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 treated • Referred for shoulder @ 2 mos

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 treated • Referred for shoulder @ 2 mos

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 treated • Referred for shoulder @ 2 mos

Case #2 • Unable to elevate the arm without severe pain • NV intact • Elbow ROM 30-110 • Office films

Advanced Imaging • Pre-existing degenerative changes • Posterior glenoid deficiency • Options?

Wedge-shaped Bio-RSA • Humeral head autograft fashioned to correct glenoid deformity • Version corrected • rTSA

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

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

Xavier A Duralde, M.D. Peachtree Orthopedics