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Injection Therapies for Glenohumeral Osteoarthritis in the Young Patient

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Glenohumeral Osteoarthritis in the Young Patient

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Abstract

The challenge of treating glenohumeral arthritis in the young patient often leads to a pause in the consideration of surgical management. As such, various injection options are often offered as a first or even second level of treatment for symptomatic patients. Various options for injections exist with the most traditional of options being corticosteroid injections. More recent options include hyaluronic acid as a form of viscosupplementation or even the still developing options of platelet-rich plasma or stem cell injections. Regardless of the choice, patients must be aware that these options are helpful in treating symptoms but do not alter the development of further arthritis in the shoulder. In addition, these injection options often have the law of diminishing returns with their use becoming less effective over time. Good clinical and patient-reported outcomes have been demonstrated in the literature in young patients, as well as in patients with more severe forms of glenohumeral arthritis. Patients often report decreased pain and, subsequently, greater function. However, the science of these newer injections continues to evolve, and further large randomized trials remain necessary to determine their long-term effectiveness.

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Author information

Authors and Affiliations

  1. Department of Orthopaedics, University of Pennsylvania, Philadelphia, PA, USA

    J. Gabriel Horneff III

  2. Sidney Kimmel School of Medicine at Thomas Jefferson University, Philadelphia, PA, USA

    Jeffery Lu

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  1. J. Gabriel Horneff III
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Editors and Affiliations

  1. Department of Orthopedic Surgery, University of Cincinnati Medical Center, Cincinnati, OH, USA

    Brian M. Grawe

  2. Department of Orthopaedics, University of Pennsylvania, Philadelphia, PA, USA

    J. Gabriel Horneff III

  3. Rothman Institute, Philadelphia, PA, USA

    Joseph A. Abboud

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Horneff, J.G., Lu, J. (2022). Injection Therapies for Glenohumeral Osteoarthritis in the Young Patient. In: Grawe, B.M., Horneff III, J.G., Abboud, J.A. (eds) Glenohumeral Osteoarthritis in the Young Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-91190-4_5

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  • DOI: https://doi.org/10.1007/978-3-030-91190-4_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-91189-8

  • Online ISBN: 978-3-030-91190-4

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