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    ICJR CASES: The Challenges of Reverse Shoulder Arthroplasty

    Jonathan C. Levy, MD, said that moderating the panel discussion on reverse shoulder arthroplasty during the third webinar in the series, ICJR INSIGHTS: Advanced Concepts® in Shoulder Surgery, was like a therapy session for him. He presented 4 of his past cases and solicited feedback from some of the country’s foremost authorities in reverse shoulder arthroplasty:

    • Joseph A. Abboud MD
    • Evan L. Flatow MD
    • Mark A. Frankle MD
    • Augustus D. Mazzocca MS MD
    • Surena Namdari MD MSc
    • Bradford O. Parsons MD
    • J. Michael Wiater MD

    RELATED: Register for the 10th Annual ICJR Shoulder Course, October 7-9, 2021, in Las Vegas

    And they did not hold back, sharing their insights and challenging each other to justify the tests and treatments they were recommending. Click the image above to hear what this esteemed panel had to say about the following cases:

    Case 1

    • 68-year-old female patient who had undergone 2 prior rotator cuff repairs and now has poor flexion and abduction in the operated shoulder
    • Underwent an uneventful reverse shoulder arthroplasty
    • Unable to move her hand or wrist 10 days after surgery

    Case 2

    • 79-year-old female patient with a massive rotator cuff tear and minimal osteoarthritis
    • Underwent an uneventful reverse shoulder arthroplasty
    • 6 months later, acute onset of anterior shoulder pain with activity; crepitus felt anteriorly

    Case 3

    • 84-year-old female patient with left shoulder pain and cuff tear arthropathy
    • Had a prior reverse shoulder arthroplasty in the right shoulder for identical cuff tear arthroplasty
    • Underwent an uneventful reverse shoulder arthroplasty
    • 6 months later, fell on the left shoulder and was subsequently unable to elevate the left arm

    Case 4

    • 80-year-old male patient presents after reverse shoulder arthroplasty performed by another surgeon
    • Primary surgeon revised the implant once to use a larger humeral tray after the patient dislocated
    • Patient continued to dislocate

    Faculty Bios

    Joseph A. Abboud, MD, is a Professor of Orthopaedic Surgery at the Sidney Kimmel Medical College of Thomas Jefferson University and shoulder and elbow specialist with The Rothman Institute, Philadelphia, Pennsylvania.

    Evan L. Flatow, MD, is President of Mount Sinai West and a Professor of Orthopaedic Surgery at the Icahn School of Medicine at Mount Sinai, New York, New York.

    Mark A. Frankle, MD, is a Tampa-based shoulder and elbow specialist with the Florida Orthopaedic Institute, Director of the Biomechanical Shoulder and Elbow Research Lab at the University of South Florida College of Engineering, and Director of the collaborative Florida Orthopaedic Institute/Foundation for Orthopaedic Research and Education shoulder and elbow fellowship program.

    Jonathan C. Levy, MD, is Chief of Orthopedics at the Holy Cross Orthopedic Institute, Fort Lauderdale, Florida.

    Augustus D. Mazzocca, MS, MD, is a Professor in the Department of Orthopedic Surgery at UConn Health and Director of the UConn Musculoskeletal Institute, Farmington, Connecticut.

    Surena Namdari, MD, MSc, is an Associate Professor of Orthopaedic Surgery at the Sidney Kimmel Medical College of Thomas Jefferson University and shoulder and elbow specialist with The Rothman Institute, Philadelphia, Pennsylvania.

    Bradford O. Parsons, MD, is the Chief of Shoulder Service at the Mount Sinai Health System and is a Professor of Orthopaedic Surgery at the Icahn School of Medicine at Mount Sinai, New York, New York.

    J. Michael Wiater, MD, is a Professor of Orthopaedic Surgery at Oakland University William Beaumont School of Medicine, Rochester, Michigan, and Chief of Shoulder and Elbow Surgery in the Department of Orthopedic Surgery at Beaumont Health, Royal Oak, Michigan.

    Disclosures

    Dr. Abboud has disclosed that he receives research support from Arthrex, Inc., the Department of Defense, Integra, and OrthoSpace; that he has stock or stock options in Aevumed, Marlin Medical Alliance LLC, OBERD, and Shoulder JAM LLC; that he receives royalties and research support from and is a paid consultant for Zimmer Biomet; that he receives royalties from and is a paid consultant for DJO and for Globus Medical; that receives royalties from Integra Life Sciences and from OsteoCentric Technologies; and that he receives other financial or material support from Mininvasive.

    Dr. Flatow has disclosed that he receives royalties from Innomed and that he receives royalties from and is an unpaid consultant for Zimmer Biomet.

    Dr. Frankle has disclosed that he receives royalties from and is paid consultant for Cayenne Medical; that he receives royalties and research support from, is paid consultant for, and is a paid presenter or speaker for DJO Surgical; that he has a paid consultant for Synchrony Healthcare Communications; that he has stock or stock options in VuMedi; and that he receives research support from Zimmer Biomet.

    Dr. Levy has disclosed that he receives research support from Orthofix, Inc., OrthoSpace, Rotation Medical, Tornier, and Zimmer Biomet; that he receives royalties from and is a paid consultant for DJO and for Globus Medical; and that he receives royalties from Innomed.

    Dr. Mazzocca has disclosed that he is a paid consultant for and receives research support from Arthrex, Inc.

    Dr. Namdari has disclosed that he receives research support from Arthrex, Inc., Integra, Roche, Wright Medical Technology, Inc., and Zimmer Biomet; that he has stock or stock options in Coracoid Solutions, Force Therapeutics, MD Live, MD Valuate, Orthophor, Parvizi Surgical Innovations, RubiconMD, and Tangen; that he receives royalties from and has stock or stock options in Aevumed; that he receives research support from and is a paid consultant for DePuy Synthes; that he receives royalties and research support from, is a paid consultant for, and is a paid presenter or speaker for DJO; that he is a paid consultant and paid presenter or speaker for Miami Device Solutions; and that he receives royalties from Miami Device Solutions/Biederman Motech.

    Dr. Parsons has disclosed that he is receives royalties from and is a paid consultant and paid presenter or speaker for Arthrex, Inc.

    Dr. Wiater has disclosed that he has stock or stock options in and is a paid consultant and paid presenter or speaker for Catalyst OrthoScience LLC; that he receives royalties from DePuy Synthes and from Smith & Nephew; that he receives royalties from and has stock or stock options in Ignite Orthopedics; and that he is a paid presenter or speaker for Zimmer Biomet.