PMC5602485_01
Anterior-posterior (a) and lateral (b) radiographs of our patient's shoulder prior to the arthroscopy (and prior to the dislocations).
CRIOR2017-5051987.001.jpg
PMC5602485_01_CRIOR2017-5051987.001.jpg
fig1
Radiographs of his shoulder at his initial visit to our clinic are shown in Figure 1.
Anterior-posterior (a) and axillary lateral (b) radiographs of our patient's shoulder showing the glenohumeral dislocation.
CRIOR2017-5051987.002.jpg
PMC5602485_01_CRIOR2017-5051987.002.jpg
fig2
He then had another shoulder dislocation about six weeks after this soft-tissue reconstruction without having fallen (Figure 2). Surgery was without complication and there were no significant glenoid defects and the Hill-Sachs lesion was small (Figure 2).
Anterior-posterior radiograph of our patient's reverse total shoulder arthroplasty at three months after implantation.
CRIOR2017-5051987.003.jpg
PMC5602485_01_CRIOR2017-5051987.003.jpg
fig3
JGS performed a noncemented RTSA on our patient using a Depuy X-TEND  (Warsaw, Indiana, USA) shoulder implant (Figure 3).
Anterior-posterior (a) and axillary lateral (b) radiographs of our patient's shoulder at two years after the reverse total shoulder arthroplasty. The arrow in image (a) indicates the glenoid notch that has formed, though no component loosing or migration has occurred. Similar findings of relatively high rates of glenoid notching are reported in PD patients and in wheelchair-bound patients without PD.
CRIOR2017-5051987.004.jpg
PMC5602485_01_CRIOR2017-5051987.004.jpg
fig4
Radiographs taken at his two-year follow-up are shown in Figure 4.