Etiology |
Dissociation of polyethylene component after reverse shoulder arthroplasty dislocation |
Incidence |
Dislocation incidence as high as 4.7%, rate of polyethylene dissociation for this case series is 15.4% of all dislocations, or 0.7% of all RSA |
Gender ratio |
No determinant |
Age predilection |
Unknown |
Risk factors |
Intraoperative soft-tissue tensioning, age, history of prior instability events, asymmetric liner wear, mechanical liner failure, axillary nerve injury causing deltoid weakness, impingement due to heterotopic ossification, traumatic events |
Treatment |
Open reduction and revision of components as needed, without attempt at closed reduction |
Prognosis |
Resolution after revision surgery |
Findings on imaging |
Appearance of a subluxation of prosthesis rather than a complete dislocation with near 100% to greater than 100% displacement |