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Arthroscopic Management of Glenohumeral Arthrosis

January 01, 2012

Contributors: Trevor Ryan Gaskill, MD; Peter J Millett, MD, MSc, FAAOS; Peter J Millett, MD, MSc, FAAOS

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Shoulder arthroplasty for glenohumeral arthrosis provides reliable pain relief in older, less active populations. However, younger patients who desire to continue participation in high-demand activities may not be optimal candidates for glenohumeral arthroplasty. Reports indicate that arthroscopic debridement provides incomplete symptomatic relief in this cohort of patients and also that it is less successful in patients with large humeral osteophytes. Cadaveric studies show that the axillary nerve runs in close proximity to the inferior glenohumeral capsule. Compression may potentially contribute to posterior shoulder pain in a manner similar to that shown by quadrilateral space syndrome. We present a joint-preservation procedure using a technique that combines traditional glenohumeral debridement and capsular release with inferior humeral osteoplasty and arthroscopic transcapsular axillary nerve decompression.

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