Publication: The Total Shoulder Arthroplasty for Malunion of Proximal Humerus with Secondary Osteoarthritis in Young Active Patient: Case Report
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Issued Date
2022
Resource Type
Language
eng
File Type
application/pdf
ISSN
1252208
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 105, No. (2022), p.S124-S129
Suggested Citation
Rungsinaporn V., Mahasupachai N., Kongmalai P., Sakdapanichkul C. The Total Shoulder Arthroplasty for Malunion of Proximal Humerus with Secondary Osteoarthritis in Young Active Patient: Case Report. Journal of the Medical Association of Thailand. Vol 105, No. (2022), p.S124-S129. doi:10.35755/jmedassocthai.2022.S01.00002 Retrieved from: https://hdl.handle.net/20.500.14740/10282
Abstract
Background: Malunion proximal humerus with secondary osteoarthritis in young patient is a problem to most of the surgeons because of its difficulty and poor result. Total shoulder arthroplasty with tuberosity osteotomy is an option to improve pain and function of shoulder. Objective: To report the results of total shoulder arthroplasty with tuberosity osteotomy in young patient with malunion 4-parts proximal humerus fracture with secondary osteoarthritis of glenohumeral joint. Materials and Methods: Case report was a 35-year-old female with painful and stiff right shoulder after 16 years of untreated proximal humerus fracture. She received total shoulder arthroplasty with tuberosity osteotomy in our institute. Range of motion, quick Disabilities of Arm, Shoulder, and Hand score (Q-DASH), and Visual analog score (VAS) were compared pre- and postoperatively. Results: Total follow-up duration was 30 months. Range of motions in all directions were improved. Q-DASH score and VAS score were improved (72.73 to 0 and 5 to 0, respectively). Conclusion: With limited options of management in malunion proximal humerus fracture with secondary osteoarthritis in young patient, the total shoulder arthroplasty with tuberosity osteotomy is a considerable option for the patient who has a good quality of rotator cuff and can achieve tuberosity union. © JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2022