Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2020; 11(11): 516-522
Published online Nov 18, 2020. doi: 10.5312/wjo.v11.i11.516
Treatment of a rotator cuff tear combined with iatrogenic glenoid fracture and shoulder instability: A rare case report
Chen-Hao Chiang, Ting-Chien Tsai, Kuan-Kai Tung, Wei-Hsing Chih, Ming-Long Yeh, Wei-Ren Su
Chen-Hao Chiang, Ming-Long Yeh, Department of Biomedical Engineering, National Cheng Kung University, Tainan 70428, Taiwan
Chen-Hao Chiang, Ting-Chien Tsai, Wei-Hsing Chih, Department of Orthopaedic Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi 60002, Taiwan
Kuan-Kai Tung, Department of Orthopaedic Surgery, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Wei-Ren Su, Department of Orthopaedic Surgery, National Cheng Kung University Hospital, Tainan 70428, Taiwan
Author contributions: Chiang CH conceived the designed the study, acquired data, and wrote the original draft; Chiang CH, Tsai TC, and Tung KK analyzed and interpreted the data; Chiang CH, Tsai TC, and Chih WH provided the resources for the data; Yeh ML provided the methodology and validation of the case; Tsai TC, Chih WH, Yeh ML, and Su WR were supervisors for this draft; Tung KK reviewed and edited the draft; All authors have read and approved the final manuscript.
Informed consent statement: Informed consent was obtained from the patient, and she gave permission for her case to be published.
Conflict-of-interest statement: The authors declared that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Ting-Chien Tsai, MD, Surgeon, Department of Orthopaedic Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, No. 539 Zhongxiao Road, East District, Chia-Yi 60002, Taiwan.
Received: March 2, 2020
Peer-review started: March 2, 2020
First decision: September 11, 2020
Revised: September 22, 2020
Accepted: October 9, 2020
Article in press: October 9, 2020
Published online: November 18, 2020
Core Tip

Core Tip: Manipulation under anesthesia is an effective treatment for refractory stiff shoulder, but some severe complications have been reported. We present a rare case of rotator cuff tear and antero-inferior glenoid rim fracture combined with shoulder instability after manipulation for shoulder stiffness. Arthroscopic repair of the glenoid fracture and concomitant rotator cuff tear was performed. A good outcome was achieved with this treatment in the 2-year postoperative follow-ups.