Shoulder arthroplasty options in young (&lt;50 years old) patients: review of current concepts

Johnson, Michael H.; Paxton, E. Scott; Green, Andrew

doi:10.1016/j.jse.2014.09.029

Cited by 46 publications

(16 citation statements)

References 52 publications

(36 reference statements)

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“…Glenoid dysplasia, caused by abnormal development of the two ossification centers in the glenoid, is a further risk factor for GHOA. It is more common in men and is characterized by hypoplasia of the inferior glenoid, often associated with glenoid retroversion, posterior joint wear, and humeral subluxation (52,53). Once thought to be a rare condition, recent studies suggest glenoid dysplasia can be seen in 14% to 40% of shoulders (54).…”

Section: Scapular Morphologymentioning

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: Scapular Morphologymentioning

confidence: 99%

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

et al. 2020

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“…With a 10-year survival rate of 0.87 found in this study, anatomical TSA had a better survival than hemiarthroplasty for younger patients, but lower than anatomical TSA among older patients. Thus, there is still a need for studies comparing shoulder arthroplasty, joint preserving surgery and non-operative treatment in order to improve treatment strategy for end-stage osteoarthritis in the young patients 40 .…”

Section: Age As a Risk Factor For Revisionmentioning

confidence: 99%

Anatomical total shoulder arthroplasty used for glenohumeral osteoarthritis has higher survival rates than hemiarthroplasty: a Nordic registry-based study

Rasmussen

Hole

Metlie

et al. 2018

Osteoarthritis and Cartilage

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“…When the glenoid cartilage is damaged, TSA is often preferred but it introduces the risk of glenoid component complications 5, 6, 24. For this reason, HSA can still be considered a viable solution for young patients despite the risk of postoperative pain and glenoid erosion—presumably caused by the friction of the metallic humeral head against the glenoid bone 14, 20…”

mentioning

confidence: 99%

Pyrolytic carbon humeral head in hemi-shoulder arthroplasty: preliminary results at 2-year follow-up

Garret¹,

Harly

Huec

et al. 2019

JSES Open Access

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Background In patients with osteoarthritis (OA) and an intact rotator cuff, hemi-shoulder arthroplasty (HSA) can be a viable option as it offers the advantage of keeping the native glenoid intact. However, glenoid erosion has frequently been reported. The aim of this study was to report preliminary clinical results of HSA with a new pyrolytic carbon (pyrocarbon) humeral head. Methods This prospective multicenter study included a continuous series of 65 patients who underwent pyrocarbon HSA in 5 centers. Results At the time of analysis, 1 patient was lost to follow-up, 3 patients underwent revision, and 61 patients were evaluated at a mean follow-up of 25.9 ± 3.3 months. The mean age at index surgery was 57.9 ± 13.3 years. The indications were primary glenohumeral OA in 37 patients, osteonecrosis in 11, secondary OA in 11, and rheumatoid arthritis in 2. The mean Constant score increased from 31.0 ± 15.8 points at baseline to 74.6 ± 17 points at last follow-up. Radiographic analyses showed that 86% of glenoids remained unchanged whereas 14% evolved slightly. Conclusions Pyrocarbon HSA grants improvement in pain and function in patients with primary OA or secondary OA after instability but at a lower level in patients with post-traumatic sequelae (secondary OA or osteonecrosis). These preliminary clinical and radiologic results are encouraging, although they need to be confirmed by longer-term follow-up observations.

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Shoulder arthroplasty options in young (<50 years old) patients: review of current concepts

Cited by 46 publications

References 52 publications

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

Anatomical total shoulder arthroplasty used for glenohumeral osteoarthritis has higher survival rates than hemiarthroplasty: a Nordic registry-based study

Pyrolytic carbon humeral head in hemi-shoulder arthroplasty: preliminary results at 2-year follow-up

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