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Glenohumeral Osteoarthritis: Arthroscopic Management—Capsular Release, Chondroplasty, and Debridement

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Shoulder Arthritis across the Life Span

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Abstract

Management of glenohumeral osteoarthritis (GHOA) can be challenging in the young, active patient population who may not be ideal candidates for arthroplasty. Studies have demonstrated that young or active patients with GHOA who undergo arthroplasty may require revision arthroplasty given their higher physical demands. Therefore, studies have described arthroscopic procedures intended to provide a period of improved function and relief of symptoms that may only be short-term. These procedures generally involve arthroscopic debridement in conjunction with other procedures intended to address other potential sources of pain, such as synovectomy, chondroplasty, subacromial decompression, loose body removal, distal clavicle resection, biceps tenodesis or tenotomy, or capsular releases. The current literature is limited to level IV studies that do show acceptable short-term results with proper indications when debridement is performed in association with other indicated procedures, with poorer results for isolated arthroscopic debridement for GHOA.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery and Sports Medicine, Stanford University, Redwood City, CA, USA

    Christopher M. LaPrade, Mark E. Cinque & Michael T. Freehill

Authors
  1. Christopher M. LaPrade
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  2. Mark E. Cinque
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  3. Michael T. Freehill
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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

    Augustus D. Mazzocca

  2. Department of Orthopedic Surgery and Traumatology, Fundacion Jimenez Diaz Universidad Autonoma, Madrid, Spain

    Emilio Calvo

  3. Concordia Hospital, Rome, Italy

    Giovanni Di Giacomo

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LaPrade, C.M., Cinque, M.E., Freehill, M.T. (2023). Glenohumeral Osteoarthritis: Arthroscopic Management—Capsular Release, Chondroplasty, and Debridement. In: Mazzocca, A.D., Calvo, E., Di Giacomo, G. (eds) Shoulder Arthritis across the Life Span. Springer, Cham. https://doi.org/10.1007/978-3-031-33298-2_5

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  • DOI: https://doi.org/10.1007/978-3-031-33298-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-33297-5

  • Online ISBN: 978-3-031-33298-2

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