2004, Number 5
Acta Ortop Mex 2004; 18 (5)
To measure shoulder hemiarthroplasty, obtained by means of three-dimensional models in young with rheumatoid arthritis
Peña-Guevara JC, Berumen-Nafarrete E, Aguirre-Madrid A, Vallejo-Ponce J, Riva-Muñoz I, Núñez-Valdez JA
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ABSTRACTIntroduction. Usually shoulder arthroplasty is unusual at early age; nevertheless, some pathologies such as Young Rheumatic Arthritis, where shoulder pain and movement restriction place the function in a highly compromising situation, enable the practice of this kind of treatment. A case report. This is a male patient, being fourteen years old and who was diagnosed Young Rheumatic Arthritis. This patient presented a deforming and incapacitating evolution, with a wide glenoid-humeral destruction, which was corroborated though X-ray screening. A made to measure prosthesis was designed for the patient according to a preoperative planning with the support of an anatomical three-dimensional model based upon tomography cuttings. A left-shoulder hemiplasty was practiced, achieving a functional improvement and lessening pain measurements according to UCLA scale.