Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty

Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arth...

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Main Authors: Letter, Haley P., Limback, Joseph, Wasyliw, Christopher, Bancroft, Laura, Scherer, Kurt
Format: Online
Language:English
Published: Elsevier 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878934/
id pubmed-4878934
recordtype oai_dc
spelling pubmed-48789342016-06-02 Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty Letter, Haley P. Limback, Joseph Wasyliw, Christopher Bancroft, Laura Scherer, Kurt Case Report Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware. Elsevier 2016-04-23 /pmc/articles/PMC4878934/ /pubmed/27257460 http://dx.doi.org/10.1016/j.radcr.2016.02.014 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Letter, Haley P.
Limback, Joseph
Wasyliw, Christopher
Bancroft, Laura
Scherer, Kurt
spellingShingle Letter, Haley P.
Limback, Joseph
Wasyliw, Christopher
Bancroft, Laura
Scherer, Kurt
Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
author_facet Letter, Haley P.
Limback, Joseph
Wasyliw, Christopher
Bancroft, Laura
Scherer, Kurt
author_sort Letter, Haley P.
title Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_short Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_full Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_fullStr Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_full_unstemmed Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
title_sort synovial cutaneous fistula complicating a reverse total shoulder arthroplasty
description Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware.
publisher Elsevier
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878934/
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