Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty

Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arth...

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Main Authors: Haley P. Letter, MD, Joseph Limback, MD, Christopher Wasyliw, MD, Laura Bancroft, MD, Kurt Scherer, MD
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004331630005X
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author Haley P. Letter, MD
Joseph Limback, MD
Christopher Wasyliw, MD
Laura Bancroft, MD
Kurt Scherer, MD
author_facet Haley P. Letter, MD
Joseph Limback, MD
Christopher Wasyliw, MD
Laura Bancroft, MD
Kurt Scherer, MD
author_sort Haley P. Letter, MD
collection DOAJ
description Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware.
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spelling doaj.art-d3475dd803c34692b6e65e3838c654f32022-12-22T01:22:31ZengElsevierRadiology Case Reports1930-04332016-06-011129810110.1016/j.radcr.2016.02.014Synovial cutaneous fistula complicating a reverse total shoulder arthroplastyHaley P. Letter, MDJoseph Limback, MDChristopher Wasyliw, MDLaura Bancroft, MDKurt Scherer, MDReverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware.http://www.sciencedirect.com/science/article/pii/S193004331630005XSynovial cutaneous fistulaReverse total shoulder arthroplastyInfection
spellingShingle Haley P. Letter, MD
Joseph Limback, MD
Christopher Wasyliw, MD
Laura Bancroft, MD
Kurt Scherer, MD
Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
Radiology Case Reports
Synovial cutaneous fistula
Reverse total shoulder arthroplasty
Infection
title Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_full Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_fullStr Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_full_unstemmed Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_short Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_sort synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
topic Synovial cutaneous fistula
Reverse total shoulder arthroplasty
Infection
url http://www.sciencedirect.com/science/article/pii/S193004331630005X
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AT laurabancroftmd synovialcutaneousfistulacomplicatingareversetotalshoulderarthroplasty
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