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Glenohumeral osteoarthritis

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
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
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
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
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
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
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
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
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
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...
August 5, 2016: American Journal of Sports Medicine
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...
August 2, 2016: Operative Orthopädie und Traumatologie
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
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
Michael J Bercik, Kevin Kruse, Matthew Yalizis, Marc-Olivier Gauci, Jean Chaoui, Gilles Walch
BACKGROUND: Since Walch and colleagues originally classified glenoid morphology in the setting of glenohumeral osteoarthritis, several authors have reported varying levels of interobserver and intraobserver reliability. We propose several modifications to the Walch classification that we hypothesize will increase interobserver and intraobserver reliability. METHODS: We propose the addition of the B3 and D glenoids and a more precise definition of the A2 glenoid...
October 2016: Journal of Shoulder and Elbow Surgery
D J Lombardo, J Khan, B Prey, L Zhang, G R Petersen-Fitts, V J Sabesan
PURPOSE: Eccentric posterior bone loss and associated glenoid retroversion represent challenges to glenoid placement during total shoulder arthroplasty. This bone loss can lead to poor stability and perforation of the glenoid during arthroplasty. The purpose of this study was to evaluate the morphology of glenoid bone loss for a spectrum of osteoarthritis patients using 3D computed tomography imaging and simulation software. METHODS: This study included 29 patients with glenohumeral osteoarthritis treated with shoulder arthroplasty...
June 3, 2016: Musculoskeletal Surgery
Paul J Favorito, Robert J Freed, Angela M Passanise, Maggie Jane Brown
BACKGROUND: Posterior glenoid bone loss is commonly encountered in total shoulder arthroplasty (TSA). The purpose of our study is to report the clinical and radiographic findings of patients with a minimum of 2 years' follow-up treated with an all-polyethylene, augmented glenoid component. METHODS: Twenty-two shoulders with posterior glenoid bone loss were treated by a single surgeon. All underwent primary TSA using a posteriorly augmented, all-polyethylene, stepped glenoid component...
October 2016: Journal of Shoulder and Elbow Surgery
Yue Li, Chunyan Jiang
BACKGROUND: Chronic locked anterior shoulder dislocation is a difficult clinical problem for patients and surgeons. Prior studies have proposed a variety of surgical techniques to address this problem; however, the failure rate is high. To our knowledge, there have been no previously published studies on the clinical outcome of the Latarjet procedure for the treatment of chronic locked anterior shoulder dislocation. The purpose of this study was to evaluate the short-term subjective, objective, and radiographic outcomes of patients with chronic locked anterior shoulder dislocation after a Latarjet procedure...
May 18, 2016: Journal of Bone and Joint Surgery. American Volume
Keith M Baumgarten, Roy Osborn, Will E Schweinle, Matthew J Zens, Elizabeth A Helsper
BACKGROUND: There are few level 1 or 2 evidence studies that examine rehabilitation after rotator cuff repair. Pulleys have been used in postoperative shoulder rehabilitation with the intention of improving range of motion and developing strength. There is a concern that the use of pulleys in rehabilitation of rotator cuff repairs may contribute to excessive scapular motion (scapular substitution) and potentially inferior outcomes. HYPOTHESIS: Rotator cuff repair patients treated with pulley exercises would have increased scapular substitution and inferior patient-determined outcome scores, range of motion, and strength compared with patients treated with an alternative rehabilitation program without pulleys...
July 2016: American Journal of Sports Medicine
Matthias Flury, Dominik Rickenbacher, Laurent Audigé
BACKGROUND: Restoration of shoulder stability after humeral avulsion of glenohumeral ligament (HAGL) lesions can be achieved with arthroscopy, yet limited evidence exists on its benefit. We evaluated objective and subjective outcomes after arthroscopic refixation of a HAGL lesion. METHODS: Between 2009 and 2012, 8 patients were treated arthroscopically for anterior shoulder instability associated with a HAGL lesion and invited for a follow-up examination. Radiographic assessment of joint centering and osteoarthritis, clinical assessment including Constant and Rowe scores, and complications as well as functional outcomes using the Western Ontario Shoulder Instability Index, Subjective Shoulder Value, and Simple Shoulder Test were documented...
April 27, 2016: Journal of Shoulder and Elbow Surgery
Benjamin Bockmann, Sonja Soschynski, Philipp Lechler, Tim Schwarting, Florian Debus, Bogdan Soca, Steffen Ruchholtz, Michael Frink
BACKGROUND: A precise understanding of glenohumeral anatomy is required to optimize preoperative planning in shoulder joint arthroplasty, which is difficult in the presence of degenerative disease. In unilateral disease, the contralateral shoulder can be used as a representation of normal anatomy; however, intrasubject differences in shoulder morphology have not been investigated. METHODS: A retrospective study of all patients aged >65 years who received whole body computed tomography at our trauma center from 2010 through 2014 was conducted...
August 2016: Journal of Shoulder and Elbow Surgery
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