A comprehensive approach to glenohumeral arthritis.

South Med J

From the Department of Orthopaedic Surgery, Vanderbilt Medical Center, Nashville, Tennessee, Blue Ridge Bone and Joint, Asheville, North Carolina, the Department of Orthopaedic Surgery and Sports Medicine, Vanderbilt Bone and Joint, Franklin, Tennessee, and Harbin Clinic, Rome, Georgia.

Published: September 2014

AI Article Synopsis

  • Arthritis of the glenohumeral joint is a prevalent source of shoulder pain, especially in individuals over 60, leading to the damage of the humeral head and glenoid surfaces.
  • Symptoms include chronic pain, stiffness, and loss of function, with treatment often starting conservatively before considering surgery for severe cases.
  • Shoulder replacement surgery is increasingly common, ranking as the third most performed joint replacement, following hip and knee surgeries.

Article Abstract

Arthritis of the glenohumeral joint is a common cause of debilitating shoulder pain, affecting up to one-third of patients older than 60 years. It is progressive in nature and characterized by irreversible destruction of the humeral head and glenoid articular surfaces. Inflammation of the surrounding soft tissues is often present and further contributes to the pain caused by the disease process. A number of primary (degenerative) and secondary pathological processes may result in this condition. Patients often present with a long history of shoulder pain, stiffness, and/or loss of function, or may have acute exacerbations of this chronic condition. Initial conservative management is aimed at improving pain and restoring function. Surgical treatment is indicated in severe or refractory cases when nonoperative management has failed. Shoulder replacement now accounts for the third most common joint replacement surgery after the hip and knee. This article reviews the basic science and clinical management of osteoarthritis of the glenohumeral joint.

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Source
http://dx.doi.org/10.14423/SMJ.0000000000000166DOI Listing

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