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Comprehensive Arthroscopic Management of Glenohumeral Osteoarthritis (CAM Procedure)

  • Jonathan A. Godin
  • Erik M. Fritz
  • Peter J. Millett
Chapter

Abstract

Osteoarthritis (OA) of the glenohumeral joint is a frequent and disabling cause of shoulder pain and dysfunction. Joint space narrowing, stiffness, and osteophyte formation are associated with symptomatic OA. When non-operative options have failed, young, active patients may wish to delay arthroplasty. In such patients, the comprehensive arthroscopic management (CAM) procedure may be indicated, and this procedure includes several distinct steps aimed at improving pain and function.

Keywords

Shoulder osteoarthritis CAM procedure 

Recommended Literature

  1. 1.
    Millett PJ, Huffard BH, Horan MP, Hawkins RJ, Steadman JR. Outcomes of full-thickness articular cartilage injuries of the shoulder treated with microfracture. Arthroscopy. 2009;25:856–63.CrossRefGoogle Scholar
  2. 2.
    Millett PJ, Gaskill TR. Arthroscopic management of glenohumeral arthrosis: humeral osteoplasty, capsular release, and arthroscopic axillary nerve release as a joint-preserving approach. Arthroscopy. 2011;(9):1296–303.CrossRefGoogle Scholar
  3. 3.
    Millett PJ, Horan MP, Pennock AT, Rios D. Comprehensive Arthroscopic Management (CAM) procedure: clinical results of a joint-preserving arthroscopic treatment for young, active patients with advanced shoulder osteoarthritis. Arthroscopy. 2013;(3):440–8.CrossRefGoogle Scholar
  4. 4.
    Mook WR, Petri M, Greenspoon JA, Millett PJ. The comprehensive arthroscopic management procedure for treatment of glenohumeral osteoarthritis. Arthrosc Tech. 2015;(5):e435–41.CrossRefGoogle Scholar
  5. 5.
    Mitchell JJ, Horan MP, Greenspoon JA, Menge TJ, Tahal DS, Millett PJ. Survivorship and patient-reported outcomes after comprehensive arthroscopic management of glenohumeral osteoarthritis: minimum 5-year follow-up. Am J Sports Med. 2016;(12):3206–13.CrossRefGoogle Scholar
  6. 6.
    Mitchell JJ, Warner BT, Horan MP, Raynor MB, Menge TJ, Greenspoon JA, Millett PJ. Comprehensive arthroscopic management of glenohumeral osteoarthritis: preoperative factors predictive of treatment failure. Am J Sports Med. 2017;(4):794–802.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jonathan A. Godin
    • 1
  • Erik M. Fritz
    • 2
  • Peter J. Millett
    • 3
  1. 1.Department of Orthopaedic SurgeryVirginia Tech Carilion School of MedicineRoanokeUSA
  2. 2.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  3. 3.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic Surgery, The Steadman ClinicVailUSA

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