Shoulder:Glenohumeral Arthritis/Arthrodesis
Contents
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][7][8][9][10]
Discussion
- In selected patients, glenohumeral arthrodesis can significantly reduce pain and achieve at best a reasonable function and subjective satisfaction rate. Revision rates favor plate over isolated screw fixation.[11]
References
- ↑ Charnley J. Compression arthrodesis of the ankle and shoulder. J Bone Joint Surg Br 1951;33B(2):180-91
- ↑ Cofield RH, Briggs BT. Glenohumeral arthrodesis. Operative and long-term functional results. J Bone Joint Surg Am. 1979;61(5):668-77.
- ↑ 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.
- ↑ Chun JM, Byeon HK. Shoulder arthrodesis with a reconstruction plate. Int Orthop. 2009;33(4):1025-30.
- ↑ 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.
- ↑ Hiersemann K, Patsalis T, Saxler G. Arthroscopy-assisted glenohumeral arthrodesis: a case of uncontrollable shoulder instability Unfallchirurg. 2007;110(5):456-9.
- ↑ Lädermann A, Denard PJ. Arthroscopic glenohumeral arthrodesis with o-arm navigation Arthrosc Tech, Arthrosc Tech. 2014;27;3(2):e205-9
- ↑ Morgan, CD Casscells CD. Arthroscopic-assisted glenohumeral arthrodesis. Arthroscopy. 1992;8(2):262-6
- ↑ Safran O, Iannotti JP. Arthrodesis of the shoulder. J Am Acad Orthop Surg. 2006;14(3):145-53
- ↑ Thangarajah T, Alexander S, Bayley I, Lambert SM. Glenohumeral arthrodesis for the treatment of recurrent shoulder instability in epileptic patients. Bone Joint J. 2014;96-B(11):1525-9
- ↑ Puskas GJ, Lädermann A, Hirsiger S,Hoffmeyer P, Gerber C. Orthop Traumatol Surg Res. 2017;103(6):875-84
