title: Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty.
abstract: Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware.
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St, Orlando, FL 32803, USA.
authors.forename: Haley P
authors.initials: HP
authors.lastname: Letter
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St, Orlando, FL 32803, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Limback
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St, Orlando, FL 32803, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Wasyliw
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St, Orlando, FL 32803, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Bancroft
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St, Orlando, FL 32803, USA.
authors.forename: Kurt
authors.initials: K
authors.lastname: Scherer
keywords: Infection; Reverse total shoulder arthroplasty; Synovial cutaneous fistula