Case #2 Xavier A. Duralde, MD Peachtree Orthopaedic Clinic - - PowerPoint PPT Presentation

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Case #2 Xavier A. Duralde, MD Peachtree Orthopaedic Clinic - - PowerPoint PPT Presentation

Case #2 Xavier A. Duralde, MD Peachtree Orthopaedic Clinic Atlanta, GA Case #2 54 yo heavy equipment operator fell 10 feet moving a front end loader onto a trailer Shoulder injury and ipsilateral distal humerus fracture Elbow


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SLIDE 1

Case #2

Xavier A. Duralde, MD Peachtree Orthopaedic Clinic Atlanta, GA

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SLIDE 2

Case #2

  • 54 yo heavy equipment
  • perator fell 10 feet moving a

front end loader onto a trailer

  • Shoulder injury and ipsilateral

distal humerus fracture

  • Elbow treated
  • Referred for shoulder @ 2 mos
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SLIDE 3

Case #2

  • 54 yo heavy equipment
  • perator fell 10 feet moving a

front end loader onto a trailer

  • Shoulder injury and ipsilateral

distal humerus fracture

  • Elbow treated
  • Referred for shoulder @ 2 mos
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SLIDE 4

Case #2

  • 54 yo heavy equipment
  • perator fell 10 feet moving a

front end loader onto a trailer

  • Shoulder injury and ipsilateral

distal humerus fracture

  • Elbow treated
  • Referred for shoulder @ 2 mos
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SLIDE 5

Case #2

  • Unable to elevate the

arm without severe pain

  • NV intact
  • Elbow ROM 30-110
  • Office films
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SLIDE 6

Advanced Imaging

  • Pre-existing degenerative

changes

  • Posterior glenoid

deficiency

  • Options?
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SLIDE 7

Wedge-shaped Bio-RSA

  • Humeral head autograft

fashioned to correct glenoid deformity

  • Version corrected
  • rTSA
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SLIDE 8

Clinical Results

  • Doing great at 4 months!
  • Pain 2/10
  • AFE 90
  • ER 20
  • IR Iliac crest
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SLIDE 9

Clinical Results

  • Doing great at 4 months!
  • Pain 2/10
  • AFE 90
  • ER 20
  • IR Iliac crest
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SLIDE 10

Xavier A Duralde, M.D. Peachtree Orthopedics