Arthroplasty

Nov 11, 2019

Shoulder Arthroplasty without Acromion?

Patient with history of scoliosis has had severe shoulder pain for several years that is worsening. She congenitally lacks an acromion. Can a reverse shoulder arthroplasty be done on an individual that lacks an acromion?

Nov 08, 2019

Persistent pain and stiffness following TSA

This patients presents to our clinic with a complex surgical history that reports persistent pain and stiffness following a total shoulder arthroplasty. What are her options?

Apr 19, 2019

Ongoing Shoulder Pain Following Complex Surgical History

Patient with a complex surgical history presents to clinic with ongoing chronic shoulder pain following total shoulder arthroplasty with posterior glenoid bone graft reconstruction. CT demonstrates graft nonunion, while diagnostic arthroscopy revealed a loose glenoid component. What are her options?

Feb 05, 2019

Shoulder Pain and Decreased Range of Motion in the Setting of Complex Surgical History

Patient underwent a RSA and reported significant improvement until she received surgical treatment for her esophageal dysfunction. During this procedure, she underwent a medial claviculectomy for exposure, resulting in pain, functional deficits, and Horner syndrome. If the goal is to restore function, what are her options? 

Dec 14, 2018

Anterior and Lateral Pain Following Extensive Surgical History

Patient presents with new anterior and lateral pain and a "change in contour" following an extensive medical history, including: open rotator cuff repair, reverse total shoulder arthroplasty, removal of hardware, and deltoidplasty. What are his options?

Nov 15, 2018

Painful TSA in Setting of Significant Glenoid Bone Loss

Patient presents with pain 13 years following a total shoulder arthroplasty. When a conversion to reverse shoulder arthroplasty was attempted, surgery was aborted due to significant glenoid bone loss. What are his options?

Aug 09, 2018

Glenohumeral Osteoarthritis

Patient presents with glenohumeral osteoarthritis following a history of shoulder dislocations. Although he reports no further problems with stability, he has gradually worsening ROM and a locking sensation when sleeping. Given that he desires to continue his military career, what are his options?

Jul 16, 2018

Humeral Head Bone Loss

Patient presents with gross humeral loosening and 1 out of 5 biopsies positive for P. acnes after a hemiarthroplasty. What is the pathologic process, and what are her options?

Jun 07, 2018

Painful Resection Arthroplasty

Patient presents with painful resection arthroplasty after multiple failed surgeries. What are her options?

Dec 07, 2017

History of Prosthetic Joint Infections

Patient presents with continued shoulder pain after a history of prosthetic joint infections. There is pain at external rotation suggesting a mechanical etiology. What are his options?

May 08, 2018

Patient with RSA and forearm amputation

Patient underwent RSA 8 years ago with great function, but has increased pain and deteriorating function over the last few years. She has a forearm amputation, with a prosthesis, so she uses her other arm for everything else. 

Feb 23, 2018

Syrinx, Charcot Joint, Instability

Middle-aged patient with persistent pain and instability in the setting of syrinx with concern for Charcot joint. What are his options?

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