Anakwenze Oke A, Kancherla Vamsi K, Carolan Gregory F, Abboud Joseph
Department of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, PA.
Am J Orthop (Belle Mead NJ). 2015 Nov;44(11):E469-72.
Although reverse total shoulder arthroplasty is largely successful, there are still complications that require appropriate diagnostic workup and treatment. These 2 cases of patients with a coracoid fracture were encountered at 3 months and 15 months after reverse total shoulder arthroplasty. One patient presented with new-onset pain in the coracoid region without significant functional deficit, and the other presented with functional deficit and complaint of a strange noise at the anterior aspect of the operative shoulder. While standard radiographs did not detect the fracture, computed tomography imaging was sufficient to establish the diagnosis. Ultimately, nonoperative management led to resolution of these symptoms.
尽管反式全肩关节置换术总体上很成功，但仍存在一些并发症，需要进行适当的诊断检查和治疗。这2例喙突骨折患者分别在反式全肩关节置换术后3个月和15个月被发现。1例患者喙突区域出现新发疼痛，但无明显功能缺陷，另1例患者出现功能缺陷，并主诉手术侧肩部前方有异常响声。标准X线片未检测到骨折，但计算机断层扫描成像足以确诊。最终，非手术治疗使这些症状得到缓解。
