union but acromial fragment is tilted inferiorly.


Reference

1. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics. 1993. 16:65–68.
Article
2. Werner CM, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am. 2005. 87:1476–1486.
Article
3. Walch G, Mottier F, Wall B, Boileau P, Molé D, Favard L. Acromial insufficiency in reverse shoulder arthroplasties. J Shoulder Elbow Surg. 2009. 18:495–502.
Article
4. Feeley BT, Gallo RA, Craig EV. Cuff tear arthropathy: current trends in diagnosis and surgical management. J Shoulder Elbow Surg. 2009. 18:484–494.
Article
5. Pollock RG, Deliz ED, McIlveen SJ, Flatow EL, Bigliani LU. Prosthetic replacement in rotator cuff-deficient shoulders. J Shoulder Elbow Surg. 1992. 1:173–181.
Article
6. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Molé D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004. 86:388–395.
7. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The Reverse Shoulder Prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am. 2005. 87:1697–1705.
8. Cazeneuve JF, Cristofari DJ. Delta III reverse shoulder arthroplasty: radiological outcome for acute complex fractures of the proximal humerus in elderly patients. Orthop Traumatol Surg Res. 2009. 95:325–329.
Article
9. McFarland EG, Sanguanjit P, Tasaki A, Keyurapan E, Fishman EK, Fayad LM. The reverse shoulder prosthesis: a review of imaging features and complications. Skeletal Radiol. 2006. 35:488–496.
Article
10. Kwon YH, Jung GH, Cha SW. Internal fixation for isolated posterolateral fracture of the acromion: a case report. J Korean Shoulder Elbow Soc. 2008. 11:62–65.
Full Text Links
  • JKOA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr