Total shoulder arthroplasty in a patient with Paget’s Disease: case report and review of the literature

Reverse shoulder arthroplasty in a patient with Paget’s disease using the modified Ling technique

“…One other case of shoulder arthroplasty in a patient with Paget's disease has been described. 13 In this report, an anatomic TSA was performed in a 76-year-old male. Humeral stem fixation was achieved via cementation without the use of cancellous impaction grafting as described by Ling.…”

“…Some authors recommend having blood products on standby and to use cell saver during surgery. 7,8,13 In addition, although Paget's Sarcoma is rare, it is relatively more common in the proximal humerus and should be evaluated as the potential cause of new onset or worsening shoulder pain in these patients. 2,3,12 Intraoperatively, the humeral canal preparation can be complicated by intramedullary cortical bone and require the use of fluoroscopy, burrs, and cannulated reamers.…”

“…Just one case report, of an anatomic total shoulder arthroplasty (TSA) in a patient with Paget's disease involving the proximal humerus, has been described in the literature. 13 There has not been a description of reverse shoulder arthroplasty (RSA) in a patient with Paget's disease or of the Ling technique used in the upper extremity for humeral component fixation.…”