scholarly journals Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

2015 ◽  
Vol 18 (3) ◽  
pp. 167-171 ◽  
Author(s):  
Hyun IK Cho ◽  
Hyung Lae Cho ◽  
Tae Hyok Hwang ◽  
Tae Hyun Wang ◽  
Hong Cho
2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Jan Weller ◽  
Björn Birkner ◽  
Kristian Nikolaus Schneider ◽  
Holger Durchholz

Introduction: Fractures at the anchor site following arthroscopic rotator cuff repair are rare and only a few case reports have been described. We report two additional well-documented cases of this uncommon post-operative complication and provide a review of the current literature. Case Report: A 48-year-old male underwent arthroscopic rotator cuff repair (ARCR) due to a massive rotator cuff tear. Nine weeks postoperatively, the patient suffered a humeral head fracture at the anchor site of the ARCR after trauma. Despite subsequent surgical treatment with open reduction and internal fixation, the patient demonstrates with excellent functional outcome scores at 2-year follow-up. Conclusion: Humeral head fractures are a rare complication after ARCR. The use of intraosseous anchors requires careful consideration regarding positioning and quantity used. Keywords: Rotator cuff, arthroscopy, complication, anchor, Speed Bridge, fracture, osteochondral defect.


2016 ◽  
Vol 2 (4) ◽  
Author(s):  
Robert Nirschl ◽  
Jarrett Helming ◽  
Benjamin Ingram ◽  
Mehdi Jafari ◽  
Farshad Adib ◽  
...  

2014 ◽  
Vol 17 (1) ◽  
pp. 31-35
Author(s):  
Ji Yong Gwark ◽  
Jin Sin Koh ◽  
Hyung Bin Park

Pulmonary embolism (PE) is a serious complication that can occur after orthopedic surgery. Most instances of PE in the orthopedic field have occurred after hip or knee arthroplasties or after fracture surgeries. The occurrence of PE related to arthroscopic shoulder surgery is very rare. We report a case of PE that developed after arthroscopic rotator cuff repair, in which the patient did not show preoperatively any remarkable risk factors for PE. We also review the current literature related to this topic.


2016 ◽  
Vol 2 (4) ◽  
Author(s):  
Robert Nirschl ◽  
Jarrett Helming ◽  
Benjamin Ingram ◽  
Mehdi Jafari ◽  
Farshad Adib ◽  
...  

PM&R ◽  
2011 ◽  
Vol 3 ◽  
pp. S206-S206
Author(s):  
Anupam Sinha ◽  
Madhuri Dholakia ◽  
Gautam Kothari

2020 ◽  
Vol 14 (1) ◽  
pp. 204-208
Author(s):  
Akira Ando ◽  
Kazuaki Suzuki ◽  
Masashi Koide ◽  
Yoshihiro Hagiwara

Background: Greater Tuberosity (GT) malunion can lead to impingement against the acromion, resulting in pain, stiffness, and weakness of the rotator cuff. For patients with lesser degrees of displacement, partial removal of the GT with rotator cuff repair (tuberoplasty) under fluoroscopic guidance is considered. Case report: A sixty-five year old female fell from a standing height and suffered a minimally displaced isolated GT fracture. She was conservatively managed for four months and referred to our institution due to persisting pain and stiffness. The shoulder motion was severely restricted (anterior elevation: 90°, lateral elevation: 45°, external rotation with the arm at side: 25°, hand behind back: 4th lumber vertebrae) and pain aggravated especially when laterally elevated. Plain radiography and computed tomography showed small superiorly malunited GT and magnetic resonance imaging showed no rotator cuff pathology. Ultrasound images showed impingement of the GT against the acromion when laterally elevated. Arthroscopic excision of the malunited GT and rotator cuff repair along with capsular release and acromioplasty was performed under ultrasound guidance. The ultrasound images were simultaneously delineated to the arthroscopic monitor. Dynamic evaluation of the reshaped GT passing under the acromion was possible. Conclusion: Intraoperative use of ultrasound during arthroscopic tuberoplasty offers advantages over fluoroscopic guidance concerning control of the amount of bone resection and dynamic evaluation between the GT and the acromion in addition to the problems of radiation and space-occupying devices.


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