Reverse Total Shoulder Arthroplasty as Treatment for Rotator Cuff-Tear Arthropathy and Shoulder Dislocations in an Elderly Male with Parkinson’s Disease
Joint Authors
Skedros, John G.
Langston, Tanner D.
Adondakis, Micheal G.
Smith, James S.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
We report the case of a 70-year-old male with Parkinson’s disease (PD) and recurrent traumatic left shoulder dislocations.
This case is rare because (1) he had a massive irreparable rotator cuff tear and end-stage arthritis (i.e., rotator cuff-tear arthropathy) of the same shoulder and (2) his shoulder was ultimately reconstructed with a reverse total shoulder arthroplasty (RTSA).
His first dislocation occurred after a fall.
Recurrent shoulder dislocations occurred despite successful closed reduction and physical therapy.
Initial surgical treatment included an open capsular-labral reconstruction; RTSA was not an ideal option because of the presumed risk of failure from PD-related dyskinesias.
However, the capsular-labral reconstruction failed after he lost balance and stumbled but did not fall.
A RTSA was then done which restored the patient’s shoulder stability and greatly improved his pain.
At final follow-up two years later, he reported pain relief and improved function.
This was partially attributed to the fact that he had moved to an assisted living center.
He also began using an electric wheelchair one year after the RTSA.
We report this case because of the unusual set of conditions and circumstances, namely, the implantation of a RTSA in a patient with PD and shoulder instability.
American Psychological Association (APA)
Skedros, John G.& Smith, James S.& Langston, Tanner D.& Adondakis, Micheal G.. 2017. Reverse Total Shoulder Arthroplasty as Treatment for Rotator Cuff-Tear Arthropathy and Shoulder Dislocations in an Elderly Male with Parkinson’s Disease. Case Reports in Orthopedics،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1148324
Modern Language Association (MLA)
Skedros, John G.…[et al.]. Reverse Total Shoulder Arthroplasty as Treatment for Rotator Cuff-Tear Arthropathy and Shoulder Dislocations in an Elderly Male with Parkinson’s Disease. Case Reports in Orthopedics No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1148324
American Medical Association (AMA)
Skedros, John G.& Smith, James S.& Langston, Tanner D.& Adondakis, Micheal G.. Reverse Total Shoulder Arthroplasty as Treatment for Rotator Cuff-Tear Arthropathy and Shoulder Dislocations in an Elderly Male with Parkinson’s Disease. Case Reports in Orthopedics. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1148324
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148324