Traumatic acute stem rupture in stress shielding bone resorption of a bipolar radial head arthroplasty: case report and literature review

Traumatic acute stem rupture in stress shielding bone resorption of a bipolar radial head arthroplasty: case report and literature review

Authors

  • Carlo Cardile U.O. Ortopedia e Traumatologia Ospedale Salvini , Asst Rhodense, viale Forlanini 95, 20024 Garbagnate M.se, Milano, Italy https://orcid.org/0000-0002-8215-7145
  • Paolo Arrigoni U.O. Clinica Ortopedica e Traumatologica Universitaria CTO, Asst Pini-CTO, Piazza Cardinal Ferrari 1, 20122 Milano, Italy https://orcid.org/0000-0002-8273-9823
  • Carlo Cazzaniga U.O. Ortopedia e Traumatologia Ospedale Salvini , Asst Rhodense, viale Forlanini 95, 20024 Garbagnate M.se, Milano, Italy
  • Carlo Zaolino U.O. Clinica Ortopedica e Traumatologica Universitaria CTO, Asst Pini-CTO, Piazza Cardinal Ferrari 1, 20122 Milano, Italy https://orcid.org/0000-0002-3624-9428
  • Paolo Ragni U.O. Ortopedia e Traumatologia Ospedale Salvini , Asst Rhodense, viale Forlanini 95, 20024 Garbagnate M.se, Milano, Italy
  • Pietro Simone Randelli U.O. Clinica Ortopedica e Traumatologica Universitaria CTO, Asst Pini-CTO, Piazza Cardinal Ferrari 1, 20122 Milano, Italy, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, 20133 Milano, Italy https://orcid.org/0000-0001-9331-820X

Keywords:

Radial head Arthroplasty, stress shielding, fractures, stem rupture, bone resorption

Abstract

Bone resorption around the proximal portion of the stem of a radial head prosthesis is a frequent phenomenon. In the vast majority of cases it is not correlated with to be without clinical manifestations.  This radiographic sign, refers to the stress shielding effect has been more described in total hip replacement surgery. Few authors have noticed this phenomenon in radial head replacement. however, given the increasing number of these procedures, a careful surveillance is required in patients presenting this sign. We report a literature review and a case presentation of proximal stem rupture following a trauma in association to radiological periprosthetic bone resorption due to stress shielding and treated with revision surgery.

References

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Published

14-10-2021

How to Cite

1.
Cardile C, Arrigoni P, Cazzaniga C, Zaolino C, Ragni P, Randelli PS. Traumatic acute stem rupture in stress shielding bone resorption of a bipolar radial head arthroplasty: case report and literature review. Acta Biomed [Internet]. 2021 Oct. 14 [cited 2024 Jul. 24];92(S1):e2021252. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/11790