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Adult Reconstruction
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Revision Shoulder Arthroplasty - Glenoid and Subscapularis Management

Shoulder Arthroplasty

A 68-year-old female presents with pain and limited function 7 years after anatomic total shoulder arthroplasty. Radiographs show complete radiolucent lines around a pegged polyethylene glenoid component with medial migration. CT shows significant posterior glenoid bone loss. The humeral component appears well-fixed. The subscapularis was repaired during the index procedure but exam suggests weakness of internal rotation. Regarding revision for glenoid component loosening:

Mark each as TRUE or FALSE

A

Glenoid component loosening is the most common cause of failure in anatomic total shoulder arthropla...

B

Revision options include glenoid component removal with bone grafting and staged reimplantation, con...

C

All loose glenoid components should be revised with immediate reimplantation of a new glenoid; bone ...

D

Subscapularis integrity is critical for anatomic TSA function; failure or weakness of subscapularis ...

E

Glenoid bone loss can be addressed with structural allograft (femoral head or iliac crest), metal au...

Answer the questions to see explanations

Click T (True) or F (False) for each option