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Updated: Nov 9, 2025
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Physical Therapy-Induced Fracture After Reverse Shoulder Arthroplasty: A Case Report
Ketrick L LaCoste1, Alexandra M Arguello1, Brent A Ponce2
1Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Case:
We present a case of a physical therapy-induced fracture of the proximal humerus, presumably caused by forceful shoulder flexion and external rotation, after reverse total shoulder arthroplasty (RTSA) in a 70-year-old woman with underlying osteopenia, systemic lupus erythematosus, long-term glucocorticoid use, and common variable immunodeficiency.
Conclusion:
This case of a physical therapy-induced greater tuberosity fracture after RTSA presents an example of an early postoperative complication with no impact on eventual successful surgical outcomes. Special consideration should be given to tailor the postoperative rehabilitation after RTSA in patients with increased risk of fractures.
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