Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty

Developmental Biology

Kurt Scherer¹  Haley P. Letter¹  Joseph Limback¹  Christopher Wasyliw¹  Laura Bancroft¹ 

[1]Department of Radiology, Florida Hospital, 601 E. Rollins St, Orlando, FL 32803, USA$$

关键词: Synovial cutaneous fistula;    Reverse total shoulder arthroplasty;    Infection;   

DOI  :  10.1016/j.radcr.2016.02.014

学科分类：医学（综合）

来源: University of Washington * Department of Radiology

【 摘 要 】

Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware.

【 授权许可】

Unknown