Presentation
Persistence of pain and functional limitation after humeral head resurfacing.
Patient Data
Humeral resurfacing prosthesis is placed on the superior aspect of the humeral head with central glenoid facing aspect not covered.
Surgical report (Italian-English translation)
Revision and removal of the resurfacing prosthesis with inferior eccentric reverse prosthesis implant.
Reverse total shoulder arthroplasty replaced the humeral resurfacing.
Case Discussion
Resurfacing arthroplasty preserves proximal humeral metaphyseal bone stock as no head osteotomy is performed, leading to minimal bone resection. This is beneficial for the younger patient, who may require a revision with a stemmed prosthesis in the future. The eccentric glenosphere introduced represents a further attempt to resolve the problem of the glenoid notching.
Radiographer: TSRM Fabio Imola
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