J Korean Orthop Assoc. 2010 Oct;45(5):413-416. Korean.
Published online Oct 31, 2010.
Copyright © 2010 by The Korean Orthopaedic Association
Case Report

Acromion Fracture after Reverse Total Shoulder Arthroplasty

Dong-Soo Kim, M.D., Kyoung-Jin Park, M.D., Yong-Min Kim, M.D., Eui-Sung Choi, M.D., Hyun-Chul Shon, M.D., Byung-Ki Cho, M.D. and Jun-Il Yoo, M.D.
    • Department of Orthopedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.
Received December 24, 2009; Accepted May 03, 2010.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Reverse total shoulder arthroplasty is one of the methods of surgical treatment for cuff tear arthropathy. Reverse total shoulder arthroplasty is increasingly being performed, but various complications have been reported. We experienced a case of acromion fracture after reverse total shoulder arthroplasty, which is quite a rare complication. So we report on this case along with reviewing the relevant literature.

Keywords
acromion; acromion fracture; stress fracture; reverse total shoulder arthroplasty

Figures

Figure 1
(A) The anteroposterior radiograph of the right shoulder shows degerative change and collapse of the humeral head. (B) MR-arthrogram of the patient shows massive full thickness rotator cuff tear of supraspinatus tendon and infraspinatus tendon.

Figure 2
Immediate post-operative radiograph.

Figure 3
The radiograph taken 4 months after surgery shows acromial fatigue fracture.

Figure 4
The anteroposterior radiograph taken 9 months after surgery shows bony union but acromial fragment is tilted inferiorly.

References

    1. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics 1993;16:65–68.
    1. Werner CM, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am 2005;87:1476–1486.
    1. Walch G, Mottier F, Wall B, Boileau P, Molé D, Favard L. Acromial insufficiency in reverse shoulder arthroplasties. J Shoulder Elbow Surg 2009;18:495–502.
    1. Feeley BT, Gallo RA, Craig EV. Cuff tear arthropathy: current trends in diagnosis and surgical management. J Shoulder Elbow Surg 2009;18:484–494.
    1. Pollock RG, Deliz ED, McIlveen SJ, Flatow EL, Bigliani LU. Prosthetic replacement in rotator cuff-deficient shoulders. J Shoulder Elbow Surg 1992;1:173–181.
    1. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Molé D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br 2004;86:388–395.
    1. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The Reverse Shoulder Prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am 2005;87:1697–1705.
    1. Cazeneuve JF, Cristofari DJ. Delta III reverse shoulder arthroplasty: radiological outcome for acute complex fractures of the proximal humerus in elderly patients. Orthop Traumatol Surg Res 2009;95:325–329.
    1. McFarland EG, Sanguanjit P, Tasaki A, Keyurapan E, Fishman EK, Fayad LM. The reverse shoulder prosthesis: a review of imaging features and complications. Skeletal Radiol 2006;35:488–496.
    1. Kwon YH, Jung GH, Cha SW. Internal fixation for isolated posterolateral fracture of the acromion: a case report. J Korean Shoulder Elbow Soc 2008;11:62–65.

Metrics
Share
Figures

1 / 4

PERMALINK