[논문]Botulinum toxin as adjunct therapy in surgical management of a periprosthetic scapular spine fracture: a case report

Alex E. White; Christopher M. Brusalis; David S. Wellman; Samuel A. Taylor

doi:10.5397/cise.2021.00556

Botulinum toxin as adjunct therapy in surgical management of a periprosthetic scapular spine fracture: a case report 원문보기

Clinics in shoulder and elbow, v.26 no.1, 2023년, pp.87 - 92

Alex E. White (Department of Orthopedic Surgery, Hospital for Special Surgery) , Christopher M. Brusalis (Department of Orthopedic Surgery, Hospital for Special Surgery) , David S. Wellman (Department of Orthopedic Surgery, Westchester Medical Center) , Samuel A. Taylor (Department of Orthopedic Surgery, Hospital for Special Surgery)

Abstract ▼ AI-Helper

Six months after undergoing reverse shoulder arthroplasty (RSA) a 73-year-old woman sustained a periprosthetic scapular spine fracture following a fall. She was treated with open reduction and internal fixation (ORIF), followed by botulinum toxin injection into the deltoid muscle to temporarily minimize strain at the fracture. Fracture union was achieved by 3 months, with excellent clinical function more than 1 year following fracture fixation and full resolution of deltoid function. Scapular spine fracture following RSA can be treated with ORIF and temporary deltoid paralysis using botulinum toxin in the immediate postoperative period to safely support fracture healing.

주제어

표/그림 (8)

그림 Fig. 1. Preoperative anteroposterior (A) and axillary (B) X-rays of the right shoulder demonstrating significant glenohumeral osteoar-thritis.
그림 Fig. 2. Axial computed tomography scan slice of the right shoulder demonstrating a Walch classification B2 glenoid deformity.
$Fig. 3. Immediate postoperative portable anteroposterior X-ray of the right shoulder obtained in the recovery room and demonstrating interval placement of an reverse shoulder arthroplasty prosthesis without evidence of fracture or dislocation.$ 그림 Fig. 3. Immediate postoperative portable anteroposterior X-ray of the right shoulder obtained in the recovery room and demonstrating interval placement of an reverse shoulder arthroplasty prosthesis without evidence of fracture or dislocation.
$Fig. 4. Anteroposterior (A) and axillary (B) X-rays of the right shoulder demonstrating a periprosthetic scapular spine fracture 6 months after reverse shoulder arthroplasty.$ 그림 Fig. 4. Anteroposterior (A) and axillary (B) X-rays of the right shoulder demonstrating a periprosthetic scapular spine fracture 6 months after reverse shoulder arthroplasty.
$Fig. 5. Axial computed tomography image of the right shoulder 6 months after reverse shoulder arthroplasty, demonstrating a dis-placed scapular spine fracture.$ 그림 Fig. 5. Axial computed tomography image of the right shoulder 6 months after reverse shoulder arthroplasty, demonstrating a dis-placed scapular spine fracture.
$Fig. 6. Anteroposterior (A), Y-scapular (B), and axillary (C) X-ray images obtained at the 2-month postoperative visit after open reduction and internal fixation of a periprosthetic scapular spine fracture and botulinum toxin injection.$ 그림 Fig. 6. Anteroposterior (A), Y-scapular (B), and axillary (C) X-ray images obtained at the 2-month postoperative visit after open reduction and internal fixation of a periprosthetic scapular spine fracture and botulinum toxin injection.
$Fig. 7. Clinical photographs at 17 months postoperatively from a right periprosthetic scapular spine fracture open reduction and internal fixation demonstrating 60º of external rotation (A), internal rotation to the T10 vertebral level (B), and 170º of forward flexion (C).$ 그림 Fig. 7. Clinical photographs at 17 months postoperatively from a right periprosthetic scapular spine fracture open reduction and internal fixation demonstrating 60º of external rotation (A), internal rotation to the T10 vertebral level (B), and 170º of forward flexion (C).
$Fig. 8. Anteroposterior (AP; A), axillary (B), Y-scapular (C), and AP scapula (D) X-ray images obtained at the 17-month postoperative visit af-ter open reduction and internal fixation of a periprosthetic scapular spine fracture and botulinum toxin injection.$ 그림 Fig. 8. Anteroposterior (AP; A), axillary (B), Y-scapular (C), and AP scapula (D) X-ray images obtained at the 17-month postoperative visit af-ter open reduction and internal fixation of a periprosthetic scapular spine fracture and botulinum toxin injection.

참고문헌 (16)

King JJ, Dalton SS, Gulotta LV, Wright TW, Schoch BS. How common are acromial and scapular spine fractures after reverse shoulder arthroplasty?: A systematic review. Bone Joint J 2019;101:627-34.？
Neyton L, Erickson J, Ascione F, Bugelli G, Lunini E, Walch G. Grammont Award 2018: scapular fractures in reverse shoulder arthroplasty (Grammont style): prevalence, functional, and radiographic results with minimum 5-year follow-up. J Shoulder Elbow Surg 2019;28:260-7.？
Mayne IP, Bell SN, Wright W, Coghlan JA. Acromial and scapular spine fractures after reverse total shoulder arthroplasty. Shoulder Elbow 2016;8:90-100.？

상세보기
Bauer S, Traverso A, Walch G. Locked 90°-double plating of scapular spine fracture after reverse shoulder arthroplasty with union and good outcome despite plate adjacent acromion fracture. BMJ Case Rep 2020;13:e234727.？
Multani I, Manji J, Hastings-Ison T, Khot A, Graham K. Botulinum toxin in the management of children with cerebral palsy. Paediatr Drugs 2019;21:261-81.？
Palsis JA, Simpson KN, Matthews JH, Traven S, Eichinger JK, Friedman RJ. Current trends in the use of shoulder arthroplasty in the United States. Orthopedics 2018;41:e416-23.？

상세보기
Farshad M, Gerber C. Reverse total shoulder arthroplasty-from the most to the least common complication. Int Ortho 2010;34:1075-82.？
Lipof JS, Southgate RD, Tyler WK, Bukata SV, Voloshin I. Treatment of an acromial stress fracture after reverse total shoulder arthroplasty with teriparatide: a case report. JBJS Case Connect 2020;10:e0221.？

상세보기
Taylor SA, Shah SS, Chen X, Gentile J, Gulotta LV, Dines JS, et al. Scapular ring preservation: coracoacromial ligament transection increases scapular spine strains following reverse total shoulder arthroplasty. J Bone Joint Surg Am 2020;102:1358-64.？
Dressler D, Saberi FA, Barbosa ER. Botulinum toxin: mechanisms of action. Arq Neuropsiquiatr 2005;63:180-5.？

상세보기
Kahraman A, Seyhan K, Deger u, Kutluturk S, Mutlu A. Should botulinum toxin A injections be repeated in children with cerebral palsy? A systematic review. Dev Med Child Neurol 2016;58:910-7.？

상세보기
Shin SH, Kang YJ, Kim SG. The effect of botulinum toxin-A injection into the masseter muscles on prevention of plate fracture and post-operative relapse in patients receiving orthognathic surgery. Maxillofac Plast Reconstr Surg 2018;40:36.？

원문보기 상세보기
Tukel HC, Daglioglu YK, Tatli U, Gundogdu LS, Kurkcu M, Benlidayi ME. Effect of botulinum toxin type A on mandibular fracture healing: an experimental study in rabbits. J Oral Maxillofac Surg 2020;78:2281.e1-2281.e8.？

상세보기
Aydin A, Memisoglu K, Cengiz A, Atmaca H, Muezzinoglu B, Muezzinoglu US. Effects of botulinum toxin A on fracture healing in rats: an experimental study. J Orthop Sci 2012;17:796-801.？
Chen Y, Thalayasingam P. Botulinum toxin to control an incapacitating tic in a child with a clavicular fracture. Anaesth Intensive Care 2010;38:1106-8.？

상세보기
Freibott CE, Backer HC, Shoap SC, Tedesco LJ, Galle SE, Rosenwasser MP. Treatment methods for post-traumatic elbow stiffness caused by heterotopic ossification. J Shoulder Elbow Surg 2020;29:1380-6.

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