Abstract
Focal chondral and osteochondral lesions of the humeral head, avascular necrosis, Hill-Sachs and reverse Hill-Sachs lesions, in a biologically young patient (Age < 50 years) and in patients with high functional requirements.
Arthroscopically assisted (Partial Eclipse™, Arthrex) or open (HemiCAP™, Arthrosurface) partial resurfacing arthroplasty of the humeral head. The prosthesis is composed of two components, a fixation screw (taper) and the actual resurfacing component, the posterior surface of which should ensure osteointegration.
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Symptom specific history: Etiology, Symptoms, functional demands, subjective instability, metal allergy, previous treatment modalities (intraarticular Injections, e. g. cortisone), previous surgeries, relevant concomitant diseases (e. g. rheumatoid arthritis)
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Symptom-specific examination: range of motion (active/passive), painful motion, tenderness and pain on compression, function of the shoulder girdle muscles, stability and Impingement tests.
Evaluation of the peripheral nerves (particularly the axillary nerve).
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Banke, I.J., Lorenz, S. (2015). Shoulder Osteoarthritis. In: Imhoff, A., Feucht, M. (eds) Surgical Atlas of Sports Orthopaedics and Sports Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43776-6_6
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DOI: https://doi.org/10.1007/978-3-662-43776-6_6
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