Reverse Total Shoulder Arthroplasty in the Setting of an Intramuscular Lipoma With Extension Into the Glenoid: A Case Report.
| Autor: | Griswold BG; Augusta University, GA, USA., DeFoor MT; San Antonio Military Medical Center, TX, USA., Steflik MJ; Augusta University, GA, USA., Parada SA; Augusta University, GA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Hand (New York, N.Y.) [Hand (N Y)] 2024 Aug 14, pp. 15589447241267784. Date of Electronic Publication: 2024 Aug 14. |
| DOI: | 10.1177/15589447241267784 |
| Abstrakt: | Glenoid bone loss from an infiltrating intramuscular lipoma causing erosive changes is a rare occurrence. A 71-year-old woman with symptomatic rotator cuff arthropathy in the setting of an intramuscular infiltrating lipoma and secondary glenoid bone loss was treated with single-stage tumor excision and reverse total shoulder arthroplasty (rTSA) using an injectable, hard self-setting calcium phosphate as structural bone graft substitute. The patient demonstrated excellent clinical and radiographic outcomes at 2-year follow-up. Infiltrating lipomas resulting in functional rotator cuff arthropathy and erosive osseous glenoid changes are exceedingly rare, yet significant glenoid bony defects present a challenge in the setting of shoulder arthroplasty. This report describes the use of structural bone graft substitute for the management of a glenoid bone defect from a rare case of an intramuscular infiltrating lipoma, while maintaining excellent improvement in functional outcomes and pain after rTSA. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: SAP discloses paid consultant fees from Arthrex and Exactech, as well as research support from Exactech, not directly related to this scholarly work. BGG, MTD, and MJS declare no potential conflicts of interest with respect to the research, authorship, and publication of this article. |
| Databáze: | MEDLINE |
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