Review and clinical presentation in reverse shoulder arthroplasty in deltoid palsy


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.

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Funding was provided by FH Orthopedics.

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Correspondence to Gwénolé Kermarrec.

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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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Kermarrec, G., Werthel, J.D., Canales, P. et al. Review and clinical presentation in reverse shoulder arthroplasty in deltoid palsy. Eur J Orthop Surg Traumatol 28, 747–751 (2018).

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