Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case report
A 50-year-old woman who had been previously diagnosed with systemic lupus erythematosus consulted our clinic for pain and weakness in her right shoulder. On examination, she had an atrophied deltoid muscle, a painful right shoulder on movement, and a tender mass in the deltoid area. The patient was...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Shoulder and Elbow Society
2021-09-01
|
| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2021-00241.pdf |
| _version_ | 1827363726964031488 |
|---|---|
| author | Serkan Bayram Ali Erşen |
| author_facet | Serkan Bayram Ali Erşen |
| author_sort | Serkan Bayram |
| collection | DOAJ |
| description | A 50-year-old woman who had been previously diagnosed with systemic lupus erythematosus consulted our clinic for pain and weakness in her right shoulder. On examination, she had an atrophied deltoid muscle, a painful right shoulder on movement, and a tender mass in the deltoid area. The patient was diagnosed with corticosteroid-induced deltoid myopathy, shoulder pain, and loss of range of motion that did not resolve with conservative treatment. We decided to perform reverse shoulder arthroplasty. No complications were observed at the last follow-up visit at 3 years postoperative. Unlike deltoid insufficiency that results from axillary nerve injury, deltoid myopathy due to corticosteroid use contains intact fibers,. Therefore, we increased the effectivity of the remaining deltoid fibers by extending the moment arm of the anterior fibers using reverse shoulder arthroplasty and achieved reliable improvements in clinical symptoms and function without increasing the risk of dislocation. |
| first_indexed | 2024-03-08T07:54:17Z |
| format | Article |
| id | doaj.art-eac2206b31284961bd7365a0fcb6cb34 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T07:54:17Z |
| publishDate | 2021-09-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-eac2206b31284961bd7365a0fcb6cb342024-02-02T14:30:56ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212021-09-0124317818210.5397/cise.2021.00241813Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case reportSerkan Bayram0Ali Erşen1 Department of Orthopedics and Traumatology, Istanbul University Faculty of Medicine, Istanbul, Turkey Department of Orthopedics and Traumatology, Istanbul University Faculty of Medicine, Istanbul, TurkeyA 50-year-old woman who had been previously diagnosed with systemic lupus erythematosus consulted our clinic for pain and weakness in her right shoulder. On examination, she had an atrophied deltoid muscle, a painful right shoulder on movement, and a tender mass in the deltoid area. The patient was diagnosed with corticosteroid-induced deltoid myopathy, shoulder pain, and loss of range of motion that did not resolve with conservative treatment. We decided to perform reverse shoulder arthroplasty. No complications were observed at the last follow-up visit at 3 years postoperative. Unlike deltoid insufficiency that results from axillary nerve injury, deltoid myopathy due to corticosteroid use contains intact fibers,. Therefore, we increased the effectivity of the remaining deltoid fibers by extending the moment arm of the anterior fibers using reverse shoulder arthroplasty and achieved reliable improvements in clinical symptoms and function without increasing the risk of dislocation.http://www.cisejournal.org/upload/pdf/cise-2021-00241.pdfreverse shoulder arthroplastymyopathysystemic lupus erythematosusdeltoid insufficiency |
| spellingShingle | Serkan Bayram Ali Erşen Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case report Clinics in Shoulder and Elbow reverse shoulder arthroplasty myopathy systemic lupus erythematosus deltoid insufficiency |
| title | Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case report |
| title_full | Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case report |
| title_fullStr | Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case report |
| title_full_unstemmed | Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case report |
| title_short | Reverse shoulder arthroplasty for corticosteroid-induced deltoid myopathy in a patient with systemic lupus erythematosus: a case report |
| title_sort | reverse shoulder arthroplasty for corticosteroid induced deltoid myopathy in a patient with systemic lupus erythematosus a case report |
| topic | reverse shoulder arthroplasty myopathy systemic lupus erythematosus deltoid insufficiency |
| url | http://www.cisejournal.org/upload/pdf/cise-2021-00241.pdf |
| work_keys_str_mv | AT serkanbayram reverseshoulderarthroplastyforcorticosteroidinduceddeltoidmyopathyinapatientwithsystemiclupuserythematosusacasereport AT aliersen reverseshoulderarthroplastyforcorticosteroidinduceddeltoidmyopathyinapatientwithsystemiclupuserythematosusacasereport |