{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:58:11Z","timestamp":1785437891494,"version":"3.56.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Three patients (71-year-old woman with cuff tear arthropathy; 40-year-old man with failed hemiarthroplasty; 92-year-old woman with cuff tear arthropathy) underwent reverse shoulder arthroplasty and developed early recurrent instability. Imaging confirmed repeated dislocations with contributing factors including soft-tissue insufficiency, prior surgery, postoperative fracture, periprosthetic infection, and noncompliance with immobilization due to delirium. Despite closed reduction and multiple revision procedures, instability persisted. All patients underwent shoulder spica cast immobilization, resulting in maintained reduction and improved clinical outcomes (1 patient lost to follow-up).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Shoulder spica casting may serve as an effective salvage strategy for managing refractory instability after shoulder arthroplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00178","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:01:28Z","timestamp":1785434488000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Shoulder Spica Cast as a Salvage Technique for Instability After Reverse Shoulder Arthroplasty"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5139-6282","authenticated-orcid":false,"given":"Tarishi","family":"Parmar","sequence":"first","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Fiandeiro","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9256-9952","authenticated-orcid":false,"given":"Mohammad","family":"Daher","sequence":"additional","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8990-7556","authenticated-orcid":false,"given":"Jawad","family":"Saad","sequence":"additional","affiliation":[{"name":"Wayne State University School of Medicine, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7078-9148","authenticated-orcid":false,"given":"Peter","family":"Boufadel","sequence":"additional","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3845-7220","authenticated-orcid":false,"given":"Joseph A.","family":"Abboud","sequence":"additional","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"issue":"3","key":"bib1-20260730","first-page":"261","article-title":"Systematic review of prevalence, risk factors, and management of instability following reverse shoulder arthroplasty","volume":"2","author":"Olson","year":"2022","journal-title":"JSES Rev Rep Tech."},{"issue":"7","key":"bib2-20260730","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1016\/j.jse.2016.12.073","article-title":"Dislocation following reverse total shoulder arthroplasty","volume":"26","author":"Kohan","year":"2017","journal-title":"J Shoulder Elbow Surg."},{"issue":"5","key":"bib3-20260730","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.jse.2013.08.015","article-title":"Early dislocation after reverse total shoulder arthroplasty","volume":"23","author":"Chalmers","year":"2014","journal-title":"J Shoulder Elbow 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Int."},{"key":"bib10-20260730","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/00003086-199205000-00002","article-title":"The hinged shoulder spica cast for management after shoulder surgery","volume":"278","author":"Lusskin","year":"1992","journal-title":"Clin Orthop Relat Res."},{"issue":"4","key":"bib11-20260730","doi-asserted-by":"crossref","first-page":"622","DOI":"10.2106\/00004623-200304000-00006","article-title":"Instability after shoulder arthroplasty: results of surgical treatment","volume":"85","author":"Sanchez-Sotelo","year":"2003","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib12-20260730","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1007\/s12178-014-9249-4","article-title":"Management of complications after revision shoulder arthroplasty","volume":"8","author":"Rahmi","year":"2015","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"6","key":"bib13-20260730","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1007\/s00402-020-03733-8","article-title":"Results after spica cast immobilization following hip reconstruction in 95 cases: is there a need for alternative techniques?","volume":"142","author":"Pisecky","year":"2022","journal-title":"Arch Orthop Trauma Surg."},{"key":"bib14-20260730","first-page":"1428","article-title":"Complications of immobilization and bed rest. Part 1: musculoskeletal and cardiovascular complications","volume":"39","author":"Dittmer","year":"1993","journal-title":"Can Fam Physician."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:01:30Z","timestamp":1785434490000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00178"}},"subtitle":["A Report of 3 Cases"],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.26.00178","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}