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- Title
Rehabilitation after total shoulder arthroplasty for a giantcell tumor of bone - a case repor.
- Authors
Popa, Alina; Nicu, Alexandrina; Borda, Monica; Irsay, László; Ungur, Rodica; Onac, Ioan; Ciortea, Viorela
- Abstract
Background. Total shoulder arthroplasty is a standard operative treatment for a variety of disorders of the glenohumeral joint. Successful outcome of total shoulder arthroplasty depends on a well-designed and a well-executed physical therapy program. The rehabilitation program needs to respect a logical sequence: tissue healing, joint mobility and muscle strength. Aims. The purpose of this study was to emphasize the best therapeutic options to functionally rehabilitate a shoulder that was surgically replaced after a giant-cell tumor excision. Methods. The case report describes a 24-year-old female patient who presented in September 2013 to the Clinical Rehabilitation Hospital in Cluj-Napoca for rehabilitation after undergoing total shoulder arthroplasty for a giant-cell bone tumor located in the proximal region of the right humerus. Although they are considered benign in 90% of the cases, giant-cell tumors show a tendency for significant bone destruction, local recurrence, and occasional metastasis in the lung or lymph nodes. The objective examination of the patient at her first hospital admission: normal weight (BMI=19 kg/m2), two postoperative scars in the anterior region of the right arm with minimal sensitivity when palpated, hypotonia and hypotrophy of the right upper limb, spontaneous pain at the mobilization of the right shoulder and limited active and passive range of motion (especially for flexion, abduction and external rotation), pain on the VAS = 30 mm, Constant Shoulder Score = 42, DASH score = 35, SPADI score = 53%. In our hospital, she underwent the current Neer protocol for postoperative total shoulder arthroplasty rehabilitation, which is widely used and is based on the basic science of soft tissue and bone healing. Results. The functional outcome was good, as the range of motion and strength of the upper right limb improved after attending our physical therapy program. Conclusions. When a well-performed surgical procedure is supplemented with a well-designed and frequently monitored therapy program, an excellent outcome of shoulder replacement should be expected.
- Subjects
ARTHROPLASTY; SHOULDER surgery; GLENOHUMERAL joint; JOINT surgery; BONE tumors; DISEASES
- Publication
Palestrica of the Third Millennium Civilization & Sport, 2015, Vol 16, Issue 1, p41
- ISSN
1582-1943
- Publication type
Case Study