Root Kevin T, Wright Jonathan O, Mandato Nicholas, Stewart Brian D, Moser Michael W
College of Medicine, University of Florida, Gainesville, Florida.
Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, Florida.
JBJS Case Connect. 2023 Feb 3;13(1). doi: e22.00565. eCollection 2023 Jan 1.
We report the second-known case of subacromial-subdeltoid bursitis with rice bodies after rotator cuff repair with a Smith + Nephew REGENETEN bovine-derived bioinductive collagen scaffold implant. After the removal of rice bodies and a portion of implant that had not incorporated, the patient recovered well and made a full return to work and recreational activities.
This case demonstrates that persistent pain, swelling, or decreased range of motion for several months after rotator cuff repair with the use of a collagen implant may warrant a relatively early magnetic resonance imaging to evaluate for underlying pathology. It also provides a framework for physicians who may see similar patients in the future.
我们报告了第二例已知的在使用史赛克REGENETEN牛源生物诱导胶原蛋白支架植入物修复肩袖后出现含米粒体的肩峰下-三角肌下滑囊炎病例。在取出米粒体和未融合的部分植入物后,患者恢复良好,完全恢复了工作和娱乐活动。
该病例表明,在使用胶原蛋白植入物修复肩袖后持续数月的疼痛、肿胀或活动范围减小,可能需要相对早期进行磁共振成像以评估潜在病变。它也为未来可能遇到类似患者的医生提供了一个框架。