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Glenohumeral osteoarthritis

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https://www.readbyqxmd.com/read/29629579/anatomical-total-shoulder-arthroplasty-in-young-patients-with-osteoarthritis
#1
M O Gauci, N Bonnevialle, G Moineau, M Baba, G Walch, P Boileau
Aims Controversy about the use of an anatomical total shoulder arthroplasty (aTSA) in young arthritic patients relates to which is the ideal form of fixation for the glenoid component: cemented or cementless. This study aimed to evaluate implant survival of aTSA when used in patients aged < 60 years with primary glenohumeral osteoarthritis (OA), and to compare the survival of cemented all-polyethylene and cementless metal-backed glenoid components. Materials and Methods A total of 69 consecutive aTSAs were performed in 67 patients aged < 60 years with primary glenohumeral OA...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29576340/superior-glenoid-inclination-and-rotator-cuff-tears
#2
Peter N Chalmers, Lindsay Beck, Erin Granger, Heath Henninger, Robert Z Tashjian
BACKGROUND: The objectives of this study were to determine whether glenoid inclination (1) could be measured accurately on magnetic resonance imaging (MRI) using computed tomography (CT) as a gold standard, (2) could be measured reliably on MRI, and (3) whether it differed between patients with rotator cuff tears and age-matched controls without evidence of rotator cuff tears or glenohumeral osteoarthritis. METHODS: In this comparative retrospective radiographic study, we measured glenoid inclination on T1 coronal MRI corrected into the plane of the scapula...
March 23, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29573902/computed-tomography-underestimates-rotator-cuff-pathology-in-patients-with-glenohumeral-osteoarthritis
#3
Megan Fitzgerald, Sarah M Lawler, Jeremiah T Lowe, Ryan Nelson, Matthew T Mantell, Andrew Jawa
BACKGROUND: Computed tomography (CT) is the standard assessment of glenoid morphology before shoulder arthroplasty and is commonly used to evaluate rotator cuff pathology in patients with glenohumeral osteoarthritis (GHOA). Magnetic resonance imaging (MRI) is not routinely used in this setting but has higher sensitivity in diagnosing full-thickness rotator cuff tears (RCT) and is considered the gold standard. The purpose of this study was to determine the sensitivity and specificity of CT in diagnosing full-thickness RCTs and compare the evaluation of fatty infiltration and muscle atrophy on CT vs...
March 21, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29556744/-current-strategies-in-the-surgical-and-non-surgical-treatment-of-glenohumeral-osteoarthritis-2018-update
#4
EDITORIAL
Olaf Lorbach
No abstract text is available yet for this article.
March 19, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29520537/radiological-glenohumeral-osteoarthritis-in-long-term-type-1-diabetes-prevalence-and-reliability-of-three-classification-systems-the-dialong-shoulder-study
#5
Niels Gunnar Juel, Jens I Brox, Johan C Hellund, Else Merckoll, Kristine B Holte, Tore J Berg
OBJECTIVE: In the present study, we evaluate the intra- and interrater agreement of radiological glenohumeral OA using three different classification systems and estimate the prevalence of radiological and clinical glenohumeral OA in patients with type 1 diabetes mellitus (DM1), for over 45 years and controls (The Dialong study). MATERIALS AND METHODS: We included 102 patients with DM1 (49% women, mean age, 61.9 years) and 73 controls (57% women, mean age, 62...
March 8, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29516107/-reversed-total-shoulder-arthroplasty-in-rotator-cuff-defect-arthropathy
#6
REVIEW
T Patzer
BACKGROUND: In a progredient rotator cuff tear with tendon retraction, fatty infiltration and atrophy of rotator cuff muscles the humerus cannot be centered and stabilized sufficiently in the glenohumeral joint. This leads to rotator cuff defect arthropathy as an eccentric osteoarthritis with acetabularization and wear of the acromion, as well as of the glenoid. INDICATION: A painful pseudoparalysis of the shoulder indicates the implantation of a reversed total shoulder arthroplasty (rTSA) to reduce pain and restore active motion...
March 7, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29511786/-anatomical-total-shoulder-replacement-in-glenohumeral-osteoarthritis-indications-current-implants-and-clinical-results
#7
REVIEW
O Lorbach
IMPLANT DESIGNS: Within the last 50 years, implants for shoulder replacement have developed rapidly. Monobloc-stems in few sizes were changed to modular implant systems that allow for an individual adaption of the stem, as well as adaption of the humeral head component according to the specific anatomic situation of the patient. Moreover, stemless und short stem implants are available, which may highly simplify primary implantation, especially in posttraumatic cases as well as in revision cases with a need for removal or change of the implants...
March 6, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29509615/the-association-between-rotator-cuff-muscle-fatty-infiltration-and-glenoid-morphology-in-glenohumeral-osteoarthritis
#8
Kenneth W Donohue, Eric T Ricchetti, Jason C Ho, Joseph P Iannotti
BACKGROUND: Glenoid morphology and rotator cuff muscle quality are important anatomic factors that can impact longevity of the glenoid component following total shoulder arthroplasty (TSA). We hypothesized that rotator cuff muscle fatty infiltration is associated with increased pathologic glenoid bone loss in glenohumeral osteoarthritis (OA). METHODS: We retrospectively reviewed 190 preoperative computed tomography (CT) scans of 175 patients (mean age, 66 years; range, 44 to 90 years) who underwent TSA for the treatment of primary glenohumeral OA...
March 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29508008/-options-in-joint-preserving-surgical-treatment-of-osteoarthritis
#9
REVIEW
Marc-Frederic Pastor, Tomas Smith, Mathias Wellmann
BACKGROUND: The treatment of glenohumeral arthritis represents a major challenge in highly active younger patients. In these patients, an endoprosthetic treatment often achieves only unsatisfactory results with a limited lifetime of the implant. OBJECTIVES: The aim of the study was to identify joint-preserving therapies for glenohumeral arthritis. MATERIALS AND METHODS: For this study, an extensive and selective literature search was performed...
March 5, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29482959/risk-factors-for-failing-to-achieve-improvement-after-anatomic-total-shoulder-arthroplasty-for-glenohumeral-osteoarthritis
#10
Gregory T Mahony, Brian C Werner, Brenda Chang, Brian M Grawe, Samuel A Taylor, Edward V Craig, Russell F Warren, David M Dines, Lawrence V Gulotta
BACKGROUND: Although anatomic total shoulder arthroplasty (TSA) successfully improves pain and function, not all patients improve clinically. This study was conducted to determine patient-related factors for failure to achieve improvement after primary TSA for osteoarthritis at 2 years postoperatively. METHODS: This prospective study reviewed an institutional shoulder registry for consecutive patients who underwent primary TSA for osteoarthritis from 2007 to 2013 with baseline and 2-year postoperative American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment Form scores...
February 23, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29474992/anatomical-total-shoulder-arthroplasty-used-for-glenohumeral-osteoarthritis-has-higher-survival-rates-than-hemiarthroplasty-a-nordic-registry-based-study
#11
J V Rasmussen, R Hole, T Metlie, S Brorson, V Äärimaa, Y Demir, B Salomonsson, S L Jensen
OBJECTIVE: To report the10-year survival rates of different shoulder arthroplasty types used for glenohumeral osteoarthritis. DESIGN: Data from 2004 to 2013 was prospectively collected by the national shoulder arthroplasty registers in Denmark, Norway and Sweden and merged into a harmonized dataset under the umbrella of the Nordic Arthroplasty Register Association. The common dataset included data that all three registers could deliver and where consensus regarding definitions could be made...
February 21, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29464283/-osteoarthritis-of-the-shoulder-pathogenesis-diagnostics-and-conservative-treatment-options
#12
REVIEW
J Mehl, A B Imhoff, K Beitzel
PATHOGENESIS: Osteoarthritis of the shoulder is characterized by a progressive degenerative process, which is based on chronic inflammation with intra-articular release of different cytokines and proteolytic enzymes. The main predisposing factors are a history of trauma or surgery, as well as chronic overuse or instability of the glenohumeral joint. Affected patients especially suffer from impaired joint function and pain, which are often associated with cognitive and psychosocial restrictions...
February 20, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29423534/glenohumeral-osteoarthritis-frequency-of-underlying-diagnoses-and-the-role-of-arm-dominance-a-retrospective-analysis-in-a-community-based-musculoskeletal-practice
#13
Theodore L Schoenfeldt, Scott Trenhaile, Richard Olson
Patients with shoulder pain are commonly seen in adult primary care, and are typically referred to musculoskeletal specialists when their symptoms are persistent. Rotator cuff disorders (RCD) most commonly underlie non-traumatic shoulder pain in adults, and glenohumeral osteoarthritis (GHOA) has been considered to be relatively uncommon (Nakagawa et al., J Shoulder Elb Surg 8:580-584, 1999). Our impression has been that GHOA affects significant numbers of patients, is less well studied, and may be under recognized...
February 8, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29399452/reverse-total-shoulder-arthroplasty-with-humeral-head-autograft-fixed-onto-glenoid-for-treatment-of-severe-glenoid-retroversion
#14
Zaamin B Hussain, Jonathan A Godin, George Sanchez, Nicholas I Kennedy, Mark E Cinque, Márcio B Ferrari, Matthew T Provencher
Advanced glenohumeral osteoarthritis can transform glenoid morphology and, in some cases, is found in association with severe glenoid retroversion. The associated glenoid retroversion leads to difficulty in fixation of the glenoid component in reverse total shoulder arthroplasty. In the context of extreme glenoid wear, structural grafts can be used to restore glenoid volume and version in order for the glenoid component of the reverse total shoulder arthroplasty to be more easily implanted. Nevertheless, literature regarding structural grafts remains limited, with optimal graft choice and technique still controversial at best...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29298260/progression-of-glenoid-morphology-in-glenohumeral-osteoarthritis
#15
Kyle E Walker, Xavier C Simcock, Bong Jae Jun, Joseph P Iannotti, Eric T Ricchetti
BACKGROUND: Walch defined the pathologic characteristics of glenohumeral osteoarthritis on the basis of patterns of glenoid morphology and humeral head subluxation. However, it is unclear how pathologic changes evolve over time. The purpose of this study was to determine whether there are common patterns of pathologic progression based on the Walch classification in primary glenohumeral osteoarthritis and if glenoid bone-loss patterns correlate with rotator cuff fatty infiltration. METHODS: A retrospective chart review identified 65 shoulders with glenohumeral osteoarthritis for which at least 2 computed tomography (CT) scans had been performed at least 24 months apart...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29290218/shoulder-replacement-for-osteoarthritis-a-review-of-surgical-management
#16
REVIEW
Jay Pandya, Tamara Johnson, Adrian K Low
Osteoarthritis of the shoulder is caused by progressive cartilage wear of the glenohumeral joint. Its prevalence is increasing due to our ageing population and it may affect up to one-third of people over 60 years of age. Patients usually complain of pain with restricted shoulder movement and function. Initial treatment should be non-operative, such as activity modification, oral analgesics (e.g. non-steroidal anti-inflammatories) and possibly physical therapy or corticosteroid injections. Patients with ongoing severe pain and functional restriction despite non-operative treatment would be candidates for surgery, usually a shoulder replacement...
February 2018: Maturitas
https://www.readbyqxmd.com/read/29275432/aetiopathogenesis-of-cuff-tear-arthropathy-could-juvenile-joint-laxity-be-considered-a-predisposing-factor
#17
Stefano Gumina, Alessandro Castagna, Vittorio Candela, Teresa Venditto, Giuseppe Giannicola, Mario Borroni, Ciro Villani
PURPOSE: Although many hypotheses have been formulated, aetiopathogenesis of cuff-tear arthropathy (CTA) is still motive for discussion. Since prevalence of CTA is notoriously higher in women, as is joint hypermobility, we hypothesised a possible correlation between the two conditions. METHODS: One hundred thirty-three (n = 133) consecutive patients with glenohumeral osteoarthritis [48 men, 85 women; mean age (SD) 72.32 (7.05)] were divided into two groups: Groups 1 (CTA) and 2 (concentric shoulder arthropathy) comprised 71 (22 men, 49 women) and 62 (26 men, 36 women), respectively...
December 23, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29244705/arthroscopic-repair-of-recurrent-posterior-shoulder-subluxation-after-total-shoulder-arthroplasty-a-case-report
#18
Ricardo Grieshaber-Bouyer, Christian Gerber
CASE: A 53-year-old man presented with osteoarthritis (Walch biconcave [B2] glenoid retroversion, 22°; glenohumeral subluxation index, 65%) and a partial rupture of the supraspinatus tendon in the left shoulder. Following anatomic total joint replacement, he developed disabling recurrent posterior subluxation despite a stable prosthesis and a correctly centered glenoid head, as observed with postoperative radiography and computed tomography. In order to avoid bone loss and the complications associated with revision arthroplasty, we performed arthroscopic reefing of the posterior capsule as an experimental minimally invasive treatment...
July 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29239667/the-prevalence-of-radiological-glenohumeral-osteoarthritis-in-long-term-type-1-diabetes-the-dialong-shoulder-study
#19
N G Juel, J I Brox, J C Hellund, K B Holte, T J Berg
OBJECTIVES: This study compares the prevalence of radiological osteoarthritis (OA) in patients with type 1 diabetes mellitus (DM1) for > 45 years and controls, and explores the association with shoulder pain and glycaemic burden in patients with DM1. METHOD: The Dialong study is a cross-sectional, observational study with 30 years of historical data on long-term glycaemic control. We included 102 patients with DM1 and 73 diabetes-free controls. Demographic data, worst shoulder pain last week [numeric rating scale (NRS) 0-10], pain on abduction at examination (NRS 0-10), and current and historical glycosylated haemoglobin (HbA1c ) levels were collected...
December 14, 2017: Scandinavian Journal of Rheumatology
https://www.readbyqxmd.com/read/29204822/the-experience-of-the-ripo-a-shoulder-prosthesis-registry-with-6-year-follow-up
#20
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
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