Polyethylene liner dissociation after reverse shoulder arthroplasty dislocation: A case series

Jordan W. Paynter, B. Gage Griswold, Mikalyn T. Defoor, Lynn A Crosby, Stephen A. Parada

Research output: Contribution to journalArticlepeer-review

Abstract

Reverse shoulder arthroplasty is a common procedure. While dislocation is a common complication, there are few reports documenting dislocation with associated polyethylene liner dissociation from the humeral tray. There have been 4 instances of this occurrence over 9 years at our institution, and there are specific radiographic clues for diagnosis. Recognizing polyethylene liner dissociation on imaging is important prior to treatment. In a "routine" dislocation, closed reduction may be attempted but when the polyethylene is dissociated, open reduction is the only treatment option, as closed reduction can damage the components. Dislocations with polyethylene dissociation may not be initially recognized, prompting a non-operative period leading to wear and metallosis. These 4 cases demonstrate key findings present on imaging to recognize the difference between a dislocation with and without polyethylene liner dissociation, namely the subluxation appearance rather than dislocation.

Original languageEnglish (US)
Pages (from-to)14-23
Number of pages10
JournalJournal of Radiology Case Reports
Volume14
Issue number8
DOIs
StatePublished - 2020

Keywords

  • Dissociated components
  • Implant failure
  • Polyethylene dissociation
  • Reverse shoulder arthroplasty
  • Shoulder arthroplasty dislocation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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