Use of a Total Shoulder Arthroplasty in a Patient with Minimally Painful Severe Glenohumeral Arthritis and a Progressive Plexopathy: A Case Report.
Document Type
Article
Publication Title
JBJS Case Connector
Abstract
CASE: A 70-year-old woman presented with severe but minimally painful right glenohumeral osteoarthritis (OA), with progressive weakness and numbness radiating to the right hand. Imaging revealed a large fluid collection extending from the joint to the subcoracoid space, with a mass effect on the brachial plexus. A total shoulder arthroplasty (TSA) and decompression of a ganglion cyst were performed. Follow-up with serial electromyography demonstrated resolution of the brachial plexopathy and restoration of function.
CONCLUSION: Ganglion cysts may arise secondary to severe glenohumeral OA and may compress the surrounding structures, producing a progressive plexopathy. Treatment of the underlying pathology with a TSA may be effective.
First Page
32
Last Page
32
DOI
10.2106/JBJS.CC.17.00070
Publication Date
4-1-2018
Recommended Citation
Triplet JJ, Kurowicki J, Rosas S, Levy JC. Use of a Total Shoulder Arthroplasty in a Patient with Minimally Painful Severe Glenohumeral Arthritis and a Progressive Plexopathy: A Case Report. JBJS Case Connect. 2018 Apr-Jun;8(2):e32. doi: 10.2106/JBJS.CC.17.00070. PMID: 29794487.