Osteoarthritis of the Glenohumeral Joint

Carfagno, David G.; Ellenbecker, Todd S.

doi:10.3810/psm.2002.04.253

Cited by 10 publications

(7 citation statements)

References 17 publications

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“…Heavy construction work and overhead sports are identified risk factors for GHOA with elite tennis players showing GHOA changes in their dominant shoulders (38,39). Other athletes at risk of developing GHOA include weight lifters and throwing athletes such as baseball players (40). Interestingly, although high rates of shoulder pain are reported in wheelchair users, GHOA seems to play an insignificant role in this group of patients (41,42).…”

Section: Exercise and Occupationmentioning

confidence: 99%

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

et al. 2020

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Background and Aims: Osteoarthritis (OA) is the world’s most common joint disease and there is currently no cure. Glenohumeral osteoarthritis (GHOA) accounts for an estimated 5% -17% of patients with shoulder complaints. The etiology of GHOA is multifactorial, and we review the various non-specific and specific risk factors and further sub-classify them into local and systemic factors. Materials and Methods: Data for this review article were identified by searches of MEDLINE, PubMed, and references from relevant articles using search terms such as “glenohumeral,” “osteoarthritis,” “epidemiology,” “etiology,” “imaging,” and “pathophysiology.” Only articles published in English, German, and Finnish between 1957 and 2017 were included. Results: The prevalence of radiological shoulder OA has been estimated to be as high as 16% -20% in the middle-aged and elderly population, but the concordance between structural findings and symptoms seems to be weak, as many of these individuals are asymptomatic. The vast majority of GHOA is related to non-specific factors, namely advancing age, while specific risk factors are commonly found in young patients. Diagnosis of GHOA is made when typical clinical features and defined radiological findings overlap in an individual. Conclusion: Ultimately the determinants of shoulder pain in GHOA remain incompletely understood. Improved understanding of the etiology and diagnosis of GHOA will enable clinicians to better determine which patients will benefit from different treatment modalities, as well as provide new avenues to potential treatments.

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Section: Exercise and Occupationmentioning

confidence: 99%

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

et al. 2020

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“…In Denmark, there is a nationwide use of an evidence-based exercise program, called Good Life with osteoarthritis in Denmark (GLA:D), for patients with hip and knee OA [ 17 ]. A similar evidence-based standardized exercise program does not exist in the management of glenohumeral OA and CTA although several reviews on the management of glenohumeral OA and CTA suggest physiotherapy or exercise as the first line treatment [ 2 , 15 , 16 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies and reviews give suggestions for physiotherapy for patients with glenohumeral OA, however, these suggestions are based on research performed on shoulder impingement and knee OA. They all suggest that physiotherapy should be tailored to the individual but overall consist of improvement of range of motion (ROM) and strengthening of the rotator cuff and scapula-thoracic muscles [ 2 , 15 , 16 ]. Similarly, exercise has been shown to potentially postpone or even eliminate the need for arthroplasty in patients with knee OA, exercise has shown to have a significant impact on patient symptoms, physical function, intake of analgesics and sick leave [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy?

Larsen

Østergaard

Thillemann

et al. 2022

Pilot Feasibility Stud

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Background Little is known about the feasibility of progressive shoulder exercises (PSE) for patients with glenohumeral osteoarthritis (OA) or rotator cuff tear arthropathy (CTA). The aim of this study was to investigate whether 12 weeks of PSE is feasible in patients with glenohumeral OA or CTA eligible for shoulder arthroplasty. Moreover, to report changes in shoulder function and range of motion (ROM) following the exercise program. Methods Twenty patients were included. Eighteen patients (11 women, 15 with OA), mean age 70 years (range 57–80), performed 12 weeks of PSE with one weekly physiotherapist-supervised and two weekly home-based sessions. Feasibility was measured by dropout rate, adverse events, pain, and adherence to PSE. At baseline and end of intervention, patients completed the Western Ontario Osteoarthritis of the Shoulder (WOOS) score and Disabilities of the Arm, Shoulder and Hand (DASH). Data to assess feasibility were analyzed using descriptive statistics. Results Two patients dropped out and no adverse events were observed. Sixteen of the eighteen patients (89%) had a high adherence (≥ 70%) to the physiotherapist-supervised sessions. Acceptable pain levels were reported; in 76% of all exercise sessions with no numeric rating scale (NRS) score over five for any exercise. WOOS improved with a mean of 23 points (95% CI 13;33), and DASH improved with a mean of 13 points (95% CI 6;19). Conclusion Adherence to PSE was high and dropout rates were low. PSE is feasible, safe and may relieve shoulder pain, improve function and ROM in patients with glenohumeral OA or CTA. The patient-experienced gains after PSE seem clinically relevant and should be compared to arthroplasty surgery in a RCT setting. Trial registration According to Danish law, this study did not need an approval by the Central Denmark Region Committee on Health Research Ethics. Approval from The Danish Data Protection Agency (journal number 1-16-02-15-20) was obtained.

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“…In athletes, GH-OA is usually secondary, and individuals at risk are weightlifters, baseball and softball players, and those involved in racquet sports. 16 The population of this series comprises players with maximal unilateral overhead demands as they have played professionally, they have been continuously active, and they have hit one-handed strokes.…”

Section: Discussionmentioning

confidence: 99%

Is tennis a predisposing factor for degenerative shoulder disease? A controlled study in former elite players

Maquirriain¹,

Ghisi

Amato

2006

Br J Sports Med

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Background: High demands imposed to the shoulder during tennis activity can decrease the efficiency of static and dynamic constraints. Subtle or frank instability of the glenohumeral joint may occur, and long term degenerative changes may be expected. Objective: To determine and compare the prevalence of primary glenohumeral osteoarthritis in senior tennis players and matched controls. Study design: Cross sectional controlled study. Methods: 18 asymptomatic senior tennis players were studied (17 male; mean (SD) age, 57.2 (8.8) years) with no history of shoulder surgery or major trauma. There were 18 matched controls. Radiographs were used to determine glenohumeral osteoarthritic changes: joint space narrowing, humeral and glenoid subchondral sclerosis, humeral and glenoid juxta-articular cysts, osteophytes, humeral and glenoid flattening, humeral posterior displacement and glenoid posterior erosion. Findings were classified as normal, minimal, moderate, or severe changes. Results: 33% of the players (95% confidence interval (CI), 13% to 59%) had osteoarthritic changes in their dominant shoulder (n = 6; five with minimal changes, one with moderate changes), and 11% of the controls (95% CI, 1% to 34%) had articular degeneration on their dominant side (n = 2; both minimal changes) (p = 0.04, Wilcoxon test). The osteoarthritic group was significantly older than the players without degenerative changes (p = 0.008). Conclusions: The prevalence of glenohumeral osteoarthritis in the dominant shoulder was greater in former elite tennis players than in sedentary controls. Prolonged intensive tennis practice may be a predisposing factor for the development of mild degenerative articular changes in the dominant shoulder.

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Osteoarthritis of the Glenohumeral Joint

Cited by 10 publications

References 17 publications

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy?

Is tennis a predisposing factor for degenerative shoulder disease? A controlled study in former elite players

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