Key result
Reverse shoulder arthroplasty successfully treated a 63-year-old woman with an unnoticed glenohumeral dislocation and osteonecrosis, resulting in significant improvements in pain and shoulder function.
Why the study?
Osteonecrosis of the humeral head is rare after anterior shoulder dislocations, and various surgical procedures exist to repair inveterate anterior glenohumeral dislocation.
Does reverse shoulder arthroplasty improve function and pain in a patient with inveterate glenohumeral dislocation and osteonecrosis?
Case Report (n=1)
Does reverse shoulder arthroplasty improve function and pain in a patient with inveterate glenohumeral dislocation and osteonecrosis?
Reverse shoulder arthroplasty provided significant pain relief and functional improvement in a patient with osteonecrosis following an unnoticed glenohumeral dislocation.
Hypothesis-generating for reverse shoulder arthroplasty in inveterate dislocation with osteonecrosis; larger studies needed before practice change.
Osteonecrosis of the humeral head is seen in rare cases of anterior shoulder dislocations. There are many different surgical procedures that have been developed to repair inveterate anterior glenohumeral dislocation. Reverse shoulder arthroplasty (RSA) is a type of surgery that has been shown to be very effective in patients with cuff tear arthropathy. A 63-year-old female came to our service with an inveterate glenohumeral dislocation. We identified the osteonecrosis of the humeral head and decided to treat her with a reverse shoulder arthroplasty. Osteonecrosis following a glenohumeral dislocation is a rare condition. Treatment with a reverse shoulder arthroplasty allows a fast recovery, good functional results, and a better quality of life.
No takes yet. Share an insight, caveat, or question.
Galicia-Zamalloa et al. (2023) conducted a case report in Inveterate glenohumeral dislocation with osteonecrosis of the humeral head (n=1). Reverse shoulder arthroplasty was evaluated on Functional status and pain (VAS, ASES, UCLA, and Rowe scores). Reverse shoulder arthroplasty successfully treated a 63-year-old woman with an unnoticed glenohumeral dislocation and osteonecrosis, resulting in significant improvements in pain and shoulder function.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: