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Reverse geometry shoulder replacement for proximal humeral metastases.

Authors
  • Kapur, R A
  • McCann, P A
  • Sarangi, P P
Type
Published Article
Journal
Annals of the Royal College of Surgeons of England
Publication Date
Oct 01, 2014
Volume
96
Issue
7
Identifiers
DOI: 10.1308/003588414X13946184903964
PMID: 25245723
Source
Medline
License
Unknown

Abstract

The management of skeletal metastases can be challenging for the orthopaedic surgeon. They represent a significant source of pain and disability for cancer patients, adding to the morbidity of their condition. Treatment is directed at the alleviation of symptoms and the restoration of function. Metastatic involvement of the proximal humerus can be especially debilitating, having the potential to cause severe pain and loss of function. We present a report of three such cases where reverse geometry proximal shoulder replacement was used to provide a pain free functional range of movement in patients with concomitant rotator cuff disease. In all cases, significant symptomatic relief was achieved postoperatively with preservation of upper limb function. No surgical complications were noted. It is our belief that this novel surgical strategy provides a valuable and effective option for the management of proximal humeral metastatic disease in the rotator cuff deficient patient.

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