Glenohumeral Arthritis and the Rotator Cuff Deficient Shoulder
by
Gregory P. Nicholson, MD;
Guido Marra, MD
The combination of glenohumeral arthritis and rotator cuff deficiency presents unique problems to the treating orthopedic surgeon. Determining the etiology of the arthritic condition the patient suffers from is important for both prognostic and treatment factors. This requires a detailed history, physical examination, radiographic evaluation, and, when needed, blood work and joint aspiration. Management of this condition includes both operative and non-operative treatment. Treatment is based on the severity and duration of the patient?s symptoms.
The pathophysiology and diagnosis of glenohumeral arthritis in the rotator cuff deficient shoulder are reviewed extensively. COnsiderations in nonoperative management are reviewed. Surgical techniques, including hemiarthroplasty and arthroscopic debridement, are presented in detail.
Keywords: arthritis of the shoulder, shoulder osteoarthritis, glenohumeral joint osteoarthritis, degenerative arthritis of the shoulder, rheumatoid arthritis of the shoulder, cuff tear arthropathy, failed rotator cuff repair, incidence, classification of rheumatoid arthritis, Neer classification, Larsen classification, diagnosis, patient history, physical examination, imaging, radiography, MRI, laboratory tests, differential diagnosis, management, nonsurgical treatment, surgical treatment, surgical techniques, arthroscopic debridement, proximal humeral hemiarthroplasty, indications, contraindications, complications, outcomes, rehabilitation
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