Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jul 31;2019(7):rjz219.
doi: 10.1093/jscr/rjz219. eCollection 2019 Jul.

Short-term results of total shoulder arthroplasty for ochronotic arthritis

Desiree Dorleijn  1 , Arthur van Noort  2 , Guus Janus  1
Affiliations
Case Reports

Short-term results of total shoulder arthroplasty for ochronotic arthritis

Desiree Dorleijn et al. J Surg Case Rep. .

Abstract

Alkaptonuria is a rare inherited autosomal recessive disorder resulting in large joint osteoarthritis with black discoloration of the cartilage. The glenohumeral is the third most affected joint. Two cases of ochronotic shoulder arthropathy with three shoulder joint replacements are presented. Stemless shoulder arthroplasty was implanted with moderate to good results up to 2 years follow-up regarding pain and range of motion.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
X-ray of left shoulder of patient with ochronosis. AP external rotation view showing glenohumeral osteoarthritis.
Figure 2:
Figure 2:
X-ray of left shoulder with total shoulder arthroplasty one year post-operative. (a) AP external rotation view. (b) AP internal rotation view. (c) Axial view.
Figure 3:
Figure 3:
Humeral head of patient with ochronosis showing blackish discoloration of cartilage.
Figure 4:
Figure 4:
Range of motion of patient with bilateral total shoulder arthroplasty. a) Anteflexion. b) Abduction.
See this image and copyright information in PMC

References

    1. Gupta PK, Acharya A, Sabat D, Mourya A. Arthroscopic diagnosis and treatment of shoulder ochronotic arthropathy—a case report. J Clin Orthop Trauma 2017;8:S80–S3. - PMC - PubMed
    1. Cetinus E, Cever I, Kural C, Erturk H, Akyildiz M. Ochronotic arthritis: case reports and review of the literature. Rheumatol Int 2005;25:465–8. - PubMed
    1. Gil JA, Wawrzynski J, Waryasz GR. Orthopedic manifestations of ochronosis: pathophysiology, presentation, diagnosis, and management. Am J Med 2016;129:536 e1–6. - PubMed
    1. Holzer LA, Leithner A, Gruber G. Ochronosis of the hip joint. J Rheumatol 2013;40:535. - PubMed
    1. Spencer JM, Gibbons CL, Sharp RJ, Carr AJ, Athanasou NA. Arthroplasty for ochronotic arthritis: no failure of 11 replacements in 3 patients followed 6-12 years. Acta Orthop Scand 2004;75:355–8. - PubMed

Publication types