ORIF vs. Reverse Shoulder Arthroplasty for Acute Proximal Humerus Fracture: A Retrospective Review Comparing Two Treatment Options

2020 ◽  
Vol 29 (4) ◽  
pp. e161-e162
Author(s):  
R. Michael Greiwe ◽  
Brandon Kohrs ◽  
Jonathan Callegari ◽  
Richard G. Harm ◽  
Maxwell S. Boyle ◽  
...  
Keyword(s):  
Retrospective Review ◽  
Shoulder Arthroplasty ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Reverse Shoulder Arthroplasty ◽  
Treatment Options ◽  
Humerus Fracture

scholarly journals Bilateral Reverse Total Shoulder Arthroplasty with Soft Tissue Release for Bilateral Posterior Fracture Dislocation after Status Epilepticus

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
George El Rassi ◽  
Nabil Dib ◽  
Joseph Maalouly ◽  
Rita Moukarzel ◽  
Dany Aouad
Keyword(s):  
Status Epilepticus ◽  
Soft Tissue ◽  
Shoulder Arthroplasty ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Reverse Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Humerus Fracture ◽  
Fracture Dislocation ◽  
Soft Tissue Release

Proximal humerus fracture is a common orthopedic presentation, with bimodal age distribution. On the other hand, bilateral proximal humerus fracture dislocation is a rarely reported pathology, especially when it is not the result of direct trauma. We present a case of a 71-year-old female patient found to have simultaneous bilateral 4-part proximal humerus fractures following status epilepticus treated surgically with bilateral reverse shoulder arthroplasty with constraint and soft tissue release. In a patient with recurrent status epilepticus episodes, the combination of constrained reverse shoulder arthroplasty and the extensive soft tissue release should decrease the rate of failure and dislocation dramatically. We conclude, after reviewing the literature, that there is no straightforward algorithm for treating such patients and that a clear classification should take into account both bone quality and patient comorbidities which has yet to be developed.

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