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Abstract
Arthroscopic rotator cuff repair usually provides pain relief after surgery. In the early postoperative period, tendon re-rupture can trigger the pain again, and this rupture is usually confirmed by ultrasound. In this case report, we present a case of tendon re-rupture with concomitant rapid-onset avascular necrosis after arthroscopic rotator cuff repair. In an early stage, avascular necrosis can only be confirmed using MRI, and ultrasound may confound the diagnosis. Therefore, it is important to suspect this postoperative complication in female patients presenting with pain despite initial improvements after rotator cuff repair. Early diagnosis helps manage symptoms and control disease progression. In this case, a reverse shoulder arthroplasty provided pain relief and an acceptable range of motion.
- Tendon rupture
- Rotator cuff tears
- Stiff shoulder
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Footnotes
Contributors The following authors were responsible for the drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: BG-M, MB-R. The following authors gave final approval of the manuscript: BG-M, RA-M, MB-R. Guarantor: MB-R.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.