An Unusual Complication after Shoulder Hemiarthroplasty

An Unusual Complication after Shoulder Hemiarthroplasty

Hemiarthroplasty of the shoulder can be a safe and an effective treatment for pain in patients with rheumatoid arthritis. Many complications have been previously described in the literature; the most common of which are dislocation, loosening, periprosthetic fractures, and infection. We report a pat...

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Main Authors: Oliver D. Stone, S. J. Breusch
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2013/759193
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spelling doaj-53181578c91b473bae413efd076f288f2020-11-24T22:11:48ZengHindawi LimitedCase Reports in Rheumatology2090-68892090-68972013-01-01201310.1155/2013/759193759193An Unusual Complication after Shoulder HemiarthroplastyOliver D. Stone0S. J. Breusch1Edinburgh Royal Infirmary, Orthopaedic Department, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, Midlothian EH16 4SA, UKEdinburgh Royal Infirmary, Orthopaedic Department, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, Midlothian EH16 4SA, UKHemiarthroplasty of the shoulder can be a safe and an effective treatment for pain in patients with rheumatoid arthritis. Many complications have been previously described in the literature; the most common of which are dislocation, loosening, periprosthetic fractures, and infection. We report a patient who presented with a discharging sinus over the tip of the acromium which was created by the displacement of the prosthesis and erosion of the AC joint and distal clavicle. The erosion of the distal clavicle and AC joint caused the remaining proximal clavicle to become mobile and displaced posteriorly; this spike of clavicle was then able to penetrate the trapezius muscle and eventually the skin causing an aseptic sinus. This was successfully treated with the exploration and excision of the distal 2 cm of the clavicle.http://dx.doi.org/10.1155/2013/759193
collection DOAJ
language English
format Article
sources DOAJ
author Oliver D. Stone
S. J. Breusch
spellingShingle Oliver D. Stone
S. J. Breusch
An Unusual Complication after Shoulder Hemiarthroplasty
Case Reports in Rheumatology
author_facet Oliver D. Stone
S. J. Breusch
author_sort Oliver D. Stone
title An Unusual Complication after Shoulder Hemiarthroplasty
title_short An Unusual Complication after Shoulder Hemiarthroplasty
title_full An Unusual Complication after Shoulder Hemiarthroplasty
title_fullStr An Unusual Complication after Shoulder Hemiarthroplasty
title_full_unstemmed An Unusual Complication after Shoulder Hemiarthroplasty
title_sort unusual complication after shoulder hemiarthroplasty
publisher Hindawi Limited
series Case Reports in Rheumatology
issn 2090-6889
2090-6897
publishDate 2013-01-01
description Hemiarthroplasty of the shoulder can be a safe and an effective treatment for pain in patients with rheumatoid arthritis. Many complications have been previously described in the literature; the most common of which are dislocation, loosening, periprosthetic fractures, and infection. We report a patient who presented with a discharging sinus over the tip of the acromium which was created by the displacement of the prosthesis and erosion of the AC joint and distal clavicle. The erosion of the distal clavicle and AC joint caused the remaining proximal clavicle to become mobile and displaced posteriorly; this spike of clavicle was then able to penetrate the trapezius muscle and eventually the skin causing an aseptic sinus. This was successfully treated with the exploration and excision of the distal 2 cm of the clavicle.
url http://dx.doi.org/10.1155/2013/759193
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AT sjbreusch anunusualcomplicationaftershoulderhemiarthroplasty
AT oliverdstone unusualcomplicationaftershoulderhemiarthroplasty
AT sjbreusch unusualcomplicationaftershoulderhemiarthroplasty
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