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Case Reports
. 2025 May 7;9(4):1205-1209.
doi: 10.1016/j.jseint.2025.04.008. eCollection 2025 Jul.

Multifragmented InSpace balloon with foreign body-induced inflammation: a case report

Affiliations
Case Reports

Multifragmented InSpace balloon with foreign body-induced inflammation: a case report

Abdelkader Shekhbihi et al. JSES Int. .
No abstract available

Keywords: Balloon; Foreign body; InSpace; Inflammation; Repairable rotator cuff tears; Subacromial.

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Figures

Figure 1
Figure 1
Magnetic resonance arthrography of the right shoulder. T2-weighted fat-suppressed oblique coronal sequence (A) and T1-weighted fat-suppressed sagittal sequence (B) illustrate a complete second rerupture of the supraspinatus and infraspinatus tendons.
Figure 2
Figure 2
Arthroscopic view from the lateral portal showing a “shattered-glass” appearance of the subacromial space completely obliterated by numerous fragmented remnants of the InSpace balloon.
Figure 3
Figure 3
Macroscopic appearance of the extracted ruptured InSpace balloon fragments.
Figure 4
Figure 4
Arthroscopic visualization from the lateral portal highlighting the balloon's valve as a freely floating structure within the subacromial space.
Figure 5
Figure 5
Condition of the posterosuperior rotator cuff tendons after extensive subacromial débridement of balloon fragments.
Figure 6
Figure 6
High-magnification histological view showing focal presence of neutrophilic granulocytes (highlighted in red circles) within the stromal tissue.
Figure 7
Figure 7
Immunohistochemical analysis of the synovial membrane showing CD15 positivity (left). Gram (Brown-Brenn) staining reveals no evidence of bacterial presence (right).

References

    1. Bedi A., Dines J., Warren R.F., Dines D.M. Massive tears of the rotator cuff. J Bone Joint Surg Am. 2010;92:1894–1908. doi: 10.2106/JBJS.I.01531. - DOI - PubMed
    1. Boileau P., Baqué F., Valerio L., Ahrens P., Chuinard C., Trojani C. Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears. J Bone Joint Surg Am. 2007;89:747–757. doi: 10.2106/JBJS.E.01097. - DOI - PubMed
    1. Calvo E., Valencia M., Merino-Garcia J.A., Luengo-Alonso G. Symptomatic foreign body reaction secondary to subacromial balloon spacer placement: a case report. J Shoulder Elbow Surg. 2020;29:e313–e316. doi: 10.1016/j.jse.2020.02.029. - DOI - PubMed
    1. Deranlot J., Herisson O., Nourissat G., Zbili D., Werthel J.D., Vigan M., et al. Arthroscopic subacromial spacer implantation in patients with massive irreparable rotator cuff tears: clinical and radiographic results of 39 retrospectives cases. Arthroscopy. 2017;33:1639–1644. doi: 10.1016/j.arthro.2017.03.029. - DOI - PubMed
    1. Fury M.S., Cirino C.M., White A.E., Bauer T.W., Taylor S.A. Rice-body synovitis, foreign body reaction, and rotator cuff failure after subacromial balloon spacer augmentation of a rotator cuff repair. JBJS Case Connect. 2023;13 doi: 10.2106/JBJS.CC.23.00009. - DOI - PubMed

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