Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty

Haley P. Letter, Joseph Limback, Christopher Wasyliw, Laura Bancroft, Kurt Scherer

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)98-101
Number of pages4
JournalRadiology Case Reports
Volume11
Issue number2
DOIs
StatePublished - Jun 1 2016

Keywords

  • Infection
  • Reverse total shoulder arthroplasty
  • Synovial cutaneous fistula

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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