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Case Reports   |    
Iatrogenic Symptomatic Chest Wall Hematoma After Shoulder ArthroplastyA Report of Two Cases
Ekavit Keyurapan, MD1; Samuel J. Hu, MD1; Michael B. Streiff, MD1; Laura M. Fayad, MD1; Edward G. McFarland, MD1
1 Please address all correspondence to Edward G. McFarland, MD, c/o Elaine P. Henze, BJ, ELS, Medical Editor, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, #A672, Baltimore, MD 21224-2780. E-mail address for E.P. Henze: ehenze1@jhmi.edu
The Journal of Bone & Joint Surgery.  2006; 88:1603-1608  doi:10.2106/JBJS.E.00500
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Extract

Total shoulder arthroplasty is considered to be a safe procedure with a low complication rate. Cofield et al.1 reviewed the literature and reported that the overall complication rate for this procedure was 10.4% (123 of 1183). Associated complications that have been reported include infection, nerve damage, arterial injury, fracture, instability, and long-term loosening of the implant2-5. The rate of bleeding or hematoma formation after total shoulder arthroplasty has been reported as 0.17% (two of 1183)1, 2.78% (one of thirty-six)1,6, and 3.3% (five of 152)7. Most reviews of total shoulder arthroplasty have not listed bleeding as a complication of the procedure8-12.
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