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Updated: Jul 17, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Reverse Shoulder Arthroplasty Associated With Unnoticed Glenohumeral Dislocation: A Case Report
Ana Luisa Galicia-Zamalloa1, Margoth Jiménez-Juárez2, Andrés Pérez-Briones1
1Orthopaedics and Traumatology, Instituto de Seguridad y Servicios Sociales de los Trabajadores al Servicio de los Poderes del Estado de Puebla, Puebla, MEX.
Osteonecrosis of the humeral head after shoulder dislocation is rare. Reverse shoulder arthroplasty offers a fast recovery and improved quality of life for affected patients.
Area of Science:
- Orthopedic Surgery
- Shoulder Reconstruction
- Sports Medicine
Background:
- Inveterate anterior glenohumeral dislocation presents complex treatment challenges.
- Osteonecrosis of the humeral head is an uncommon complication of shoulder dislocations.
- Reverse shoulder arthroplasty (RSA) is established for cuff tear arthropathy.
Observation:
- A 63-year-old female patient presented with a chronic anterior glenohumeral dislocation.
- Diagnostic evaluation revealed osteonecrosis of the humeral head in this patient.
- The patient's condition necessitated a tailored surgical approach.
Findings:
- The patient was successfully treated with reverse shoulder arthroplasty (RSA).
- This surgical intervention addressed both the chronic dislocation and humeral head osteonecrosis.
- The treatment aimed to restore shoulder function and alleviate pain.
Implications:
- Reverse shoulder arthroplasty can be an effective treatment for rare cases of shoulder dislocation with humeral head osteonecrosis.
- This approach facilitates rapid patient recovery and yields positive functional outcomes.
- Successful treatment significantly enhances the patient's overall quality of life.
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