Reverse Shoulder Arthroplasty to Treat Proximal Humerus Fracture Sequelae: A Review.

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Abstract

[Indexed for MEDLINE] 8. Semin Nucl Med. 2018 Sep;48(5):469-482. doi: 10.1053/j.semnuclmed.2018.05.004. Epub 2018 Aug 17. SPECT/CT in Postoperative Shoulder Pain. Thélu-Vanysacker M(1), Frédéric P(2), Charles-Edouard T(3), Alban B(4), Nicolas B(5), Tanguy B(4). Author information: (1)Department of Nuclear Medicine, Ramsay Général de Santé, Hôpital Privé Le Bois, Lille, France; Department of Orthopedic Surgery, Hôpital Riquet, CHU de Toulouse, Toulouse, France. Electronic address: mthelu@gmail.com. (2)Department of Orthopedic Surgery, Clinique du Sport et de Chirurgie Orthopédique, Marcq-en-Baroeul, France. (3)Department of Nuclear Medicine, UF 5881, Groupement des Hôpitaux de l'Institut Catholique de Lille, Lomme, France. (4)Department of Nuclear Medicine, Ramsay Général de Santé, Hôpital Privé Le Bois, Lille, France; Department of Orthopedic Surgery, Hôpital Riquet, CHU de Toulouse, Toulouse, France. (5)Department of Nuclear Medicine, Hôpital Lariboisiere, Assistance Publique-Hôpitaux de Paris, Paris, France. Over the last 2 decades, the incidence of prosthetic shoulder replacements has increased considerably, leading to a rising number of complications and reoperations. In this article, we review how SPECT/CT can be of significant clinical value for shoulder surgeons. Bone SPECT/CT can provide the correct diagnosis for different types of mechanical complications: glenoiditis after hemiarthroplasty, glenoidal loosening after total shoulder arthroplasty, and scapular notching after reverse shoulder arthroplasty. Various nuclear medicine methods are available for detecting prosthesis infection. In our experience, labeled white blood cell scintigraphy combined with bone marrow scintigraphy is the reference standard. FDG-PET may be useful in case of discordance between the white blood cell scan and the clinical context and complementary test results. Copyright © 2018 Elsevier Inc. All rights reserved. DOI: 10.1053/j.semnuclmed.2018.05.004