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Case #1
- Right Shoulder Pain
- 74 y/o F, RHD, long standing history of shoulder pain.
- Healthy and active (tennis and golf)
- PE:
- FF 170
- ER 40
- IR Lumbar Spine
- + Crepitus
- 5/5 supra, ER, Negative belly press.
Case #1 Case #1 Right Shoulder Pain 74 y/o F, RHD, long standing - - PowerPoint PPT Presentation
Case #1 Case #1 Right Shoulder Pain 74 y/o F, RHD, long standing - - PowerPoint PPT Presentation
Case #1 Case #1 Right Shoulder Pain 74 y/o F, RHD, long standing history of shoulder pain. Healthy and active (tennis and golf) PE: FF 170 ER 40 IR Lumbar Spine + Crepitus 5/5 supra, ER, Negative belly press.
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Case #2
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Chief Complaint
- Right Shoulder Pain and Weakness
Histor y of Present Illness
- 65y/o amibdextrous male
- 18 Month history of right shoulder pain after a fall.
- Underwent open rotator cuff repair 12 months ago.
- Still with pain and weakness.
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Past Surgical History
- Cervical Spine Surgery
- Right Open Rotator Cuff Repair
Past Medical History
- Non-contributory
Social History
- Non-Smoker, No Etoh, No IVDU
Medications
- None
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Physical Exam
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Imaging
A B
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Imaging
A B C
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Treatment?
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Intra-op Images
A B
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Intra-op Images
A B
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Intra-op Images
A B
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Intra-op Images
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Intra-op Images
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Case #3
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- 65F presents after shoulder
dislocation
- Recurrent instability following
reduction
- Patient comes with MRI
- Displaced bony Bankart fracture
- Treated with RTSA
- 5 year follow up
- VAS 0/10
- SANE score 90%
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Case #4
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Case
- CC: R shoulder pain, limited function.
- HPI: 69 y/o RHD man now 2 years s/p Right TSA.
- Never achieved pain relief and functional improvement
- PMH: Non-contributory
- PE:
- Inc c/d/I
- +TTP anteriorly
- AROM: 70/30/BP – large shrug
- PROM: 150/45/BP
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What Now?
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Our Patient
- CT Arthrogram
- WBC, CRP, ESR
- All Negative
- Aspiration
- WBC 150
- 1 of 2 Positive for P Acnes
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Our Patient
- Diagnostic Scope
- Glenoid loose, removed
- 5 out of 5 Positive for P Acnes
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Our Patient
- Aspiration Negative Following Course of IV Abx
Very Satisfied
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Our Patient
- 2 Years later, presents with left shoulder pain
“Doc, my TSA was terrible, and my RSA is great, why don’t we just do a RSA on this side”
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Our Patient
“My right shoulder is good, but I like my left shoulder better”
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Case #5
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Cases
- 52m presents 12 months s/p L
posterior proximal humerus fracture-dislocation
- CT confirms residual posterior
dislocation of humeral head and non-union
- Treated with RTSA