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.
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). https://doi.org/10.1007/s00590-018-2126-x
- Shoulder arthroplasty
- Deltoid palsy
- Axillary nerve palsy
- Tendon transfer
- Pectoralis major
- Rotator cuff tear