Arthroscopic Superior Capsule Reconstruction for Cuff Tear Arthropathy (Hamada Grade 5): A Case Report

JBJS Case Connect. 2020 Dec 21;10(4):e20.00511. doi: 10.2106/JBJS.CC.20.00511.

Abstract

Case: We performed arthroscopic superior capsule reconstruction (ASCR) for cuff tear arthropathy (CTA) with humeral head deformity. A 62-year-old man presented with severely limited shoulder motion and recalcitrant omalgia. He had a history of dental implant removal due to metal allergy, and his Constant score was 21 points. We diagnosed CTA with Hamada classification grade 5 and performed ASCR to avoid allergic reactions. Severe night pain improved within 1 week of ASCR, and his Constant score after 2 years was 74 points.

Conclusion: ASCR may be an effective alternative treatment for patients with CTA with humeral head deformity.

Publication types

  • Case Reports

MeSH terms

  • Arthroplasty / methods*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Rotator Cuff Injuries / complications*
  • Rotator Cuff Injuries / diagnostic imaging
  • Rotator Cuff Tear Arthropathy / surgery*
  • Shoulder Joint / diagnostic imaging
  • Shoulder Joint / surgery*
  • Shoulder Pain / etiology
  • Shoulder Pain / surgery*