Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty

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• 作者：Haley P. Letter ; MD ; ^{Haley.letter.md@flhosp.org" class="auth_mail" title="E-mail the corresponding author} ; Joseph Limback ; MD ; Christopher Wasyliw ; MD ; Laura Bancroft ; MD ; Kurt Scherer ; MD
• 关键词：Synovial cutaneous fistula ; Reverse total shoulder arthroplasty ; Infection
• 刊名：Radiology Case Reports
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：11
• 期：2
• 页码：98-101
• 全文大小：1106 K

文摘

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.