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Arthroscopic Superior Capsule Reconstruction for Cuff Tear Arthropathy (Hamada Grade 5): A Case Report
Kosuke Inoue1, Tomonori Kenmoku, Mitsufumi Nakawaki
1Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
Case:
We performed arthroscopic superior capsule reconstruction (ASCR) for cuff tear arthropathy (CTA) with humeral head deformity. A 62-year-old man presented with severely limited shoulder motion and recalcitrant omalgia. He had a history of dental implant removal due to metal allergy, and his Constant score was 21 points. We diagnosed CTA with Hamada classification grade 5 and performed ASCR to avoid allergic reactions. Severe night pain improved within 1 week of ASCR, and his Constant score after 2 years was 74 points.
Conclusion:
ASCR may be an effective alternative treatment for patients with CTA with humeral head deformity.
