Orthopedic Reviews (Apr 2021)

Shoulder arthroplasty in dwarfism: A case report of pseudoachondroplasia with 17-year follow-up

  • Gregory Gasbarro,
  • Joseph W. Galvin,
  • Alexander Prete,
  • Ameen Barghi,
  • Aisha Obeidallah,
  • Jon J.P. Warner

DOI
https://doi.org/10.4081/or.2021.8605
Journal volume & issue
Vol. 13, no. 1

Abstract

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The purpose of this case report is to report the long-term outcome following shoulder hemiarthroplasty in a patient with dwarfism. A 60-year old female with pseudoachondroplasia dwarfism presented 17 years post-operative with a Subjective Shoulder Value of 90% and minimal pain. Custom designed implants were critical for surgical success. Preoperative planning with a CT scan was important in assessing glenoid dysplasia and determining the feasibility of glenoid resurfacing. The emergence of 3D CT virtual preoperative planning tools can further assist in the recognition of deformity to determine if custom designed implants are needed. Shoulder arthroplasty in dwarfism can lead to excellent long-term outcomes.

Keywords