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Arthroscopic Management of Glenohumeral Arthritis

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Shoulder Arthroscopy

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Abstract

Glenohumeral arthritis is one of the most common forms of arthritis and, when present, may lead to debilitating pain and loss of function for patients. When conservative management fails to provide adequate relief, surgery is indicated. Typically, this consists of either anatomic or reverse shoulder arthroplasty. However, there are functional limitations that patients must abide by after undergoing shoulder arthroplasty surgery to maximize implant longevity. Therefore, in a young and active subset of patients with glenohumeral arthritis who are unwilling or unable to modify their activities accordingly, arthroscopic surgery can be considered. Arthroscopic management of glenohumeral arthritis has been termed osteocapsular arthroplasty, comprehensive arthroscopic management, or simply arthroscopic debridement surgery. Regardless of the name, the procedure consists of diagnostic arthroscopy followed by focused treatment of the myriad of pathologic tissues in the arthritic joint, including soft tissues, for example with synovectomy and capsulotomy, and osseous tissues, for example with osteophyte resection and glenoidplasty. This advanced arthroscopic procedure requires the use of unique surgical portals, such as the anteroinferior and posteroinferior portals, which can place the axillary nerve at risk. Arthroscopic management of glenohumeral arthritis is a valuable surgical option for young, active, high-demand patients with shoulder arthritis.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of California, Los Angeles, CA, USA

    Andrew R. Jensen

  2. Texas Joint Institute, Dallas, TX, USA

    Donald W. Hohman

  3. Department of Orthopaedic Surgery, University of Buffalo, Buffalo, NY, USA

    Thomas Duquin

  4. Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA

    John W. Sperling

Authors
  1. Andrew R. Jensen
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  2. Donald W. Hohman
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  3. Thomas Duquin
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  4. John W. Sperling
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Corresponding author

Correspondence to John W. Sperling .

Editor information

Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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© 2023 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature

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Jensen, A.R., Hohman, D.W., Duquin, T., Sperling, J.W. (2023). Arthroscopic Management of Glenohumeral Arthritis. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_58

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_58

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-66867-2

  • Online ISBN: 978-3-662-66868-9

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