Review Question - QID 6623

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Shoulder Hemiarthroplasty QID: 6623 (SAE08UE.61)

QID 6623 (Type "6623" in App Search)

A 28-year-old man sustained a shoulder dislocation 2 years ago. It remained dislocated for 3 weeks and required an open reduction. He now reports constant pain and has only 60 degrees of forward elevation and 10 degrees of external rotation. He desires to return to some sporting activities. An AP radiograph and intraoperative photograph (a view of the humeral head through a deltopectoral approach) are shown in Figures 31a and 31b. What is the best treatment option to decrease pain and improve function?

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Resurfacing hemiarthroplasty

39%

58/150

Resurfacing hemiarthroplasty with fascial glenoid resurfacing

17%

25/150

Resurfacing hemiarthroplasty with cemented glenoid component

6/150

Stemmed hemiarthroplasty

31%

46/150

Stemmed total shoulder arthroplasty

11/150

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The radiograph and intraoperative photograph show osteonecrosis with near complete head loss/collapse. A stemmed implant is more appropriate in this patient because there is very little bone to support a resurfacing implant. In a younger patient, a glenoid implant should be delayed as long as possible because of the eventual need for revision secondary to glenoid loosening and wear, especially in a young active male. The hemiarthroplasty may be converted to a total shoulder arthroplasty in the future.

Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland mark-2 prosthesis.

O Levy,

S A Copeland

General
- Shoulder Hemiarthroplasty

O Levy, BJJ 2001

24 responses

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2.2

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