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Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty

By Haley P. Letter, Joseph Limback, Christopher Wasyliw, Laura Bancroft and Kurt Scherer


AbstractReverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware

Publisher: , the Authors. Published by Elsevier Inc. under copyright license from the University of Washington.
Year: 2016
DOI identifier: 10.1016/j.radcr.2016.02.014
OAI identifier:

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