Review and clinical presentation in reverse shoulder arthroplasty in deltoid palsy

  • Gwénolé KermarrecEmail author
  • Jean David Werthel
  • Pablo Canales
  • Philippe Valenti
Up-to date Review and Case Report • SHOULDER - ARTHROPLASTY


Deltoid palsy is a classical contraindication for reverse shoulder arthroplasty (RSA). However, in cases associating axillary nerve palsy and rotator cuff tear or glenohumeral arthritis, few options remain. We present a case in which combining RSA with transfer of the pectoralis major and upper and middle trapezius transfer provided satisfactory results in a patient suffering of both an irreparable rotator cuff tear and a deltoid palsy.

Level of evidence IV.


Shoulder arthroplasty Deltoid palsy Axillary nerve palsy Tendon transfer Pectoralis major Trapezius Rotator cuff tear 



Funding was provided by FH Orthopedics.

Compliance with ethical standards

Conflict of interest

Dr. Werthel has a patent with FH Orthopedics for the Arrow shoulder arthroplasty with royalties paid. Dr. Valenti has a patent FH Orthopedics Arrow with royalties paid. Dr. Kermarrec and Dr. Canales have nothing to disclose.


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© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Sorbonne Université, Service de Chirurgie orthopédique et traumatologiqueAPHP, Hopital Saint AntoineParisFrance
  2. 2.Institut Parisien de l’épauleClinique BizetParisFrance
  3. 3.Equipo Hombro y CodoClinica IndisaSantiago, ProvidenciaChile

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