codman cartoon.jpg

Arthroplasty

Yoga Instructor with Osteoarthritis

June 4, 2021

This is a 56 year-old female patient with bilateral glenohumeral joint dysplasia with osteoarthritis. What are her options?

Case Presentation

Case Responses (awaiting case responses)

Large Enchondroma in Patient with Hemiplegic Cerebral Palsy

March 31, 2021

This is a 52 year-old female with ride-sided hemiplegic cerebral palsy and a large enchondroma. Her story is below. What are her options?

Case Presentation

Case Responses

Traumatic Rotator Cuff Tear 5 Weeks Following Anatomic TSA

March 23, 2021

This is an active 61 year-old male who works as a roofer. He underwent a left TSA 3 months ago and returned to the office 5 weeks post-op following an injury where he fell on outstretched arms. What are his options?

Case Presentation

Case Responses

Role of Reverse Arthroplasty in the Weightbearing Shoulder

March 5, 2021

This is a 62 y/o retired physical therapist who has been paraplegic since her 20's. She has had right shoulder pain for the past4 years and her strength has decreased over time. She has pain at night and with activity. What are her options?

Case Presentation

Case Responses

Management of Charcot Shoulder with Reverse Prosthesis

October 5, 2020

This is a 66 year old female who underwent a RSA by Dr. Warner in 2017. In 2019, she returned for a follow-up and XRs demonstrated lateral bony resorption of the humerus adjacent to the stem but with the distal 2-3 cm of the stem still covered with bony incorporation. She has excellent motion however. Our office recommended observation, but a second opinion recommended a revision RSA. She returned to our office recently for further discussion. What are her options?

Case Presentation

Case Responses

RSA with Concerning Radiographic Findings

September 18, 2020

This is a 66 year old female who underwent a RSA by Dr. Warner in 2017. In 2019, she returned for a follow-up and XRs demonstrated lateral bony resorption of the humerus adjacent to the stem but with the distal 2-3 cm of the stem still covered with bony incorporation. She has excellent motion however. Our office recommended observation, but a second opinion recommended a revision RSA. She returned to our office recently for further discussion. What are her options?

Case Presentation

Case Responses

Revision Reverse in the Setting of External Rotation Lag and Axillary Nerve Dysfunction

September 14, 2020

This is a 69 year old male who underwent a RSA in 2018. He also underwent a vascular bypass on the same extremity due to a suspected blood clot on POD#1. He was doing better until he noticed intermittent pain ultimately from a failed RSA. Following a complex reconstruction by Dr. Warner in 2020, he has limited motion and weakness. What are his options? 

Case Presentation

Case Responses

Management of Scapular Spine Fracture after Reverse Prosthesis

August 3, 2020

This is a 70 y/o female who is s/p RTSA in August 2019 who was diagnosed with an acromial stress fracture in December 2019. She has has continuous pain since her surgery. What are her options?

Case Presentation

Case Responses

Metal Back Glenoid

January 27, 2020

This is a patient with a complex surgical history. Initially underwent a TSA for AVN 20 years ago and has had multiple surgeries since. She presents to clinic with severe pain and an SSV of 45%. What are her options?

Case Presentation

Case Responses

Bilateral Gorhams Disease

January 21, 2020

This is a 74 year old male RHD, insulin dependent, diabetic patient with bilateral osteoarthritis. A MRI indicates a large intra-articular cyst, a subscapularis and supraspinatus tear, and flattening of the humeral head. What are his next steps?

Case Presentation

Case Responses

Cuff Tear Arthropathy Hamada VI with Type II OS Acromiale

January 8, 2020

This patient is a 71 year old female with cuff tear arthropathy Hamada VI with a painful type II acromiale. The treatment plan is a reverse total shoulder arthroplasty with iliac bone graft. The question is, do we treat the painful mobile Os acromiale or not?

Case Presentation

Case Responses

Severe Superior Scapular Tilt, Unstable Reverse

January 3, 2020

This case is a patient from Dr. Wayne Burkhead. Any advice or input is welcome. 

Case Presentation

Case Responses

Shoulder Arthroplasty without Acromion

November 11, 2019

Patient with history of scoliosis has had severe shoulder pain for several years that is worsening. She congenitally lacks an acromion. Can a reverse shoulder arthroplasty be done on an individual that lacks an acromion?

Case Presentation

Case Responses

Persistent Pain and Stiffness Following TSA

November 8, 2019

This patients presents to our clinic with a complex surgical history that reports persistent pain and stiffness following a total shoulder arthroplasty. What are her options?

Case Presentation

Case Responses

Ongoing Shoulder Pain Following Complex Surgical History

April 19, 2019

Patient with a complex surgical history presents to clinic with ongoing chronic shoulder pain following total shoulder arthroplasty with posterior glenoid bone graft reconstruction. CT demonstrates graft nonunion, while diagnostic arthroscopy revealed a loose glenoid component. What are her options?

Case Presentation

Case Responses

Shoulder Pain and Decreased Range of Motion in the Setting of Complex Surgical History

February 5, 2019

Patient underwent a RSA and reported significant improvement until she received surgical treatment for her esophageal dysfunction. During this procedure, she underwent a medial claviculectomy for exposure, resulting in pain, functional deficits, and Horner syndrome. If the goal is to restore function, what are her options? 

Case Presentation

Case Responses

Anterior and Lateral Pain Following Extensive Surgical History

December 14, 2018

Patient presents with new anterior and lateral pain and a "change in contour" following an extensive medical history, including: open rotator cuff repair, reverse total shoulder arthroplasty, removal of hardware, and deltoidplasty. What are his options?

Case Presentation

Case Responses

Painful TSA in Setting of Significant Glenoid Bone Loss

November 15, 2018

Patient presents with pain 13 years following a total shoulder arthroplasty. When a conversion to reverse shoulder arthroplasty was attempted, surgery was aborted due to significant glenoid bone loss. What are his options?

Case Presentation

Case Responses

Glenohumeral Osteoarthritis

August 9, 2018

Patient presents with glenohumeral osteoarthritis following a history of shoulder dislocations. Although he reports no further problems with stability, he has gradually worsening ROM and a locking sensation when sleeping. Given that he desires to continue his military career, what are his options?

Case Presentation

Case Responses

Humeral Head Bone Loss

July 16, 2018

Patient presents with gross humeral loosening and 1 out of 5 biopsies positive for P. acnes after a hemiarthroplasty. What is the pathologic process, and what are her options?

Case Presentation

Case Responses

Painful Resection Arthroplasty

June 7, 2018

Patient presents with painful resection arthroplasty after multiple failed surgeries. What are her options?

Case Presentation

Case Responses

History of Prosthetic Joint Infections

December 7, 2017

Patient presents with continued shoulder pain after a history of prosthetic joint infections. There is pain at external rotation suggesting a mechanical etiology. What are his options?

Case Presentation

Case Responses

Patient with RSA and Forearm Amputation

May 8, 2018

Patient underwent RSA 8 years ago with great function, but has increased pain and deteriorating function over the last few years. She has a forearm amputation, with a prosthesis, so she uses her other arm for everything else. 

Case Presentation

Case Responses

Syrinx, Charcot Joint, Instability

February 23, 2018

Middle-aged patient with persistent pain and instability in the setting of syrinx with concern for Charcot joint. What are his options?

Case Presentation

Case Responses