Reverse Total Shoulder Arthroplasty for Recurrent Shoulder Dislocation in an Elderly Patient: A Case Report

Area of Science:

• Orthopedic Surgery
• Geriatric Medicine
• Sports Medicine

Background:

• Recurrent anterior shoulder dislocation presents a significant challenge in elderly patients.
• Irreparable rotator cuff tears and degenerative joint disease complicate treatment options.
• Existing treatments may not adequately restore function or prevent further dislocations.

Purpose of the Study:

• To evaluate the efficacy of reverse total shoulder arthroplasty (RTSA) for recurrent anterior shoulder dislocation in an elderly patient.
• To assess functional outcomes and quality of life following RTSA in this specific patient demographic.

Main Methods:

• A case study of a seventy-one-year-old female patient with a history of recurrent anterior shoulder dislocation.
• The patient had an irreparable rotator cuff tear and degenerative joint disease.
• Surgical intervention with reverse total shoulder arthroplasty (RTSA) was performed.

Main Results:

• The patient experienced a significant increase in shoulder range of motion post-RTSA.
• Quality of life improved substantially, as reported by the patient.
• No further dislocation events were recorded at the two-year follow-up.

Conclusions:

• Reverse total shoulder arthroplasty (RTSA) is a viable and effective surgical option for elderly patients suffering from recurrent anterior shoulder dislocation.
• RTSA can successfully address the complexities of irreparable rotator cuff tears and degenerative joint disease in this population.
• The procedure offers significant benefits, including improved function, enhanced quality of life, and prevention of further dislocations.