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Case Reports
. 2018;16(1):eRC4037.
doi: 10.1590/S1679-45082017RC4037. Epub 2017 Sep 21.

Periprosthetic humeral fractures after reverse shoulder arthroplasty. Case report

[Article in Portuguese, English]
Andre Wajnsztejn  1 , Noel Oizerovici Foni  1 , Dan Oizerovici  1 , Robinson Esteves Santos Pires  2 , Benno Ejnisman  3
Affiliations
Case Reports

Periprosthetic humeral fractures after reverse shoulder arthroplasty. Case report

[Article in Portuguese, English]
Andre Wajnsztejn et al. Einstein (Sao Paulo). 2018.

Abstract
in English, Portuguese

Periprosthetic fractures is a severe complication after joint replacement. The rapidly increase of reverse shoulder arthroplasty surgeries, periprosthetic humeral fractures, which are described as rare, may increase in the near future. We report the case of displaced humeral fracture bellow the stem of reverse shoulder prosthesis. The patient was an 85-year-old woman who had a total shoulder replacement 6 years previously. The surgical solution consisted of plate osteossynthesis and cerclage. This report describes an unprecedented case in Brazilian literature; and gives an overview of the existing literature including this injury classification.

As fraturas periprotéticas do ombro representam uma grave complicação após a substituição da articulação. Devido ao rápido aumento do número de cirurgias de artroplastia reversa no ombro, as fraturas periprótese do úmero, descritas como raras, podem aumentar no futuro próximo. Descrevemos um caso de fratura desviada do úmero abaixo do componente umeral de uma artroplastia reversa. A paciente era uma mulher de 85 anos de idade, que tinha uma artroplastia reversa do ombro há 6 anos. O tratamento cirúrgico consistiu em osteossíntese com placa, parafusos e cerclagem. Os objetivos do presente trabalho foram reportar um caso inédito na literatura brasileira, e revisar a literatura existente e as classificações da lesão.

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Figures

Figure 1
Figure 1. Front radiography showing reverse shoulder periarthroplasty fracture
Figure 2
Figure 2. Front and profile radiography showing osteosynthesis with plates, screws and cables immediate after surgery
Figure 3
Figure 3. Front and profile radiography, showing fracture healing
See this image and copyright information in PMC

References

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