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Repeated hemarthrosis with massive rotator cuff tear.

Hirotaka Sano¹, Satoru Nakajo

¹Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan. staka@ma.mni.ne.jp

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association

|February 5, 2004

Summary

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This study details arthroscopic treatment for shoulder hemarthrosis caused by a rotator cuff tear. The procedure successfully addressed bleeding within the joint, offering a minimally invasive solution.

Area of Science:

Orthopedic Surgery
Sports Medicine
Arthroscopy

Background:

Recurrent shoulder hemarthrosis in an 80-year-old woman.
Plain radiographs revealed acromiohumeral interval narrowing and an acromial spur.

Observation:

Fluoroscopy showed impingement of the humeral head against the acromion at 50 degrees abduction.
Arthroscopy revealed a crater with active bleeding on the humeral head, identified as the source of hemorrhage.
Irregularity of the acromial undersurface due to osteophyte was noted.

Findings:

A crater formation on the humeral head, impinging with the acromion, was the source of intra-articular bleeding.
Massive rotator cuff tear and osteophyte likely contributed to humeral head attrition.
Arthroscopic coagulation of the bleeding point successfully treated the hemarthrosis.

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Implications:

Arthroscopy provides effective management for hemarthrosis associated with massive rotator cuff tears.
Minimally invasive techniques can address intra-articular bleeding in shoulder impingement syndromes.
Understanding the mechanism of impingement is crucial for surgical planning in complex shoulder cases.