Case: A 78-year-old woman who underwent reverse total shoulder arthroplasty (RTSA) for proximal humerus fracture developed a Type-3 acromial stress fracture, resulting in increased pain and decreased function 9 months post-op. She was managed nonoperatively with adjunctive teriparatide (FORTEO), and after a 4-month course, she had regained excellent motion and achieved union.

Conclusion: Teriparatide is a viable adjunct in treating patients nonoperatively with acromial stress fractures after RTSA.

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Source
http://dx.doi.org/10.2106/JBJS.CC.19.00221DOI Listing

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