The purpose of this study was to report patients’ clinical and subjective outcomes 2 years after arthroscopic-assisted partial resurfacing of the humeral head.
In this prospective case series, 11 patients (4 females, 7 males; median age, 59 years; range 47–72) underwent arthroscopic-assisted partial shoulder resurfacing between April 2010 and March 2011. Clinical conditions and subjective assessments were evaluated before surgery and at 6 weeks, 3 and 6 months, and then annually after surgery using the Constant score (CS), active range of motion (ROM), the visual analogue scale (VAS) for pain, the American Shoulder and Elbow Surgeons scale (ASES), and the subjective shoulder value (SSV). Radiological outcomes and major complications were monitored.
The mean CS improved significantly from 54.6 ± 13.6 preoperatively to 72.9 ± 17.2 points 6 weeks postoperatively (P = 0.009). At the 2-year follow-up, the mean CS had further increased to 86.5 ± 14.3 points (P < 0.001). Trends towards increasing ROMs were detected. VAS, ASES, and SSV significantly improved from baseline to the first follow-up and maintained improvement after 2 years. One patient required revision surgery owing to a technical failure and two patients because of rapidly progressive osteoarthritis. Ten of 11 patients (91 %) claimed that they would undergo arthroscopic partial shoulder resurfacing again.
Arthroscopic-assisted partial humeral head resurfacing, which has the advantages of bone stock preservation and the maintenance of an intact subscapularis tendon, allowed immediate postoperative mobilization and provided significant improvements in subjective outcomes, especially for pain relief in active patients without severe glenoid cartilage wear.
Level of evidence
Therapeutic case series, Level IV.
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Bailie DS, Llinas PJ, Ellenbecker TS (2008) Cementless humeral resurfacing arthroplasty in active patients less than fifty-five years of age. J Bone Joint Surg Am 90(1):110–117
Boselli KJ, Ahmad CS, Levine WN (2010) Treatment of glenohumeral arthrosis. Am J Sports Med 38(12):2558–2572
Buchmann S, Salzmann GM, Glanzmann MC, Wortler K, Vogt S, Imhoff AB (2012) Early clinical and structural results after autologous chondrocyte transplantation at the glenohumeral joint. J Shoulder Elbow Surg 21(9):1213–1221
Buchner M, Eschbach N, Loew M (2008) Comparison of the short-term functional results after surface replacement and total shoulder arthroplasty for osteoarthritis of the shoulder: a matched-pair analysis. Arch Orthop Trauma Surg 128(4):347–354
Cameron BD, Galatz LM, Ramsey ML, Williams GR, Iannotti JP (2002) Non-prosthetic management of grade IV osteochondral lesions of the glenohumeral joint. J Shoulder Elbow Surg 11(1):25–32
Cole BJ, Yanke A, Provencher MT (2007) Nonarthroplasty alternatives for the treatment of glenohumeral arthritis. J Shoulder Elbow Surg 16(5 Suppl):S231–S240
Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164
Delaney RA, Freehill MT, Higgins LD, Warner JJ (2014) Durability of partial humeral head resurfacing. J Shoulder Elbow Surg 23(1):e14–e22
Denard PJ, Raiss P, Sowa B, Walch G (2013) Mid- to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. J Shoulder Elbow Surg 22(7):894–900
Edwards TB, Boulahia A, Kempf JF, Boileau P, Nemoz C, Walch G (2002) The influence of rotator cuff disease on the results of shoulder arthroplasty for primary osteoarthritis: results of a multicenter study. J Bone Joint Surg Am 84-A(12):2240–2248
Elser F, Braun S, Dewing CB, Millett PJ (2010) Glenohumeral joint preservation: current options for managing articular cartilage lesions in young, active patients. Arthroscopy 26(5):685–696
Foruria AM, Sperling JW, Ankem HK, Oh LS, Cofield RH (2010) Total shoulder replacement for osteoarthritis in patients 80 years of age and older. J Bone Joint Surg Br 92(7):970–974
Frank RM, Van Thiel GS, Slabaugh MA, Romeo AA, Cole BJ, Verma NN (2010) Clinical outcomes after microfracture of the glenohumeral joint. Am J Sports Med 38(4):772–781
Gerber C, Maquieira G, Espinosa N (2006) Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 88(1):113–120
Gilbart MK, Gerber C (2007) Comparison of the subjective shoulder value and the Constant score. J Shoulder Elbow Surg 16(6):717–721
Goldhahn J, Angst F, Drerup S, Pap G, Simmen BR, Mannion AF (2008) Lessons learned during the cross-cultural adaptation of the American Shoulder and Elbow Surgeons shoulder form into German. J Shoulder Elbow Surg 17(2):248–254
Gross CE, Chalmers PN, Chahal J, Van Thiel G, Bach BR Jr, Cole BJ, Romeo AA (2012) Operative treatment of chondral defects in the glenohumeral joint. Arthroscopy 28(12):1889–1901
Guyette TM, Bae H, Warren RF, Craig E, Wickiewicz TL (2002) Results of arthroscopic subacromial decompression in patients with subacromial impingement and glenohumeral degenerative joint disease. J Shoulder Elbow Surg 11(4):299–304
Hammond G, Tibone JE, McGarry MH, Jun BJ, Lee TQ (2012) Biomechanical comparison of anatomic humeral head resurfacing and hemiarthroplasty in functional glenohumeral positions. J Bone Joint Surg Am 94(1):68–76
Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am 74(4):491–500
Kellgren JH, Lawrence JS (1957) Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16(4):494–502
Kerr BJ, McCarty EC (2008) Outcome of arthroscopic debridement is worse for patients with glenohumeral arthritis of both sides of the joint. Clin Orthop Relat Res 466(3):634–638
Levine WN, Fischer CR, Nguyen D, Flatow EL, Ahmad CS, Bigliani LU (2012) Long-term follow-up of shoulder hemiarthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 94(22):e164
Levy O, Copeland SA (2001) Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br 83(2):213–221
Levy O, Copeland SA (2004) Cementless surface replacement arthroplasty (Copeland CSRA) for osteoarthritis of the shoulder. J Shoulder Elbow Surg 13(3):266–271
Liem D, Kleeschulte K, Dedy N, Schulte TL, Steinbeck J, Marquardt B (2012) Subscapularis function after transosseous repair in shoulder arthroplasty: transosseous subscapularis repair in shoulder arthroplasty. J Shoulder Elbow Surg 21(10):1322–1327
McCarty LP 3rd, Cole BJ (2005) Nonarthroplasty treatment of glenohumeral cartilage lesions. Arthroscopy 21(9):1131–1142
Millett PJ, Huffard BH, Horan MP, Hawkins RJ, Steadman JR (2009) Outcomes of full-thickness articular cartilage injuries of the shoulder treated with microfracture. Arthroscopy 25(8):856–863
Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg Br 43:752–757
Raiss P, Aldinger PR, Kasten P, Rickert M, Loew M (2008) Total shoulder replacement in young and middle-aged patients with glenohumeral osteoarthritis. J Bone Joint Surg Br 90(6):764–769
Richards DP, Burkhart SS (2007) Arthroscopic debridement and capsular release for glenohumeral osteoarthritis. Arthroscopy 23(9):1019–1022
Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, Iannotti JP, Mow VC, Sidles JA, Zuckerman JD (1994) A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 3(6):347–352
Romeo AA, Cole BJ, Mazzocca AD, Fox JA, Freeman KB, Joy E (2002) Autologous chondrocyte repair of an articular defect in the humeral head. Arthrosc J Arthrosc Relat Surg 18(8):925–929
Safran MR, Baillargeon D (2004) The role of arthroscopy in the treatment of glenohumeral arthritis. Sports Med Arthrosc Rev 12(2):139–145
Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460
Scalise JJ, Miniaci A, Iannotti JP (2007) Resurfacing arthroplasty of the humerus: indications, surgical techniques and clinical results. Tech Shoulder Elbow Surg 8:152–160
Scheibel M, Bartl C, Magosch P, Lichtenberg S, Habermeyer P (2004) Osteochondral autologous transplantation for the treatment of full-thickness articular cartilage defects of the shoulder. J Bone Joint Surg Br 86(7):991–997
Scheibel M, Habermeyer P (2008) Subscapularis dysfunction following anterior surgical approaches to the shoulder. J Shoulder Elbow Surg 17(4):671–683
Sperling JW, Cofield RH, Rowland CM (1998) Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J Bone Joint Surg Am 80(4):464–473
Thomas SR, Wilson AJ, Chambler A, Harding I, Thomas M (2005) Outcome of Copeland surface replacement shoulder arthroplasty. J Shoulder Elbow Surg 14(5):485–491
Uribe JW, Botto-van Bemden A (2009) Partial humeral head resurfacing for osteonecrosis. J Shoulder Elbow Surg 18(5):711–716
Weinstein DM, Bucchieri JS, Pollock RG, Flatow EL, Bigliani LU (2000) Arthroscopic debridement of the shoulder for osteoarthritis. Arthroscopy 16(5):471–476
Conflict of interest
The Partial Eclipse Prosthesis was designed by Arthrex in cooperation with the senior author, who will receive royalties for his contribution regarding the design of the implant. W.A. is a consultant for Arthrex. However, Arthrex had no influence on study design, data collection, interpretation of the results, or the writing of the final article.
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Anderl, W., Kriegleder, B., Neumaier, M. et al. Arthroscopic partial shoulder resurfacing. Knee Surg Sports Traumatol Arthrosc 23, 1563–1570 (2015). https://doi.org/10.1007/s00167-014-2981-x
- Arthroscopic shoulder resurfacing
- Focal chondral defect
- Partial humeral head resurfacing
- Glenohumeral arthritis
- Subscapularis preservation
- Clinical outcomes