Reverse Shoulder Arthroplasty Pathway Posted: 7/19/2022 ID: (C102072) Middle Atlantic Shoulder & Elbow Society Annual Meeting

Shoulder Psoriatic Arthritis in 63F

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1,700

OUTCOMES

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EVIDENCE

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CASE DESCRIPTION

AGE	63 / Female
CC	Right shoulder pain
HPI	A 63-year-old female with extensive comorbidities presents with severe bilateral shoulder pain, right greater than left. She has tried conservative management without any significant improvement in her pain.
PMH	PMH: Significant for psoriatic arthritis requiring chronic prednisone use until 2020. She is not on any immunosuppressants currently. She has both cardiovascular and pulmonary issues and is obese (BMI 36). PSH: Hx of multilevel cervical spinal fusion.
PE	A focused physical examination of the right shoulder reveals severe limitations in range of motion with Elevation of ~ 20º, Abduction of ~ 10º, and External rotation of ~ 0º. Her posterior/middle and anterior deltoid all fire. She is neurovascularly intact.

AGE/GENDER:

63 / Female

CHIEF COMPLAINT:

Right shoulder pain

HISTORY OF PRESENT ILLNESS:

A 63-year-old female with extensive comorbidities presents with severe bilateral shoulder pain, right greater than left. She has tried conservative management without any significant improvement in her pain.

PAST MEDICAL HISTORY:	PMH: Significant for psoriatic arthritis requiring chronic prednisone use until 2020. She is not on any immunosuppressants currently. She has both cardiovascular and pulmonary issues and is obese (BMI 36). PSH: Hx of multilevel cervical spinal fusion.
PHYSICAL EXAM:	A focused physical examination of the right shoulder reveals severe limitations in range of motion with Elevation of ~ 20º, Abduction of ~ 10º, and External rotation of ~ 0º. Her posterior/middle and anterior deltoid all fire. She is neurovascularly intact.
DIAGNOSIS:	Shoulder Psoriatic Arthritis in 63F