反式全肩关节置换术后肩胛骨应力性骨折应用特立帕肽治疗：1 例报告。
Treatment of an Acromial Stress Fracture After Reverse Total Shoulder Arthroplasty With Teriparatide: A Case Report.
机构信息
Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York.
Department of Orthopaedic Surgery, Kaiser Permanente, Clackamas, Oregon.
出版信息
JBJS Case Connect. 2020 Apr-Jun;10(2):e0221. doi: 10.2106/JBJS.CC.19.00221.
CASE
A 78-year-old woman who underwent reverse total shoulder arthroplasty (RTSA) for proximal humerus fracture developed a Type-3 acromial stress fracture, resulting in increased pain and decreased function 9 months post-op. She was managed nonoperatively with adjunctive teriparatide (FORTEO), and after a 4-month course, she had regained excellent motion and achieved union.
CONCLUSION
Teriparatide is a viable adjunct in treating patients nonoperatively with acromial stress fractures after RTSA.
病例
一名 78 岁女性因肱骨近端骨折接受了反向全肩关节置换术（RTSA），术后 9 个月发生了 3 型肩峰应力骨折，导致疼痛加剧，功能下降。她接受了非手术治疗，辅助使用特立帕肽（FORTEO），经过 4 个月的疗程，她恢复了极好的活动度并实现了愈合。
结论
特立帕肽是治疗 RTSA 后非手术治疗肩峰应力骨折患者的一种可行的辅助药物。
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