Surgery: Preserving Shoulder Movement in Advanced OA—Yes We CAM!
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Glenohumeral Joint Arthritis Treatment
Glenohumeral joint arthritis is a common cause of shoulder pain and loss of function. After the hip and knee, the glenohumeral joint is the third most frequently replaced joint in patients with arthritis in the USA. Although less than 10% of all joint reconstructions in the USA are in the shoulder, over 50,000 total shoulder replacements are performed there annually, a number that has been rapidly growing over the past decade.2 No head-to-head studies have directly compared outcomes between shoulder and hip or knee arthroplasty, but success rates are reportedly >95% with all three procedures. A study published by Millett in the March 2013 issue of Arthroscopy has now demonstrated successful outcomes— comprising reduced pain, improved motion and function—and 85% 2-year survivorship, using the comprehensive arthroscopic management (CAM) procedure as a non- arthroplasty alternative in patients with advanced glenohumeral arthritis.
Treatment of Advanced Glenohumeral Arthritis in Young Active Patients
Existing evidence to support arthroscopic management of glenohumeral arthritis is inconclusive and controversial, based mostly on retrospective case series and expert opinion. However, well-founded concerns regarding prosthesis durability have led surgeons to turn to arthroscopic options in younger and more active patients who are unwilling to modify post-operative activities that might hasten wear, loosening, and failure of arthroplasty. In this patient cohort, a durable joint-preserving, temporizing procedure is sought.
Full Article: Preserving shoulder movement in advanced OA—yes we CAM!
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