Intraoperative periprosthetic humeral fracture during reverse shoulder arthroplasty: a sequelae of prior biceps tenodesis

다국어 초록 (Multilingual Abstract)

Intraoperative periprosthetic humeral fractures are a rare but debilitating complication of reverse shoulder arthroplasty and can occur during multiple stages of the procedure. Prior biceps tenodesis has been found to reduce cortical humeral strength and predispose the patient to humeral fracture. We present a case of a 68-year-old female with a previous history of biceps tenodesis due to an irreparable rotator cuff tear. Months later, and after symptoms persisted, a reverse shoulder arthroplasty was performed. During the surgery and while performing final reduction, a fracture line was observed involving the hole used for the previous tenodesis procedure. The fracture was repaired, and the patient reported favorable outcomes. We report several factors that might have contributed to sustenance of this intraoperative fracture including prior biceps tenodesis, use of a press fit humeral stem, and the sex of the patient.

참고문헌 (Reference)

1 Wagner ER, "What are risk factors for intraoperative humerus fractures during revision reverse shoulder arthroplasty and do they influence outcomes" 473 : 3228-3234, 2015

2 King JJ, "Uncemented versus cemented humeral stem fixation in reverse shoulder arthroplasty" 39 : 291-298, 2015

3 Beason DP, "Torsional fracture of the humerus after subpectoral biceps tenodesis with an interference screw : a biomechanical cadaveric study" 30 : 915-920, 2015

4 Dillon MT, "The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures" 50 : 676-680, 2019

5 Eyberg BA, "Suture cerclage for stabilizing the humeral shaft during shoulder arthroplasty" 4 : 688-693, 2020

6 Creech MJ, "Surgical indications for long head biceps tenodesis : a systematic review" 24 : 2156-2166, 2016

7 Baleani M, "Suprapectoral biceps tenodesis : a biomechanical comparison of a new"soft anchor"tenodesis technique versus interference screw biceps tendon fixation" 30 : 188-194, 2015

8 Hipp JA, "Structural consequences of transcortical holes in long bones loaded in torsion" 23 : 1261-1268, 1990

9 Renner N, "Stainless steel wire versus FiberWire suture cerclage fixation to stabilize the humerus in total shoulder arthroplasty" 23 : 1568-1574, 2014

10 Friedel R, "Proximal humerus shaft fracture as a complication after keyhole-plasty : a case report" 21 : 198-201, 1995

11 Jacobs AN, "Proximal humerus fracture following arthroscopic biceps tenodesis" 50 : 649-, 2020

12 Reiff SN, "Proximal humerus fracture after keyhole biceps tenodesis" 39 : E61-3, 2010

13 Athwal GS, "Periprosthetic humeral fractures during shoulder arthroplasty" 91 : 594-603, 2009

14 Lee M, "Intramedullary reaming for press-fit fixation of a humeral component removes cortical bone asymmetrically" 17 : 150-155, 2008

15 Chen CH, "Incidence and severity of biceps long head tendon lesion in patients with complete rotator cuff tears" 58 : 1189-1193, 2005

16 Erdle NJ, "Humerus fractures after open subpectoral biceps tenodesis : three cases with 2-year functional outcome data and review of the literature" 10 : e0033-, 2020

17 Ashmyan RI, "Humeral shaft fracture after open biceps tenodesis following use of continuous passive motion machine : a case report" 5 : 546-548, 2021

18 Sears BW, "Humeral fracture following subpectoral biceps tenodesis in 2 active, healthy patients" 20 : e7-11, 2011

19 Alswat KA, "Gender disparities in osteoporosis" 9 : 382-387, 2017

20 American Academy of Orthopaedic Surgeons, "Clinical practice guideline on the management of rotator cuff injuries"

21 Chiang FL, "Biomechanical comparison of all-suture anchor fixation and interference screw technique for subpectoral biceps tenodesis" 32 : 1247-1252, 2016

22 Walch G, "Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears : clinical and radiographic results of 307 cases" 14 : 238-246, 2005

23 Denard PJ, "A tensionable suture-based cerclage is an alternative to stainless steel cerclage fixation for stabilization of a humeral osteotomy during shoulder arthroplasty" 29 : e609-17, 2021

24 Dein EJ, "A humerus fracture in a baseball pitcher after biceps tenodesis" 42 : 877-879, 2014