Shoulder osteoarthritis

Claudio Chillemi, Vincenzo Franceschini, Claudio Chillemi, Vincenzo Franceschini

Abstract

Osteoarthritis (OA) is the most frequent cause of disability in the USA, affecting up to 32.8% of patients over the age of sixty. Treatment of shoulder OA is often controversial and includes both nonoperative and surgical modalities. Nonoperative modalities should be utilized before operative treatment is considered, particularly for patients with mild-to-moderate OA or when pain and functional limitations are modest despite more advanced radiographic changes. If conservative options fail, surgical treatment should be considered. Although different surgical procedures are available, as in other joints affected by severe OA, the most effective treatment is joint arthroplasty. The aim of this work is to give an overview of the currently available treatments of shoulder OA.

Figures

Figure 1
Figure 1
Shoulder OA: radiographic appearance with (a) and without (b) an intact rotator cuff.
Figure 2
Figure 2
Shoulder OA: arthroscopic view.
Figure 3
Figure 3
Shoulder OA: intraoperative view of the humeral head.
Figure 4
Figure 4
Humeral head resurfacing.
Figure 5
Figure 5
Shoulder hemiarthroplasty.
Figure 6
Figure 6
Total shoulder arthroplasty.
Figure 7
Figure 7
Reverse shoulder prosthesis.

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