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Conversion of Glenohumeral Fusion to Total Shoulder Arthroplasty for Scapulothoracic Pain: Case Report and Surgical Technique

Shane J. Nho, MD, MS
Section of Shoulder & Elbow Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University

Nickolas Garbis, MD
Section of Shoulder & Elbow Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University

Stefanie Reiff, BA
Section of Shoulder & Elbow Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University

Allison Terry, MMS, PA-C
Section of Shoulder & Elbow Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University

Sheri Shindelar, MS, PA-C
Section of Shoulder & Elbow Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University

Anthony A. Romeo, MD
Section of Shoulder & Elbow Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University

Abstract

There are several references in the hip and knee literature that mention converting fusions to a prosthetic total arthroplasty, but similar reports of total shoulder arthroplasty after glenohumeral fusion are lacking. The indication for conversion of a glenohumeral arthrodesis to a total shoulder arthroplasty is persistent periscapular pain refractory to conservative treatment. The purpose of the following article is to describe the preoperative plan and surgical technique in the conversion of a glenohumeral fusion to a total shoulder arthroplasty in single case of protracted scapulothoracic pain.

This article appears in HSS Journal: Volume 6, Number 1.
View the full article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.

 

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