Shoulder:Glenohumeral Arthritis/Arthrodesis

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Bullet Points[edit | edit source]

Key words[edit | edit source]

Glenohumeral arthrodesis; Fusion;

History[edit | edit source]

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Anecdotes[edit | edit source]

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Introduction

Glenohumeral arthrodesis used to be a favored surgical treatment option for patients with paralysis of the shoulder due to an underlying neurological pathology, massive rotator cuff tears, fracture sequelae, chronic instability, osteoarthritis, rheumatoid arthritis and infection.[1][2]

Biomechanics

Surgical Indication

Currently, glenohumeral arthrodesis has its place as a rather rare salvage procedure for selected patients with above diagnoses, malignant tumors or failed shoulder arthroplasty.[3][4][5]

[6]
K. Hiersemann, T. Patsalis, G. SaxlerArthroscopy-assisted glenohumeral arthrodesis: a case of uncontrollable shoulder instability Unfallchirurg, 110 (2007), pp. 456-459, 10.1007/s00113-006-1214-2 CrossRefView Record in ScopusGoogle Scholar
[7]
A. Lädermann, P.J. DenardArthroscopic glenohumeral arthrodesis with o-arm navigation Arthrosc Tech, 3 (2014), pp. e205-e209, 10.1016/j.eats.2013.09.020 ArticleDownload PDFView Record in ScopusGoogle Scholar
[8]
C.D. Morgan, C.D. CasscellsArthroscopic-assisted glenohumeral arthrodesis Arthroscopy, 8 (1992), pp. 262-266 ArticleDownload PDFView Record in ScopusGoogle Scholar
[9]
O. Safran, J.P. IannottiArthrodesis of the shoulder J Am Acad Orthop Surg, 14 (2006), pp. 145-153 CrossRefView Record in ScopusGoogle Scholar
[10]
J.J. Scalise, J.P. IannottiGlenohumeral arthrodesis after failed prosthetic shoulder arthroplasty. Surgical technique J Bone Joint Surg, 1 (2009), pp. 30-37, 10.2106/JBJS.H.01249 View Record in ScopusGoogle Scholar
[11]
T. Thangarajah, S. Alexander, I. Bayley, S.M. LambertGlenohumeral arthrodesis for the treatment of recurrent shoulder instability in epileptic patients Bone Joint J, 96B (2014), pp. 1525-1529, 10.1302/0301-620X.96B11.33754
  1. Charnley J. Compression arthrodesis of the ankle and shoulder. J Bone Joint Surg Br 1951;33B(2):180-91
  2. Cofield RH, Briggs BT. Glenohumeral arthrodesis. Operative and long-term functional results. J Bone Joint Surg Am. 1979;61(5):668-77.
  3. Atlan F, Durand S, Fox M, Levy P, Belkheyar Z, Oberlin C. Functional outcome of glenohumeral fusion in brachial plexus palsy: a report of 54 cases. J Hand Surg Am. 2012;37(4):683-8.
  4. Chun JM, Byeon HK. Shoulder arthrodesis with a reconstruction plate. Int Orthop. 2009;33(4):1025-30.
  5. Dimmen S, Madsen JE. Long-term outcome of shoulder arthrodesis performed with plate fixation: 18 patients examined after 3-15 years. Acta Orthop. 2007;78(6):827-33.