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Glenohumeral osteoarthritis

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https://www.readbyqxmd.com/read/27928662/predictors-of-medium-term-clinical-outcomes-after-total-shoulder-arthroplasty
#1
Tim Leschinger, Patric Raiss, Markus Loew, Felix Zeifang
PURPOSE: The study aims to measure the relationship of potential clinical and radiographic predictors and medium-term clinical outcomes after total shoulder arthroplasty in primary osteoarthritis. MATERIALS AND METHODS: In a prospective follow-up study, preoperatively collected clinical and radiographic variables were recorded in 103 patients with an average age of 66 years (range 37-83 years) to measure their influence on the clinical outcome by use of the Constant score...
December 7, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27914847/the-three-dimensional-glenohumeral-subluxation-index-in-primary-osteoarthritis-of-the-shoulder
#2
Matthijs Jacxsens, Alexander Van Tongel, Heath B Henninger, Robert Z Tashjian, Lieven De Wilde
BACKGROUND: Assessment of glenohumeral subluxation is essential in preoperative planning of total shoulder arthroplasty. The purpose of this study was to evaluate a 3-dimensional (3D) glenohumeral subluxation index (GHSI) in shoulders with primary osteoarthritis (OA) and its relationship with morbid glenoid retroversion. METHODS: The 3D computed tomography reconstructions of 120 healthy shoulders and 110 shoulders with primary glenohumeral arthritis (OA group), classified according to Walch's glenoid morphology, were analyzed...
November 30, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27887871/radiographic-results-of-augmented-all-polyethylene-glenoids-in-the-presence-of-posterior-glenoid-bone-loss-during-total-shoulder-arthroplasty
#3
Scott P Stephens, Edwin E Spencer, Michael A Wirth
BACKGROUND: Chronic osteoarthritis can result in glenohumeral subluxation and loss of posterior glenoid bone. This can alter normal glenohumeral biomechanics and affect the stress placed on the glenoid implant after total shoulder arthroplasty. This study evaluated the clinical and radiographic results of an augmented all-polyethylene glenoid for the treatment of glenoid osteoarthritis in the presence of posterior glenoid bone loss and determined whether any failures or complications occurred with short-term follow-up...
November 22, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27858226/conversions-from-anatomic-shoulder-replacements-to-reverse-total-shoulder-arthroplasty-do-the-indications-for-initial-surgery-influence-the-clinical-outcome-after-revision-surgery
#4
Malte Holschen, Bastian Franetzki, Kai-Axel Witt, Dennis Liem, Jörn Steinbeck
INTRODUCTION: The most frequent indications for anatomic shoulder replacement are glenohumeral osteoarthritis and fractures of the humeral head. If anatomic shoulder prostheses fail, reverse total shoulder arthroplasty is often the only remaining treatment option. This study evaluates the influence of indications for primary shoulder arthroplasty on the clinical outcome after conversion to reverse total shoulder arthroplasty. MATERIALS AND METHODS: From 2010 to 2012, 44 failed shoulder arthroplasties were converted to reverse total shoulder arthroplasty...
November 17, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27836903/comprehensive-arthroscopic-management-of-glenohumeral-osteoarthritis-preoperative-factors-predictive-of-treatment-failure
#5
Justin J Mitchell, Brent T Warner, Marilee P Horan, M Brett Raynor, Travis J Menge, Joshua A Greenspoon, Peter J Millett
BACKGROUND: Patient selection is critical when choosing between arthroscopic joint preservation and total shoulder arthroplasty in young patients with glenohumeral osteoarthritis (GHOA). PURPOSE: To identify prognostic factors predictive of early failure in patients undergoing comprehensive arthroscopic management (CAM) for GHOA. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: A total of 107 shoulders in 98 patients with minimum 2-year follow-up who underwent CAM were identified and evaluated...
November 11, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27825707/reverse-shoulder-arthroplasty-with-glenoid-bone-grafting-for-anterior-glenoid-rim-fracture-associated-with-glenohumeral-dislocation-and-proximal-humerus-fracture
#6
R Garofalo, F Brody, A Castagna, E Ceccarelli, S G Krishnan
BACKGROUND: Large fractures of the anterior glenoid rim can result in persisting instability and osteoarthritis of the glenohumeral joint When this fracture is associated with a glenohumeral dislocation and proximal humerus fracture could be a concern. The goal of this paper was to evaluate the clinical and radiological outcomes and complications of reverse shoulder arthroplasty (RSA) and glenoid bone graft in cases with a significant anterior glenoid fracture associated with a proximal humerus fracture...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27807112/reverse-total-shoulder-arthroplasty-without-bone-grafting-for-severe-glenoid-bone-loss-in-patients-with-osteoarthritis-and-intact-rotator-cuff
#7
Edward G McFarland, Gazi Huri, Yoon Suk Hyun, Steve A Petersen, Uma Srikumaran
BACKGROUND: Treating shoulders with osteoarthritis, an intact rotator cuff, and substantial glenoid bone loss is challenging. One option is reaming the glenoid flat and inserting a reverse prosthesis. This study reports the subjective, objective, and radiographic results of reverse total shoulder arthroplasty (RTSA) in this population. METHODS: We retrospectively reviewed 42 consecutive patients (23 women; mean age, 71 years [range, 53 to 89 years]) with primary glenohumeral osteoarthritis, intact rotator cuffs, and Walch type-A2 (n = 19), B2 (n = 5), or C glenoids (n = 18) who had undergone a total of 42 RTSAs with glenoid reaming without bone-grafting between 2008 and 2013 (mean follow-up, 36 months [range, 24 to 66 months])...
November 2, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27727052/comparative-study-of-total-shoulder-arthroplasty-versus-total-shoulder-surface-replacement-for-glenohumeral-osteoarthritis-with-minimum-2-year-follow-up
#8
Bauke W Kooistra, W Jaap Willems, Eelke Lemmens, Bas P Hartel, Michel P J van den Bekerom, Derek F P van Deurzen
BACKGROUND: Compared with total shoulder arthroplasty (TSA), total shoulder surface replacement (TSSR) may offer the advantage of preservation of bone stock and shorter surgical time, possibly at the expense of glenoid component positioning and increasing lateral glenohumeral offset. We hypothesized that in patients treated for osteoarthritis with a sufficient rotator cuff, TSA and TSSR patients have comparable functional outcome, glenoid component version, and lateral glenohumeral offset...
October 7, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27707849/outcome-of-revision-shoulder-arthroplasty-after-resurfacing-hemiarthroplasty-in-patients-with-glenohumeral-osteoarthritis
#9
Jeppe V Rasmussen, Bo S Olsen, Ali Al-Hamdani, Stig Brorson
BACKGROUND: Patients are often treated with a resurfacing hemiarthroplasty in the expectation that the bone-preserving design facilitates revision should the need for a revision arthroplasty arise. The aim of this study was to report the outcome of patients with glenohumeral osteoarthritis who underwent revision shoulder arthroplasty after resurfacing hemiarthroplasty. METHODS: We reviewed all patients with osteoarthritis reported to the Danish Shoulder Arthroplasty Registry from 2006 to 2013...
October 5, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27699459/description-and-reproducibility-assessment-of-a-new-computerised-tomography-scan-index-to-measure-the-glenoid-orientation-in-relation-to-the-anterior-glenoid-surface
#10
Constantina Moraiti, Shahnaz Klouche, Jean David Werthel, Thomas Bauer, Philippe Hardy
PURPOSE: To propose and to assess the reproducibility of a new method (GO [glenoid orientation] index) for the estimation of the glenoid orientation in relation to the anterior surface of the glenoid. METHODS: This is a retrospective study on computed tomography (CT) scan. The GO index was defined as the angle formed by a line perpendicular to the tangent to the anterior surface of the scapula and the glenoid line (which is defined as the line connecting the anterior and the posterior rim of the glenoid)...
October 4, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27605693/repairing-the-capsule-to-the-transferred-coracoid-preserves-external-rotation-in-the-modified-latarjet-procedure
#11
Yoshiaki Itoigawa, Alexander W Hooke, John W Sperling, Scott P Steinmann, Kristin D Zhao, Nobuyuki Yamamoto, Eiji Itoi, Kai-Nan An
BACKGROUND: It is not clear whether the anterior capsule should be repaired to the coracoid process or to the native glenoid during the modified Latarjet procedure. We investigated joint stability and range of motion of the shoulder after the modified Latarjet procedure with both of these methods of capsular repair. METHODS: Eighteen fresh-frozen cadaveric shoulders were used. After a Bankart lesion and 6-mm glenoid defect were created, the coracoid process was transferred to the glenoid and fixed with screws...
September 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27592370/radiographic-progression-of-arthritic-changes-in-shoulders-with-degenerative-rotator-cuff-tears
#12
Peter N Chalmers, Dane H Salazar, Karen Steger-May, Aaron M Chamberlain, Georgia Stobbs-Cucchi, Ken Yamaguchi, Jay D Keener
BACKGROUND: Very little longitudinal information has been available regarding the relationship of cuff tears and arthritis. The purpose of this study was to determine the midterm risk of and risk factors for rotator cuff tear arthropathy progression in a cohort of subjects with an asymptomatic rotator cuff tear. METHODS: Baseline (visit 1), 5-year (visit 2), and most recent follow-up (visit 3) radiographs were reviewed in a cohort of 105 subjects enrolled for longitudinal surveillance of asymptomatic degenerative rotator cuff tears and 33 controls...
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27583021/glenohumeral-osteoarthritis
#13
Michael Thomas, Amit Bidwai, Amar Rangan, Jonathan L Rees, Peter Brownson, Duncan Tennent, Clare Connor, Rohit Kulkarni
No abstract text is available yet for this article.
July 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27582984/cementless-surface-replacement-hemiarthroplasty-for-primary-glenohumeral-osteoarthritis-results-of-over-5-year-follow-up-in-patients-with-or-without-rotator-cuff-deficiency
#14
Nawfal Al-Hadithy, Nicholas Furness, Ronak Patel, Sam Jonas, Attila Jobbagy, Ian Lowdon, David Woods
BACKGROUND: Cementless surface replacement hemiarthroplasty (CSRHA) is an established treatment for glenohumeral osteoarthritis; however, studies evaluating its role in arthritis with rotator cuff deficiency are limited. This study reviews the outcomes of CSRHA for glenohumeral osteoarthritis with and without rotator cuff tears. METHODS: 41 CSRHA (Mark III Copeland prosthesis) were performed for glenohumeral osteoarthritis with intact rotator cuffs (n = 21) and cuff-deficient shoulders (n = 20)...
October 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27525633/clavicle-fractures-are-associated-with-arthritis-of-the-glenohumeral-joint-in-a-large-osteological-collection
#15
Douglas S Weinberg, Heather A Vallier, Gregory A Gaumer, Daniel R Cooperman, Raymond W Liu
OBJECTIVES: Recent data has challenged the historical precedent of nonoperative care for many clavicle fractures; clinical and biomechanical studies have shown altered joint-contact forces occur in the glenohumeral joint (GHJ) after fracture and shortening of the clavicle. However, to date, there have been no analyses documenting the long-term effects of these altered shoulder girdle mechanics on the GHJ. METHODS: The clavicles of 2899 cadaveric skeletons were manually inspected for evidence of fracture...
November 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27522337/effects-of-glenoid-inclination-and-acromion-index-on-humeral-head-translation-and-glenoid-articular-cartilage-strain
#16
Christoph Engelhardt, Alain Farron, Fabio Becce, Nicolas Place, Dominique P Pioletti, Alexandre Terrier
BACKGROUND: Previous clinical studies have reported associations between glenoid inclination (GI), the acromion index (AI), and the critical shoulder angle (CSA) on the one hand and the occurrence of glenohumeral osteoarthritis and supraspinatus tendon tears on the other hand. The objective of this work was to analyze the correlations and relative importance of these different anatomic parameters. METHODS: Using a musculoskeletal shoulder model developed from magnetic resonance imaging scans of 1 healthy volunteer, we varied independently GI from 0° to 15° and AI from 0...
August 10, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27496907/survivorship-and-patient-reported-outcomes-after-comprehensive-arthroscopic-management-of-glenohumeral-osteoarthritis-minimum-5-year-follow-up
#17
Justin J Mitchell, Marilee P Horan, Joshua A Greenspoon, Travis J Menge, Dimitri S Tahal, Peter J Millett
BACKGROUND: There are little data on midterm outcomes after the arthroscopic management of glenohumeral osteoarthritis (GHOA) in young active patients. PURPOSE: To report outcomes and survivorship for the comprehensive arthroscopic management (CAM) procedure for the treatment of GHOA at a minimum of 5 years postoperatively. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The CAM procedure was performed on a consecutive series of 46 patients (49 shoulders) with advanced GHOA who met criteria for shoulder arthroplasty but instead opted for a joint-preserving, arthroscopic surgical option...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27484678/-surgical-treatment-of-anterosuperior-impingement-of-the-shoulder
#18
J Pogorzelski, K Beitzel, A B Imhoff, P Millett, S Braun
OBJECTIVE: Therapy of intraarticular lesions and elimination of structural risk factors for those suffering from clinical manifest anterosuperiorer impingement (ASI) of the shoulder. This includes as a maximum version the arthroscopic repair of supraspinatus (SST) and subscapularis tendon (SCT) tears with subsequent subpectoral tenodesis of the long head of the biceps tendon (LBT) and arthroscopic coracoplasty. INDICATIONS: Clinical manifest anterosuperiorer impingement of the shoulder with anterior shoulder pain, failed conservative treatment and clear intraarticular damage in radiological imaging...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27416338/glenohumeral-osteoarthritis-overview-therapy-and-rehabilitation
#19
Salvador Israel Macías-Hernández, Juan Daniel Morones-Alba, Antonio Miranda-Duarte, Roberto Coronado-Zarco, María de Los Angeles Soria-Bastida, Tania Nava-Bringas, Eva Cruz-Medina, Andrea Olascoaga-Gómez, Laura Verónica Tallabs-Almazan, Chanell Palencia
PURPOSE: Glenohumeral osteoarthritis (GHOA) is a common cause of pain and functional disability of the shoulder. Despite the limited evidence, there are several options for the treatment of this pathology. The aim of this article is to provide current information on the characteristics of the disease and the pathophysiology, evidence based on medical and surgical treatments with emphasis on the rehabilitation process. METHODS: It was performed with an extensive literature review, mainly clinical practice guidelines, randomized controlled trials, reviews, focusing on the rehabilitation management...
July 14, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27306867/review-of-current-understanding-of-post-traumatic-osteoarthritis-resulting-from-sports-injuries
#20
Andrew Carbone, Scott Rodeo
Certain types of joint injuries, common in athletes, are known to have a high association with the development of osteoarthritis (OA). Post-traumatic osteoarthritis (PTOA) is especially debilitating due to its earlier onset than traditional OA, and its predisposition to affect a younger and more active population. Five common athletic injuries have been demonstrated to be risk factors for the development of OA. These include ACL rupture, meniscus tear, glenohumeral instability, patellar dislocation, and ankle instability...
June 16, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
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