This patient had multiple failed rotator cuff repairs that led to destruction of her deltoid muscle and arthritis. Due to her significant pain and deltoid dysfunction, a shoulder arthrodesis was recommended.
At her most recent follow up she is very satisfied with her surgery and has no pain.
Figure A: Preoperative X-ray demonstrating severe arthritis
Figure 2: Postoperative X-rays of the fusion
Figure 3: CT scan of humerus fixation to the glenoid:
Video of pre- vs. post-operation:
This patient had 6 previous surgeries for glenohumeral instability that all failed. She had significant pain requiring narcotic pain medications and continued instability. After failing all other management options she was offered a shoulder arthrodesis.
She underwent an arthrodesis that fully fused and she had no symptoms of instability. She did have pain from her hardware which resolved when it was removed 3 years after her fusion.
7 years after surgery, she she indicated she had minimal pain in her shoulder and no feelings of instability.
Figure 1: Preoperative X-rays
Figure 2: Postoperative X-rays with Hardware:
Figure 3: CT 1
CT with healing and ingrowth (4 months after fusion surgery)
Figure 4: CT from another angle:
Figure 5: X-rays after Hardware removal:
Video of post-operative examination: