Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature Review
Background Total shoulder arthroplasty (TSA) can fail for several reasons, such as component loosening, periprosthetic fracture, instability, infection, soft tissue failure, or joint overstuffing. Severe metallosis without loose glenoid components after TSA may result in the need for revision to rev...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-10-01
|
| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13832 |
| _version_ | 1797666353694375936 |
|---|---|
| author | Jong‐Hun Ji Sang‐Eun Park Darshil Parikh Woojin Lee Jinyoung Jeong Hyun Woo Park Seungbae Oh |
| author_facet | Jong‐Hun Ji Sang‐Eun Park Darshil Parikh Woojin Lee Jinyoung Jeong Hyun Woo Park Seungbae Oh |
| author_sort | Jong‐Hun Ji |
| collection | DOAJ |
| description | Background Total shoulder arthroplasty (TSA) can fail for several reasons, such as component loosening, periprosthetic fracture, instability, infection, soft tissue failure, or joint overstuffing. Severe metallosis without loose glenoid components after TSA may result in the need for revision to reverse TSA. Case presentation Four years before the current presentation, an 86‐year‐old woman suffered from right shoulder pain and swelling. The initial diagnosis was osteoarthritis of the shoulder joint, for which she underwent TSA. Four years later, she complained of shoulder joint pain, swelling, and limited range of motion. On sonography, subscapularis and supraspinatus tendon tears were identified. Plain radiographs and computed tomography (CT) scans showed metallosis around the shoulder joint. Due to the rocking horse mechanism, wear of the upper portion of the glenoid component and bearing caused a foreign‐body reaction and severe metallosis around the joint. Due to a massive rotator cuff tear combined with glenoid component wear, the patient eventually underwent reverse TSA (RTSA) and was satisfied with the final results. Conclusions Severe metallosis due to glenoid component wear combined with a massive rotator cuff tear in TSA may cause the need for revision to RTSA. |
| first_indexed | 2024-03-11T19:58:24Z |
| format | Article |
| id | doaj.art-4a7aa11bf749491bb657361033e8a0d5 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-03-11T19:58:24Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-4a7aa11bf749491bb657361033e8a0d52023-10-04T14:23:13ZengWileyOrthopaedic Surgery1757-78531757-78612023-10-0115102736274010.1111/os.13832Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature ReviewJong‐Hun Ji0Sang‐Eun Park1Darshil Parikh2Woojin Lee3Jinyoung Jeong4Hyun Woo Park5Seungbae Oh6Department of Orthopaedic Surgery, Daejeon St. Mary's Hospital College of Medicine, The Catholic University of Korea Seoul Republic of KoreaDepartment of Orthopaedic Surgery, Daejeon St. Mary's Hospital College of Medicine, The Catholic University of Korea Seoul Republic of KoreaDepartment of Orthopaedic Surgery, Daejeon St. Mary's Hospital College of Medicine, The Catholic University of Korea Seoul Republic of KoreaDepartment of Orthopaedic Surgery, Daejeon St. Mary's Hospital College of Medicine, The Catholic University of Korea Seoul Republic of KoreaDepartment of Orthopaedic Surgery, St. Vincent's Hospital College of Medicine, The Catholic University of Korea Seoul Republic of KoreaDepartment of Orthopaedic Surgery, St. Vincent's Hospital College of Medicine, The Catholic University of Korea Seoul Republic of KoreaDepartment of Orthopaedic Surgery, St. Vincent's Hospital College of Medicine, The Catholic University of Korea Seoul Republic of KoreaBackground Total shoulder arthroplasty (TSA) can fail for several reasons, such as component loosening, periprosthetic fracture, instability, infection, soft tissue failure, or joint overstuffing. Severe metallosis without loose glenoid components after TSA may result in the need for revision to reverse TSA. Case presentation Four years before the current presentation, an 86‐year‐old woman suffered from right shoulder pain and swelling. The initial diagnosis was osteoarthritis of the shoulder joint, for which she underwent TSA. Four years later, she complained of shoulder joint pain, swelling, and limited range of motion. On sonography, subscapularis and supraspinatus tendon tears were identified. Plain radiographs and computed tomography (CT) scans showed metallosis around the shoulder joint. Due to the rocking horse mechanism, wear of the upper portion of the glenoid component and bearing caused a foreign‐body reaction and severe metallosis around the joint. Due to a massive rotator cuff tear combined with glenoid component wear, the patient eventually underwent reverse TSA (RTSA) and was satisfied with the final results. Conclusions Severe metallosis due to glenoid component wear combined with a massive rotator cuff tear in TSA may cause the need for revision to RTSA.https://doi.org/10.1111/os.13832ReverseTotal Shoulder ArthroplastymetallosisProsthesis LooseningRotator Cuff TearsTotal Shoulder Arthroplasty |
| spellingShingle | Jong‐Hun Ji Sang‐Eun Park Darshil Parikh Woojin Lee Jinyoung Jeong Hyun Woo Park Seungbae Oh Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature Review Orthopaedic Surgery Reverse Total Shoulder Arthroplastymetallosis Prosthesis Loosening Rotator Cuff Tears Total Shoulder Arthroplasty |
| title | Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature Review |
| title_full | Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature Review |
| title_fullStr | Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature Review |
| title_full_unstemmed | Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature Review |
| title_short | Metallosis‐Induced Conversion Shoulder Arthroplasty: A Unique Experience and Literature Review |
| title_sort | metallosis induced conversion shoulder arthroplasty a unique experience and literature review |
| topic | Reverse Total Shoulder Arthroplastymetallosis Prosthesis Loosening Rotator Cuff Tears Total Shoulder Arthroplasty |
| url | https://doi.org/10.1111/os.13832 |
| work_keys_str_mv | AT jonghunji metallosisinducedconversionshoulderarthroplastyauniqueexperienceandliteraturereview AT sangeunpark metallosisinducedconversionshoulderarthroplastyauniqueexperienceandliteraturereview AT darshilparikh metallosisinducedconversionshoulderarthroplastyauniqueexperienceandliteraturereview AT woojinlee metallosisinducedconversionshoulderarthroplastyauniqueexperienceandliteraturereview AT jinyoungjeong metallosisinducedconversionshoulderarthroplastyauniqueexperienceandliteraturereview AT hyunwoopark metallosisinducedconversionshoulderarthroplastyauniqueexperienceandliteraturereview AT seungbaeoh metallosisinducedconversionshoulderarthroplastyauniqueexperienceandliteraturereview |