Resumo

OSSIO-ORTUBE, Álvaro X. Reverse shoulder prosthesis in avascular necrosis of the humerus head. Cuad. - Hosp. Clín. [online]. 2021, vol.62, n.2, pp.42-46. ISSN 1562-6776.

Abstract A 39-year-old female patient with a dressmaker occupation, with a significant morbid history of rheumatoid arthritis under treatment with corticosteroids since the age of 31, presents insidious symptoms in the right glenohumeral joint with mild pain and functional limitation that increases due to eight months until it became invalidating, being controlled only by the rheumatology office; He attended the trauma clinic in December 2018, for the pre-surgical physical examination, complete limitation ofall the arches ofmotion ofthe right glenohumeral joint, which was associated with severe pain when performing forced movements, presenting the following arches of movement: 50 ° flexion, abduction 15 °, internal rotation 20 °, external rotation 15 °, extension 10 ° and pain on passive and active mobilization. By complementary radiological, tomographic and magnetic resonance examinations, the diagnosis of necrosis of the right humeral head with complete rupture of the supraspinatus, infra-spinous and subscapularis was reached. Procedure is performed at the Miraflores hospital complex; Reverse shoulder arthroplasty was decided due to joint involvement and involvement of the muscle-tendon component of the rotator cuff. Having a surgical post with excellent functional results that return the mobility arches to carry out a normal daily life without pain.

Palavras-chave : shoulder; necrosis; humerus; prosthesis; reverse.

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