Wolfson Matthew, Curtin Patrick, Curry Emily J, Cerda Sandra, Li Xinning
Department of Orthopedic Surgery, Boston University School of Medicine, Boston, MA.
Department of Orthopedic Surgery, University of Massachusetts Medical School, Worcester, MA.
Orthop Rev (Pavia). 2020 Aug 19;12(2):8522. doi: 10.4081/or.2020.8522. eCollection 2020 Aug 6.
Shoulder metallosis with giant cell tumor formation is rarely seen in shoulder surgery. With an increase in shoulder arthroplasty and complex revision shoulder surgeries, clinicians should have an index of suspicion for possible metallosis in patients that presents with unexplained persistent pain with metal components on both the glenoid and humeral side. This case describes a 43-yearold female with a history of six prior shoulder surgeries who presented with shoulder metallosis and giant cell tumor formation after a screw from her open Latarjet procedure began rubbing against her Hemicap implant. She successfully underwent a revision total shoulder arthroplasty for post traumatic arthritis with pectoralis major transfer for her chronic subscapularis rupture and had complete symptom resolution.
肩部金属沉着病合并巨细胞瘤形成在肩部手术中很少见。随着肩部关节置换术和复杂的肩部翻修手术的增加,临床医生应对出现不明原因持续疼痛且关节盂和肱骨头侧均有金属植入物的患者怀疑可能存在金属沉着病。本病例描述了一名43岁女性,既往有6次肩部手术史,在其开放性Latarjet手术的一枚螺钉开始摩擦其半肩假体后,出现肩部金属沉着病和巨细胞瘤形成。她因创伤后关节炎成功接受了全肩关节翻修置换术,并因慢性肩胛下肌断裂行胸大肌转移术,症状完全缓解。