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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Related Experiment Video

Updated: Jun 17, 2026

Reverse Total Shoulder Arthroplasty
10:10

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Published on: July 5, 2011

43.0K

Medical Adhesive-Related Skin Injury After Reverse Total Shoulder Arthroplasty: A Case Report.

Eve R Glenn1, Alexander R Zhu1, Zina Smadi2

  • 1School of Medicine, The Johns Hopkins University, Baltimore, Maryland.

JBJS Case Connector
|May 1, 2025
PubMed
Summary

A rare medical adhesive-related skin injury (MARSI) occurred after reverse total shoulder arthroplasty (RTSA) due to surgical drapes. This case highlights the importance of preventing and treating MARSI in orthopedic surgery patients.

Keywords:
MARSIadultatrial fibrillationchronic kidney diseasediabetes mellituselderlyfemaleiatrogenic lesioniobanmalunion proximal humerus fracturemedical adhesive–related skin injuryosteoarthritisprimary reverse total shoulder arthroplastysarcoidosisshoulderskin trauma

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Area of Science:

  • Orthopedic Surgery
  • Dermatology
  • Wound Care

Background:

  • Reverse total shoulder arthroplasty (RTSA) is a common procedure for severe shoulder osteoarthritis.
  • Surgical site preparation often involves adhesive drapes to maintain sterility.
  • Medical adhesive-related skin injury (MARSI) is a potential complication associated with these drapes.

Purpose of the Study:

  • To report a rare case of MARSI following RTSA.
  • To emphasize the importance of recognizing and managing MARSI.
  • To highlight the need for preventative strategies in orthopedic procedures.

Main Methods:

  • A case report of a 77-year-old female patient who underwent RTSA.
  • Preoperative surgical site preparation using 3M Ioban iodine-impregnated drapes.
  • Management of the resulting MARSI in collaboration with plastic surgery and wound care specialists.

Main Results:

  • The patient developed a MARSI upon removal of the iodine-impregnated surgical drape.
  • The iatrogenic skin injury required specialized treatment.
  • Successful management of the MARSI was achieved through multidisciplinary care.

Conclusions:

  • MARSI is a rare but significant complication that can occur after RTSA.
  • Adhesive surgical drapes, while beneficial for sterility, pose a risk of skin injury.
  • Healthcare providers must be vigilant in both preventing and treating MARSI in surgical patients.