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Case Report Volume 9 Issue 1
Total reverse shoulder arthroplasty: a strategy for the resolution of multiple pathologies in a single surgical procedure. Case report
Andrés Felipe De La Espriella Rosales, Nicole Carolina Lascano Robles
Department of Orthopedic Surgery and Traumatology, Kaizen Medical Care, Colombia
Received: January 07, 2026 | Published: January 16, 2026
Citation: Rosales AFDE, Robles NCL, Pérez AMA. Total reverse shoulder arthroplasty: a strategy for the resolution of multiple pathologies in a single surgical procedure. Case report. MOJ Sports Med. 2026;9(1):1‒4. DOI: 10.15406/mojsm.2026.09.00192
Abstract
Background: Rotator
cuff arthropathy associated with pathological fractures and bone lesions
presents a complex therapeutic challenge. Management must address joint
dysfunction, structural compromise, and the nature of the underlying lesion.
Case presentation: A 61-year-old female with chronic right shoulder pain was diagnosed
with rotator cuff arthropathy, a pathological humeral fracture, and a
diaphyseal aneurysmal bone cyst. A single-stage reverse total shoulder
arthroplasty with a long-stem prosthesis was performed to address all three
pathologies concurrently. The procedure proceeded without complications. At
five months postoperatively, the patient achieved a Constant Score of 89,
indicating excellent functional recovery.
Conclusion:
Reverse shoulder arthroplasty with a long stem can be considered and safe
surgical option in complex cases involving degenerative arthropathy,
pathological fracture, and bone lesions, even in the absence of malignancy.
This approach broadens the indications for reverse shoulder arthroplasty in
non-oncologic scenarios
Keywords: reverse prosthesis, shoulder, total prosthetic replacement, rotator cuff arthropathy, neoplasm, pathological fracture
©2026 Rosales, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.