Humeral shortening osteotomy combined with reverse total shoulder arthroplasty for superior humeral migration with acromial fracture

H Clitherow, Gregory Bain

Research output: Contribution to journalArticlepeer-review


Fixed superior humeral migration in the setting of a chronic rotator cuff tear is a difficult problem to manage. A reverse total shoulder arthroplasty can restore shoulder function, but the degree of humeral lengthening caused by the procedure places considerable tension on the deltoid and the surrounding neurovascular structures. This can result in neurological compromise, poor joint function, and acromial fracture. The authors present a reverse total shoulder arthroplasty combined with humeral shortening osteotomy. This technique allows independent control of the correction of the joint center of rotation and the tension in the deltoid, rotator cuff remnants, and surrounding neurovascular structures.

Original languageEnglish
Pages (from-to)139-143
Number of pages5
JournalTechniques in Shoulder and Elbow Surgery
Issue number4
Publication statusPublished - 12 Dec 2014


  • acromial fracture
  • humerus
  • Osteotomy
  • reverse total shoulder arthroplasty
  • rotator cuff tear arthropathy

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