Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder Arthroplasty
Case. Two elderly males presented with traumatic shoulder dislocation and bony Bankart fracture consisting of greater than 25% of the glenoid width. Due to several concomitant factors such as polytrauma, activity level, rotator cuff pathology, optimization of comorbidities, risk of complications, an...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8826803 |
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| author | Tyler Smith Joseph D’Alonzo Alfonso Arevalo Jack Kazanjian |
| author_facet | Tyler Smith Joseph D’Alonzo Alfonso Arevalo Jack Kazanjian |
| author_sort | Tyler Smith |
| collection | DOAJ |
| description | Case. Two elderly males presented with traumatic shoulder dislocation and bony Bankart fracture consisting of greater than 25% of the glenoid width. Due to several concomitant factors such as polytrauma, activity level, rotator cuff pathology, optimization of comorbidities, risk of complications, and potential for revision surgery, the patients were treated with reverse shoulder arthroplasty (RSA). Conclusion. RSA may be a satisfactory treatment option for isolated, large glenoid fractures associated with anterior glenohumeral instability in the elderly. These patients are susceptible to rapid deconditioning with prolonged immobilization and may not be medically suited to undergo the prolonged recovery period associated with open reduction internal fixation or potentially undergo revision operations. |
| format | Article |
| id | doaj-art-574f8d25dce446ed8516da0e87eb82cd |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-574f8d25dce446ed8516da0e87eb82cd2025-02-03T05:53:53ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88268038826803Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder ArthroplastyTyler Smith0Joseph D’Alonzo1Alfonso Arevalo2Jack Kazanjian3Department of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA, USADepartment of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA, USADepartment of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA, USADepartment of Orthopedic Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA, USACase. Two elderly males presented with traumatic shoulder dislocation and bony Bankart fracture consisting of greater than 25% of the glenoid width. Due to several concomitant factors such as polytrauma, activity level, rotator cuff pathology, optimization of comorbidities, risk of complications, and potential for revision surgery, the patients were treated with reverse shoulder arthroplasty (RSA). Conclusion. RSA may be a satisfactory treatment option for isolated, large glenoid fractures associated with anterior glenohumeral instability in the elderly. These patients are susceptible to rapid deconditioning with prolonged immobilization and may not be medically suited to undergo the prolonged recovery period associated with open reduction internal fixation or potentially undergo revision operations.http://dx.doi.org/10.1155/2020/8826803 |
| spellingShingle | Tyler Smith Joseph D’Alonzo Alfonso Arevalo Jack Kazanjian Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder Arthroplasty Case Reports in Orthopedics |
| title | Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder Arthroplasty |
| title_full | Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder Arthroplasty |
| title_fullStr | Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder Arthroplasty |
| title_full_unstemmed | Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder Arthroplasty |
| title_short | Isolated Large Glenoid Fracture in Acute Glenohumeral Dislocation in the Elderly: A Novel Indication for Reverse Shoulder Arthroplasty |
| title_sort | isolated large glenoid fracture in acute glenohumeral dislocation in the elderly a novel indication for reverse shoulder arthroplasty |
| url | http://dx.doi.org/10.1155/2020/8826803 |
| work_keys_str_mv | AT tylersmith isolatedlargeglenoidfractureinacuteglenohumeraldislocationintheelderlyanovelindicationforreverseshoulderarthroplasty AT josephdalonzo isolatedlargeglenoidfractureinacuteglenohumeraldislocationintheelderlyanovelindicationforreverseshoulderarthroplasty AT alfonsoarevalo isolatedlargeglenoidfractureinacuteglenohumeraldislocationintheelderlyanovelindicationforreverseshoulderarthroplasty AT jackkazanjian isolatedlargeglenoidfractureinacuteglenohumeraldislocationintheelderlyanovelindicationforreverseshoulderarthroplasty |