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Updated: Dec 15, 2025

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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Treatment of an Acromial Stress Fracture After Reverse Total Shoulder Arthroplasty With Teriparatide: A Case Report
Jason S Lipof1, Richard D Southgate2, Wakenda K Tyler3
1Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York.
JBJS Case Connector
|July 11, 2020
Abstract
Case:
A 78-year-old woman who underwent reverse total shoulder arthroplasty (RTSA) for proximal humerus fracture developed a Type-3 acromial stress fracture, resulting in increased pain and decreased function 9 months post-op. She was managed nonoperatively with adjunctive teriparatide (FORTEO), and after a 4-month course, she had regained excellent motion and achieved union.
Conclusion:
Teriparatide is a viable adjunct in treating patients nonoperatively with acromial stress fractures after RTSA.

