Document Type

Conference Proceeding

Publication Date

5-3-2024

Abstract

Purpose: To assess whether prior history of breast cancer treated with XRT has an impact on outcomes following shoulder surgery Significance: Long-term effects of XRT on complications and outcomes following shoulder surgery are largely unknown. Methods: 20-year single institution retrospective chart review. Inclusion criteria: patients with history of breast cancer treated with XRT and a subsequent ipsilateral shoulder surgical procedure. Demographics, comorbidities, and postoperative outcomes including ROM and VAS pain scores were collected. Results: 18 female patients (average age 66.3 years) were identified. 10 underwent rotator cuff repair, 7 shoulder arthroplasty (3 reverse), and 1 arthroscopic labral repair. Four patients treated with RCR and two with arthroplasty experienced complications. ROM across all groups improved, primarily forward flexion and internal rotation among RCR patients (p< .01). A significant improvement in VAS scores was achieved in each group (p< .01). Conclusion: Although our cohort experienced higher complication rates relative to national averages, several of these were independent of XRT history and most resolved with appropriate therapy. Importantly, ROM and pain scores showed appropriate improvement similar to baseline populations. Our results suggest that shoulder surgery after ipsilateral XRT for breast cancer is likely safe without increased complication rate.

Comments

OREF (Orthopaedic Research and Education Foundation) Midwest Region Resident Research Symposium, May 3, 2024, Rosemont, IL

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