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 An unusual complication of the Mackenzie approach for a Copeland hemiarthroplasty

Sarah E Johnson-Lynn, Jaime Candal-Couto
Department of Orthopedics, Wansbeck General Hospital, Woodhorn Lane, Ashington, Northumberland, NE63 9JJ, United Kingdom

Correspondence Address:
Sarah E Johnson-Lynn
20 Millfield Grove North Shields, Tyne and Wear
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.83197

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Year : 2011  |  Volume : 5  |  Issue : 2  |  Page : 47-49

 
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We report the case of a patient with end-stage osteoarthritis who received a successful Copeland resurfacing hemiarthroplasty through a Mackenzie anterosuperior approach, which involves taking the anterior portion of the deltoid attachment from the acromion along with an osteo-periosteal sleeve. The patient went on to develop severe subacromial impingement symptoms 4 months postoperatively. X-rays revealed a large anteroinferior acromial osteophyte that had not been present preoperatively and was deemed to represent a malunited osteo-periosteal sleeve from the Mackenzie approach.






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© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06

 

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Sarah E Johnson-Lynn, Jaime Candal-Couto
Department of Orthopedics, Wansbeck General Hospital, Woodhorn Lane, Ashington, Northumberland, NE63 9JJ, United Kingdom

Correspondence Address:
Sarah E Johnson-Lynn
20 Millfield Grove North Shields, Tyne and Wear
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.83197

Get Permissions

We report the case of a patient with end-stage osteoarthritis who received a successful Copeland resurfacing hemiarthroplasty through a Mackenzie anterosuperior approach, which involves taking the anterior portion of the deltoid attachment from the acromion along with an osteo-periosteal sleeve. The patient went on to develop severe subacromial impingement symptoms 4 months postoperatively. X-rays revealed a large anteroinferior acromial osteophyte that had not been present preoperatively and was deemed to represent a malunited osteo-periosteal sleeve from the Mackenzie approach.






[FULL TEXT] [PDF]*


        
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Sitemap | What's New | Copyright and Disclaimer
© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06