Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis
Joint Authors
Hsu, Andrew R.
Chalmers, Peter N.
Cole, Brian J.
Bhatia, Sanjeev
Verma, Nikhil N.
Lin, Emery C.
Ellman, Michael
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
The diagnosis and treatment of symptomatic chondral lesions in young and active middle-aged patients continues to be a challenging issue.
Surgeons must differentiate between incidental chondral lesions from symptomatic pathology that is responsible for the patient's pain.
A thorough history, physical examination, and imaging work up is necessary and often results in a diagnosis of exclusion that is verified on arthroscopy.
Treatment of symptomatic glenohumeral chondral lesions depends on several factors including the patient's age, occupation, comorbidities, activity level, degree of injury and concomitant shoulder pathology.
Furthermore, the size, depth, and location of symptomatic cartilaginous injury should be carefully considered.
Patients with lower functional demands may experience success with nonoperative measures such as injection or anti-inflammatory pharmacotherapy.
When conservative management fails, surgical options are broadly classified into palliative, reparative, restorative, and reconstructive techniques.
Patients with lower functional demands and smaller lesions are best suited for simpler, lower morbidity palliative procedures such as debridement (chondroplasty) and cartilage reparative techniques (microfracture).
Those with higher functional demands and large glenohumeral defects will usually benefit more from restorative techniques including autograft or allograft osteochondral transfers and autologous chondrocyte implantation (ACI).
Reconstructive surgical options are best suited for patients with bipolar lesions.
American Psychological Association (APA)
Bhatia, Sanjeev& Hsu, Andrew R.& Lin, Emery C.& Chalmers, Peter N.& Ellman, Michael& Cole, Brian J.…[et al.]. 2012. Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis. Advances in Orthopedics،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-502928
Modern Language Association (MLA)
Bhatia, Sanjeev…[et al.]. Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis. Advances in Orthopedics No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-502928
American Medical Association (AMA)
Bhatia, Sanjeev& Hsu, Andrew R.& Lin, Emery C.& Chalmers, Peter N.& Ellman, Michael& Cole, Brian J.…[et al.]. Surgical Treatment Options for the Young and Active Middle-Aged Patient with Glenohumeral Arthritis. Advances in Orthopedics. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-502928
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-502928