Radiographic classification of glenohumeral arthrosis

Abstract

We studied the outcome after the Eden-Hybbinette-Alvik operation for recurrent anterior shoulder dislocation in 52 patients after a mean of 14 (6-20) years. Their mean age at operation was 26 years. Redislocation occurred in 2/52 patients. The success rate was 49/52, when rated by the patients, and 38/45, using the Carter-Rowe shoulder score. 44/52 reported no pain, 48/52 no limitations at work and 37/51 no limitations in sports. Mild and moderate arthrosis were found in 24/45 on the operated side and 9/45 on the uninvolved side. None (0/21) of the patients without arthrosis and 5/24 of those with arthrosis in the operated shoulder reported mild or moderate pain.

The prevalence of shoulder osteoarthritis in the elderly Korean population: association with risk factors and function

“…The Samilson-Prieto method we used was initially developed to classify glenohumeral arthritis after shoulder dislocation. 29 Even though the superiority of this classification system in its simplicity and reliability was well documented in the study by Brox et al, 2 and this study also demonstrated the acceptable reliability of this classification system, with intraobserver and interobserver reliability of 0.833 and 0.669, it is not the sole standard classification system for shoulder OA, which makes comparison and interpretation between studies using different classification systems difficult. The development of a generally accepted single classification system for shoulder OA is needed.…”

“…2 The Samilson-Prieto method divides glenohumeral OA into 4 grades: 0 ¼ normal, 1 ¼ mild (osteophytes <3 mm on the humeral head), 2 ¼ moderate (osteophytes between 3 and 7 mm on the humeral head or the glenoid rim), or 3 ¼ severe (osteophytes >7 mm, with or without articular incongruity; Fig. 1).…”

Arthrosis of glenohumeral joint after arthroscopic Bankart repair: a long-term follow-up of 13 years

“…30,32,38 On the contrary, primary arthrosis of the glenohumeral joint is considered relatively rare. 7 According to Marx et al, 28 the risk of severe arthrosis may be as high as 10-to 20-fold among patients who have dislocated their shoulders compared with those who have not. The risk of arthrosis has also been connected with the arthroscopic operative technique, which is suggested to result from poorly attached or misplaced suture anchors.…”

Locking plate versus nonsurgical treatment for proximal humeral fractures: better midterm outcome with nonsurgical treatment

“…Although this score has only been validated for use in the knee and hip, 3 it was the best available instrument to score OA in the shoulder.…”