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Intrathoracic Scapular Dislocation After Total Shoulder Arthroplasty.

William R Post1, W Ben Kibler2

  • 1Mountaineer Orthopedic Specialists, LLC, Morgantown, West Virginia.

JBJS Case Connector
|January 8, 2025
PubMed
Summary
This summary is machine-generated.

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A rare case of intrathoracic scapular dislocation (ISD) occurred in a patient with a history of shoulder arthroplasty. Open surgical repair using a modified technique successfully treated this unique shoulder instability.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomedical Engineering

Background:

  • Intrathoracic scapular dislocation (ISD) is an exceptionally rare injury.
  • Previous shoulder arthroplasty and rib resection may predispose to unusual shoulder joint complications.

Purpose of the Study:

  • To report a unique case of ISD in a patient with a history of shoulder arthroplasty.
  • To describe a novel surgical technique for managing this rare condition.

Main Methods:

  • A 75-year-old female patient presented with atraumatic ISD post-shoulder arthroplasty.
  • Initial closed reduction under anesthesia failed.
  • Open surgical repair was performed using a modified Kibler's technique for medial scapular muscle repair.

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Main Results:

  • The patient's increased shoulder range of motion post-arthroplasty was implicated as a causative factor for ISD.
  • Successful open surgical repair was achieved using a previously undescribed modification of Kibler's technique.

Conclusions:

  • This case highlights an unusual complication of shoulder arthroplasty, leading to ISD.
  • A novel surgical approach proved effective for treating this rare shoulder dislocation.