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Glenohumeral osteoarthritis

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https://www.readbyqxmd.com/read/29204822/the-experience-of-the-ripo-a-shoulder-prosthesis-registry-with-6-year-follow-up
#1
G Porcellini, A Combi, G Merolla, B Bordini, S Stea, G Zanoli, P Paladini
BACKGROUND: Implant registries have proved valuable in assessing the outcomes of arthroplasty procedures. Moreover, by identifying lesser quality implants they have indirectly improved the quality of care. The registry of prosthetic shoulder implants was established in 2008. METHODS: It records information on all types of primary and revision arthroplasty procedures involving the glenohumeral joint, including reverse and total arthroplasty, hemiarthroplasty, resurfacing, removal, and any other surgical procedures that are required to manage these patients...
December 4, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29114636/accuracy-of-coracoid-bone-graft-placement-open-versus-arthroscopic-latarjet
#2
Adriano Russo, Andrea Grasso, Annalisa Arrighi, Angela Pistorio, Luigi Molfetta
Purpose  The aim of this study was to compare the accuracy of the coracoid bone graft placement with the open Latarjet-Patte and arthroscopic Latarjet (arthro-Latarjet) procedures in the treatment of anterior instability of the shoulder. Methods  Forty-six patients affected by anterior shoulder instability were divided into two groups. In group A ( n  = 25), patients were operated by arthroscopic Latarjet (arthro-Latarjet) procedure and in group B ( n  = 21), patients were operated by open Latarjet-Patte procedure...
June 2017: Joints
https://www.readbyqxmd.com/read/29102007/editorial-commentary-is-shoulder-joint-preservation-an-endangered-species-let-s-save-the-glenoid
#3
EDITORIAL
Felix H Savoie
Joint preservation in young patients has always been the mission of arthroscopists worldwide since Bob Jackson visited Dr. Watanabe and brought the arthroscope to North America. In patients with shoulder glenohumeral arthritis, joint preservation is paramount and advanced arthroscopic techniques are of significant benefit. A recent publication shows 77% satisfactory outcomes, provides critical details on patient selection, and shows that a cohort of (younger) patients with shoulder osteoarthritis may do well after isolated glenoid resurfacing...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29101774/dextrose-prolotherapy-for-chronic-shoulder-pain-a-case-report
#4
Casey Seenauth, Vance Inouye, Jeffrey O Langland
Context • Shoulder pain is one of the most common pain complaints reported by patients. Consensus is lacking on its ideal treatment, and many different treatments are available and used. Prolotherapy is an injection-based therapy that has shown significant results in treating many common musculoskeletal pain conditions, including osteoarthritis, lateral epicondylosis, and low-back pain. Objective • The study intended to evaluate the use of dextrose prolotherapy in the treatment of shoulder pain. Design • The research team performed a case study...
November 4, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/28979596/treatment-of-the-posterior-unstable-shoulder
#5
Eduardo Sánchez Alepuz, Jaime Alonso Pérez-Barquero, Nadia Jover Jorge, Francisco Lucas García, Vicente Carratalá Baixauli
BACKGROUND: It is estimated that approximately 5% of glenohumeral instabilities are posterior. There are a number of controversies regarding therapeutic approaches for these patients. METHODS: We analyse the main surgery alternatives for the treatment of the posterior shoulder instability. We did a research of the publications related with posterior glenohumeral instability. RESULTS: There are conservative and surgical treatment options. Conservative treatment has positive results in most patients, with around 65 to 80% of cases showing recurrent posterior dislocation...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28967470/involvement-of-synovial-matrix-degradation-and-angiogenesis-in-oxidative-stress-exposed-degenerative-rotator-cuff-tears-with-osteoarthritis
#6
Kyu-Cheol Noh, Sin-Hye Park, Cheol Jung Yang, Geun Woo Lee, Min Ki Kim, Young-Hee Kang
BACKGROUND: Shoulder osteoarthritis is a gradual wearing of the articular cartilage concomitant with degenerative rotator cuff tears (RCTs). This pathologic disorder is related to inflammation, oxidative stress, and angiogenesis. Degenerative alterations may prompt production of cytokines and angiogenesis-related proteins, evoking rotator cuff diseases. This study tested the hypothesis that oxidative stress-responsive mediators can influence joint inflammation of patients with RCT. METHODS: Twelve healthy RCT patients not suffering shoulder osteoarthritis were categorized as the control group, and 24 patients were allocated to 2 RCT groups (RCTP1 and RCTP2), according to severity of RCT and glenohumeral arthritis...
September 26, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28965687/walch-b0-glenoid-pre-osteoarthritic-posterior-subluxation-of-the-humeral-head
#7
REVIEW
Peter Domos, Caio Santos Checchia, Gilles Walch
The management of primary osteoarthritis of the shoulder has been well investigated. However, the etiology and management of posterior humeral head subluxation in the context of primary glenohumeral osteoarthritis remain controversial. The finding of static posterior subluxation of the humeral head before the development of posterior bone erosion of the glenoid in young men with radiographic findings of primary osteoarthritis has been described as arthrogenic posterior subluxation of the humeral head. It demonstrates the earliest form of the osteoarthritic evolution, and an excessive glenoid retroversion is the only probable cause of this static subluxation, although this is controversial...
September 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28944248/use-of-promis-for-patients-undergoing-primary-total-shoulder-arthroplasty
#8
S Blake Dowdle, Natalie Glass, Chris A Anthony, Carolyn M Hettrich
BACKGROUND: The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of question banks for health domains through computer adaptive testing (CAT). HYPOTHESIS: For patients with glenohumeral arthritis, (1) there would be high correlation between traditional patient-reported outcome (PRO) measures and the PROMIS upper extremity item bank (PROMIS UE) and PROMIS physical function CAT (PROMIS PF CAT), and (2) PROMIS PF CAT would not demonstrate ceiling effects...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28943071/classification-of-humeral-head-pathomorphology-in-primary-osteoarthritis-a-radiographic-and-in-vivo-photographic-analysis
#9
Peter Habermeyer, Petra Magosch, Christel Weiß, Nael Hawi, Sven Lichtenberg, Mark Tauber, Bastian Ipach
BACKGROUND: The purpose of this study was to characterize the pathologic changes of the osteoarthritic humeral head. METHODS: The study included 55 patients with primary osteoarthritis who underwent anatomic shoulder arthroplasty. Several radiologic parameters (radiography, magnetic resonance imaging) were assessed. Humeral head deformity in the transverse plane and humeral cartilage erosion in the coronal plane were chosen for photographic measurements from the resected humeral heads...
December 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28918112/radiographic-and-clinical-comparison-of-pegged-and-keeled-glenoid-components-using-modern-cementing-techniques-midterm-results-of-a-prospective-randomized-study
#10
Christopher M Kilian, Cyrus M Press, Kevin M Smith, Daniel P O'Connor, Brent J Morris, Hussein A Elkousy, Gary M Gartsman, T Bradley Edwards
BACKGROUND: Glenoid component loosening remains a significant issue after anatomic shoulder arthroplasty. Pegged glenoid components have shown better lucency rates than keeled components in the short term; however, midterm to long-term results have not fully been determined. We previously reported early outcomes of the current randomized controlled group of patients, with higher glenoid lucency rates in those with a keeled glenoid. The purpose of this study was to evaluate the radiographic and clinical outcomes of these components at minimum 5-year follow-up...
December 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28872528/quantitative-measurement-of-osseous-pathology-in-advanced-glenohumeral-osteoarthritis
#11
Joseph P Iannotti, Bong-Jae Jun, Thomas E Patterson, Eric T Ricchetti
BACKGROUND: Osteoarthritis of the glenohumeral joint has typical patterns of deformity as described by Walch et al. However, more severe glenoid pathology may be difficult to classify. The purpose of this study was to use 3-dimensional computed tomography (3-D CT) imaging analysis to define common pathologic subtypes that can be differentiated from the current Walch classification. METHODS: We performed quantitative measurements of premorbid and pathologic anatomy using preoperative 3-D CT scans from 155 cases of advanced glenohumeral osteoarthritis that underwent anatomic or reverse total shoulder arthroplasty...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28868088/chondral-defects-of-the-glenohumeral-joint-long-term-outcome-after-microfracturing-of-the-shoulder
#12
Sophia M Hünnebeck, Petra Magosch, Peter Habermeyer, Markus Loew, Sven Lichtenberg
INTRODUCTION: An increasing number of young patients are diagnosed with chondral lesions. Minimally invasive surgical techniques are important in order to delay progression of the early stages of osteoarthritis and the need for total joint replacement. MATERIALS AND METHODS: Patients (n = 32) who had received microfracturing of the shoulder were retrospectively enrolled, of whom 5 had received shoulder replacements after a mean time of 47 months. Of these patients, 23 completed the Disabilities of the Arm, Shoulder and Hand (DASH) and Constant-Murley Scores in addition to an additional subjective questionnaire...
2017: Obere Extremität
https://www.readbyqxmd.com/read/28827054/reverse-shoulder-arthroplasty-in-young-patient-with-achondroplasia-ten-year-follow-up-case-report
#13
M van den Broek, O Verborgt, G Declercq
Skeletal dysplasia in achondroplasia can affect all body joints - including the glenohumeral joint - and is prone to develop to degenerative osteoarthritis (OA). This may cause pain and mobility problems at young age. Surgical treatment is challenging due to the dysplastic anatomy of the shoulder joint - with a dysplastic deformed short humerus, a small, hypoplastic medialized glenoid and lateralized acromion - and the long life expectancy of these patients. The indications for reverse shoulder arthroplasty (RSA) evolved during years with rotator cuff tears and rotator cuff arthropathy in combination with or without glenohumeral OA as the main indicator, with good short to mid-term results...
August 5, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28776109/clinical-and-radiological-results-7%C3%A2-years-after-copeland-shoulder-resurfacing-arthroplasty-in-patients-with-primary-glenohumeral-osteoarthritis-an-independent-multicentre-retrospective-study
#14
F U Verstraelen, L A Horta, M G M Schotanus, N P Kort, S K Samijo, E J P Jansen
PURPOSE: The aim of this multicentre cohort study was to evaluate the midterm outcomes and survival after cementless stemless resurfacing arthroplasty (CSRA) in a series of 33 shoulders in 27 patients with primary osteoarthritis. METHODS: Clinical outcome assessment included: Constant-Murley score (CMS); Simple Shoulder Test (SST); Disability of Arm, Shoulder, Hand (DASH); EuroQol-5D (EQ-5D) utility scores; Numerous Rating Scale (NRS) for pain. Radiographs were assessed by two independent observers for oversizing, radiolucency, glenohumeral subluxation, glenoid erosion and subsidence...
August 3, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28763415/clinical-and-radiographic-outcomes-of-the-ream-and-run-procedure-for-primary-glenohumeral-arthritis
#15
Jeremy S Somerson, Moni B Neradilek, Benjamin C Service, Jason E Hsu, Stacy M Russ, Frederick A Matsen
BACKGROUND: The ream-and-run procedure can provide improvement in shoulder function and comfort for selected patients with primary glenohumeral arthritis who wish to avoid a prosthetic glenoid component. The purpose of this study was to evaluate factors associated with medialization of the humeral head after this procedure as well as the relationship of medialization to the clinical outcome. METHODS: We collected patient, shoulder, and procedure characteristics along with Simple Shoulder Test (SST) scores before surgery and at the time of follow-up...
August 2, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28751092/the-incidence-and-effect-of-fatty-atrophy-positive-tangent-sign-and-rotator-cuff-tears-on-outcomes-after-total-shoulder-arthroplasty
#16
W Stephen Choate, Ellen Shanley, Richard Washburn, Stefan J Tolan, Tariq I Salim, Josh Tadlock, Elizabeth C Shealy, Catherine D Long, Ashley E Crawford, Michael J Kissenberth, Keith T Lonergan, Richard J Hawkins, John M Tokish
BACKGROUND: Treatment choices for total shoulder arthroplasty (TSA) in the absence of full-thickness rotator cuff tears (RCTs) are not clearly defined in current literature. This study investigated the prevalence and effect of preoperative partial-thickness RCTs and muscular degenerative changes on postoperative outcomes after TSA. METHODS: Medical records and magnetic resonance imaging studies were reviewed for patients who underwent TSA for primary glenohumeral osteoarthritis with minimum 2-year follow-up to determine preoperative tear classification, Goutallier grade, and supraspinatus tangent sign...
July 24, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28735840/critical-shoulder-angle-is-associated-with-full-thickness-rotator-cuff-tears-in-patients-with-glenohumeral-osteoarthritis
#17
Matthew T Mantell, Ryan Nelson, Jeremiah T Lowe, Donald P Endrizzi, Andrew Jawa
BACKGROUND: Higher critical shoulder angle (CSA) is correlated with rotator cuff tears (RCTs), whereas lower CSA is associated with glenohumeral osteoarthritis (OA). Our goal was to investigate whether patients with concurrent glenohumeral OA and full-thickness RCTs demonstrate a higher CSA than patients with OA alone. METHODS: Using a 2-surgeon shoulder arthroplasty registry, we identified 31 patients with glenohumeral OA and full-thickness RCTs confirmed by plain radiography and magnetic resonance imaging, respectively...
July 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28668181/arthroscopic-joint-preservation-in-severe-glenohumeral-arthritis-using-interpositional-human-dermal-allograft
#18
Robert U Hartzler, Sabelo Melapi, Joe F de Beer, Stephen S Burkhart
PURPOSE: To investigate the outcomes of arthroscopic glenoid resurfacing (AGR) for severe glenohumeral arthritis at short- to medium-term follow-up. METHODS: We performed a multicenter retrospective review of consecutive patients undergoing AGR (2005-2013) with a minimum of 2 years' follow-up or until revision. Patients lost to follow-up and those included in a prior study were excluded. The indications for AGR were severe primary shoulder osteoarthritis without significant bone loss in younger, higher-demand patients...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28663401/the-medium-and-long-term-outcome-of-total-shoulder-arthroplasty-for-primary-glenohumeral-osteoarthritis-in-middle-aged-patients
#19
B Sowa, M Bochenek, M Bülhoff, F Zeifang, M Loew, T Bruckner, P Raiss
AIMS: Promising medium-term results from total shoulder arthroplasty (TSA) have been reported for the treatment of primary osteoarthritis in young and middle-aged patients. The aim of this study was to evaluate the long-term functional and radiological outcome of TSA in the middle-aged patient. PATIENTS AND METHODS: The data of all patients from the previous medium-term study were available. At a mean follow-up of 13 years (8 to 17), we reviewed 21 patients (12 men, nine women, 21 shoulders) with a mean age of 55 years (37 to 60)...
July 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28619059/critical-shoulder-angle-combined-with-age-predict-five-shoulder-pathologies-a-retrospective-analysis-of-1000-cases
#20
Philipp R Heuberer, Fabian Plachel, Lukas Willinger, Philipp Moroder, Brenda Laky, Leo Pauzenberger, Fritz Lomoschitz, Werner Anderl
BACKGROUND: Acromial morphology has previously been defined as a risk factor for some shoulder pathologies. Yet, study results are inconclusive and not all major shoulder diseases have been sufficiently investigated. Thus, the aim of the present study was to analyze predictive value of three radiological parameters including the critical shoulder angle, acromion index, and lateral acromion angle in relationship to symptomatic patients with either cuff tear arthropathy, glenohumeral osteoarthritis, rotator cuff tear, impingement, and tendinitis calcarea...
June 15, 2017: BMC Musculoskeletal Disorders
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