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Abstract

Glenohumeral arthritis is an increasingly recognized source of shoulder pain and disability. Significant surgical advances have been made in the management of this condition. There are currently a number of non-operative, non-arthroplasty, and arthroplasty options available to the practicing shoulder and elbow surgeon for treating glenohumeral arthritis. As these options have been further developed, the demand for shoulder arthroplasty has steadily increased in recent years. The purpose of this chapter is to detail the common presentation and appropriate diagnostic evaluation of the patient with glenohumeral arthritis. We aim to detail the full spectrum of treatment options. We will emphasize historical outcomes and our institutional experience with a number of arthroplasty options including hemiarthroplasty, hemiarthroplasty with concentric glenoid reaming (“ream and run”), hemiarthroplasty with biologic resurfacing, total shoulder arthroplasty, and reverse total shoulder arthroplasty.

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References

  1. Kerr R, Resnick D, Pineda C, Haghighi P. Osteoarthritis of the glenohumeral joint: a radiologic-pathologic study. AJR Am J Roentgenol. 1985;144:967–72.

    CAS  PubMed  Google Scholar 

  2. Petersson CJ. Degeneration of the gleno-humeral joint. An anatomical study. Acta Orthop Scand. 1983;54:277–83.

    CAS  PubMed  Google Scholar 

  3. Padegimas EM, Maltenfort M, Lazarus MD, Ramsey ML, Williams GR, Namdari S. Future patient demand for shoulder arthroplasty by younger patients: national projections. Clin Orthop. 2015;473:1860–7.

    PubMed  Google Scholar 

  4. Sperling JW, Antuna SA, Sanchez-Sotelo J, Schleck C, Cofield RH. Shoulder arthroplasty for arthritis after instability surgery. J Bone Joint Surg Am. 2002;84-A:1775–81.

    Google Scholar 

  5. Schairer WW, Nwachukwu BU, Lyman S, Craig EV, Gulotta LV. National utilization of reverse total shoulder arthroplasty in the United States. J Shoulder Elb Surg. 2015;24:91–7.

    Google Scholar 

  6. Petscavage JM, Ha AS, Chew FS. Current concepts of shoulder arthroplasty for radiologists: part 1—epidemiology, history, preoperative imaging, and hemiarthroplasty. AJR Am J Roentgenol. 2012;199:757–67.

    PubMed  Google Scholar 

  7. Bartelt R, Sperling JW, Schleck CD, Cofield RH. Shoulder arthroplasty in patients aged fifty-five years or younger with osteoarthritis. J Shoulder Elb Surg. 2011;20:123–30.

    Google Scholar 

  8. Saltzman MD, Chamberlain AM, Mercer DM, Warme WJ, Bertelsen AL, Matsen FA. Shoulder hemiarthroplasty with concentric glenoid reaming in patients 55 years old or less. J Shoulder Elb Surg. 2011;20:609–15.

    Google Scholar 

  9. Lee BK, Vaishnav S, Rick Hatch GF, Itamura JM. Biologic resurfacing of the glenoid with meniscal allograft: long-term results with minimum 2-year follow-up. J Shoulder Elb Surg. 2013;22:253–60.

    Google Scholar 

  10. Pinkas D, Wiater B, Wiater JM. The glenoid component in anatomic shoulder arthroplasty. J Am Acad Orthop Surg. 2015;23:317–26.

    PubMed  Google Scholar 

  11. Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast. 1999;14:756–60.

    CAS  Google Scholar 

  12. Bercik MJ, Kruse K, Yalizis M, Gauci M-O, Chaoui J, Walch G. A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elb Surg. 2016;25:1601–6.

    Google Scholar 

  13. Iannotti JP, Jun B-J, Patterson TE, Ricchetti ET. Quantitative measurement of osseous pathology in advanced glenohumeral osteoarthritis. J Bone Joint Surg Am. 2017;99:1460–8.

    PubMed  Google Scholar 

  14. Iannotti JP, Zlatkin MB, Esterhai JL, Kressel HY, Dalinka MK, Spindler KP. Magnetic resonance imaging of the shoulder. Sensitivity, specificity, and predictive value. J Bone Joint Surg Am. 1991;73:17–29.

    CAS  PubMed  Google Scholar 

  15. Kopka M, Fourman M, Soni A, Cordle AC, Lin A. Can glenoid wear be accurately assessed using x-ray imaging? Evaluating agreement of x-ray and magnetic resonance imaging (MRI) Walch classification. J Shoulder Elb Surg. 2017;26:1527–32.

    Google Scholar 

  16. Lowe JT, Testa EJ, Li X, Miller S, DeAngelis JP, Jawa A. Magnetic resonance imaging is comparable to computed tomography for determination of glenoid version but does not accurately distinguish between Walch B2 and C classifications. J Shoulder Elb Surg. 2017;26:669–73.

    Google Scholar 

  17. Sayegh ET, Mascarenhas R, Chalmers PN, Cole BJ, Romeo AA, Verma NN. Surgical treatment options for glenohumeral arthritis in young patients: a systematic review and meta-analysis. Arthrosc J Arthrosc Relat Surg. 2015;31:1156–1166.e8.

    Google Scholar 

  18. Johnson MH, Paxton ES, Green A. Shoulder arthroplasty options in young (<50 years old) patients: review of current concepts. J Shoulder Elb Surg. 2015;24:317–25.

    Google Scholar 

  19. Kwon YW, Eisenberg G, Zuckerman JD. Sodium hyaluronate for the treatment of chronic shoulder pain associated with glenohumeral osteoarthritis: a multicenter, randomized, double-blind, placebo-controlled trial. J Shoulder Elb Surg. 2013;22:584–94.

    Google Scholar 

  20. Blaine T, Moskowitz R, Udell J, Skyhar M, Levin R, Friedlander J, Daley M, Altman R. Treatment of persistent shoulder pain with sodium hyaluronate: a randomized, controlled trial. A multicenter study. J Bone Joint Surg Am. 2008;90:970–9.

    PubMed  Google Scholar 

  21. Werner BC, Cancienne JM, Burrus MT, Griffin JW, Gwathmey FW, Brockmeier SF. The timing of elective shoulder surgery after shoulder injection affects postoperative infection risk in medicare patients. J Shoulder Elb Surg. 2016;25:390–7.

    Google Scholar 

  22. Bülhoff M, Sattler P, Bruckner T, Loew M, Zeifang F, Raiss P. Do patients return to sports and work after total shoulder replacement surgery? Am J Sports Med. 2015;43:423–7.

    PubMed  Google Scholar 

  23. Millett PJ, Gaskill TR. Arthroscopic management of glenohumeral arthrosis: humeral osteoplasty, capsular release, and arthroscopic axillary nerve release as a joint-preserving approach. Arthrosc J Arthrosc Relat Surg. 2011;27:1296–303.

    Google Scholar 

  24. 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. Arthrosc J Arthrosc Relat Surg. 2013;29:440–8.

    Google Scholar 

  25. Skelley NW, Namdari S, Chamberlain AM, Keener JD, Galatz LM, Yamaguchi K. Arthroscopic debridement and capsular release for the treatment of shoulder osteoarthritis. Arthrosc J Arthrosc Relat Surg. 2015;31:494–500.

    Google Scholar 

  26. Spiegl UJ, Faucett SC, Horan MP, Warth RJ, Millett PJ. The role of arthroscopy in the management of glenohumeral osteoarthritis: a Markov decision model. Arthrosc J Arthrosc Relat Surg. 2014;30:1392–9.

    Google Scholar 

  27. Iannotti JP, Norris TR. Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am. 2003;85-A:251–8.

    Google Scholar 

  28. Matsen FA. Early effectiveness of shoulder arthroplasty for patients who have primary glenohumeral degenerative joint disease. J Bone Joint Surg Am. 1996;78:260–4.

    PubMed  Google Scholar 

  29. Denard PJ, Raiss P, Sowa B, Walch G. Mid- to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. J Shoulder Elb Surg. 2013;22:894–900.

    Google Scholar 

  30. Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A. A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg Am. 2005;87:1947–56.

    PubMed  Google Scholar 

  31. Edwards TB, Kadakia NR, Boulahia A, Kempf J-F, Boileau P, Némoz C, Walch G. A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of a multicenter study. J Shoulder Elb Surg. 2003;12:207–13.

    Google Scholar 

  32. Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am. 2000;82:26–34.

    CAS  PubMed  Google Scholar 

  33. Orfaly RM, Rockwood CA, Esenyel CZ, Wirth MA. A prospective functional outcome study of shoulder arthroplasty for osteoarthritis with an intact rotator cuff. J Shoulder Elb Surg. 2003;12:214–21.

    Google Scholar 

  34. Pfahler M, Jena F, Neyton L, Sirveaux F, Molé D. Hemiarthroplasty versus total shoulder prosthesis: results of cemented glenoid components. J Shoulder Elb Surg. 2006;15:154–63.

    CAS  Google Scholar 

  35. Levine WN, Djurasovic M, Glasson JM, Pollock RG, Flatow EL, Bigliani LU. Hemiarthroplasty for glenohumeral osteoarthritis: results correlated to degree of glenoid wear. J Shoulder Elb Surg. 1997;6:449–54.

    CAS  Google Scholar 

  36. Matsen FA, Bicknell RT, Lippitt SB. Shoulder arthroplasty: the socket perspective. J Shoulder Elb Surg. 2007;16:S241–7.

    Google Scholar 

  37. Matsen FA, Clark JM, Titelman RM, et al. Healing of reamed glenoid bone articulating with a metal humeral hemiarthroplasty: a canine model. J Orthop Res. 2005;23:18–26.

    PubMed  Google Scholar 

  38. Weldon EJ, Boorman RS, Smith KL, Matsen FA. Optimizing the glenoid contribution to the stability of a humeral hemiarthroplasty without a prosthetic glenoid. J Bone Joint Surg Am. 2004;86-A:2022–9.

    Google Scholar 

  39. Somerson JS, Matsen FA. Functional outcomes of the ream-and-run shoulder arthroplasty: a concise follow-up of a previous report. J Bone Joint Surg Am. 2017;99:1999–2003.

    PubMed  Google Scholar 

  40. Getz CL, Kearns KA, Padegimas EM, Johnston PS, Lazarus MD, Williams GR. Survivorship of hemiarthroplasty with concentric glenoid reaming for glenohumeral arthritis in young, active patients with a biconcave glenoid. J Am Acad Orthop Surg. 2017;25:715–23.

    Google Scholar 

  41. Strauss EJ, Verma NN, Salata MJ, McGill KC, Klifto C, Nicholson GP, Cole BJ, Romeo AA. The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis. J Shoulder Elb Surg. 2014;23:409–19.

    Google Scholar 

  42. Wirth MA. Humeral head arthroplasty and meniscal allograft resurfacing of the glenoid. J Bone Joint Surg Am. 2009;91:1109–19.

    PubMed  Google Scholar 

  43. Lynch JR, Franta AK, Montgomery WH, Lenters TR, Mounce D, Matsen FA. Self-assessed outcome at two to four years after shoulder hemiarthroplasty with concentric glenoid reaming. J Bone Joint Surg Am. 2007;89:1284–92.

    PubMed  Google Scholar 

  44. Elhassan B, Ozbaydar M, Diller D, Higgins LD, Warner JJP. Soft-tissue resurfacing of the glenoid in the treatment of glenohumeral arthritis in active patients less than fifty years old. J Bone Joint Surg Am. 2009;91:419–24.

    PubMed  Google Scholar 

  45. Bois AJ, Whitney IJ, Somerson JS, Wirth MA. Humeral head arthroplasty and meniscal allograft resurfacing of the glenoid: a concise follow-up of a previous report and survivorship analysis. J Bone Joint Surg Am. 2015;97:1571–7.

    Google Scholar 

  46. Puskas GJ, Meyer DC, Lebschi JA, Gerber C. Unacceptable failure of hemiarthroplasty combined with biological glenoid resurfacing in the treatment of glenohumeral arthritis in the young. J Shoulder Elb Surg. 2015;24:1900–7.

    Google Scholar 

  47. Sperling JW, Cofield RH, Rowland CM. Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elb Surg. 2004;13:604–13.

    Google Scholar 

  48. Sperling JW, Cofield RH, Rowland CM. Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J Bone Joint Surg Am. 1998;80:464–73.

    CAS  PubMed  Google Scholar 

  49. Krishnan SG, Reineck JR, Nowinski RJ, Harrison D, Burkhead WZ. Humeral hemiarthroplasty with biologic resurfacing of the glenoid for glenohumeral arthritis. Surgical technique. J Bone Joint Surg Am. 2008;90(Suppl 2 Pt 1):9–19.

    PubMed  Google Scholar 

  50. Mansat P, Coutié A-S, Bonnevialle N, Rongières M, Mansat M, Bonnevialle P. Resurfacing humeral prosthesis: do we really reconstruct the anatomy? J Shoulder Elb Surg. 2013;22:612–9.

    Google Scholar 

  51. Levy O, Tsvieli O, Merchant J, Young L, Trimarchi A, Dattani R, Abraham R, Copeland SA, Narvani A, Atoun E. Surface replacement arthroplasty for glenohumeral arthropathy in patients aged younger than fifty years: results after a minimum ten-year follow-up. J Shoulder Elb Surg. 2015;24:1049–60.

    Google Scholar 

  52. Muh SJ, Streit JJ, Shishani Y, Dubrow S, Nowinski RJ, Gobezie R. Biologic resurfacing of the glenoid with humeral head resurfacing for glenohumeral arthritis in the young patient. J Shoulder Elb Surg. 2014;23:e185–90.

    Google Scholar 

  53. Wang J, Zhu Y, Zhang F, Chen W, Tian Y, Zhang Y. Meta-analysis suggests that reverse shoulder arthroplasty in proximal humerus fractures is a better option than hemiarthroplasty in the elderly. Int Orthop. 2016;40:531–9.

    PubMed  Google Scholar 

  54. Sears BW, Johnston PS, Ramsey ML, Williams GR. Glenoid bone loss in primary total shoulder arthroplasty: evaluation and management. J Am Acad Orthop Surg. 2012;20:604–13.

    PubMed  Google Scholar 

  55. Dillon MT, Inacio MCS, Burke MF, Navarro RA, Yian EH. Shoulder arthroplasty in patients 59 years of age and younger. J Shoulder Elb Surg. 2013;22:1338–44.

    Google Scholar 

  56. Lazarus MD, Cox RM, Murthi AM, Levy O, Abboud JA. Stemless prosthesis for total shoulder arthroplasty. J Am Acad Orthop Surg. 2017;25:e291–300.

    PubMed  Google Scholar 

  57. Mizuno N, Denard PJ, Raiss P, Walch G. Reverse total shoulder arthroplasty for primary glenohumeral osteoarthritis in patients with a biconcave glenoid. J Bone Joint Surg Am. 2013;95:1297–304.

    PubMed  Google Scholar 

  58. Kelly JD, Zhao JX, Hobgood ER, Norris TR. Clinical results of revision shoulder arthroplasty using the reverse prosthesis. J Shoulder Elb Surg. 2012;21:1516–25.

    Google Scholar 

  59. Day JS, Paxton ES, Lau E, Gordon VA, Abboud JA, Williams GR. Use of reverse total shoulder arthroplasty in the medicare population. J Shoulder Elb Surg. 2015;24:766–72.

    Google Scholar 

  60. Rosas S, Law TY, Kurowicki J, Formaini N, Kalandiak SP, Levy JC. Trends in surgical management of proximal humeral fractures in the Medicare population: a nationwide study of records from 2009 to 2012. J Shoulder Elb Surg. 2016;25:608–13.

    Google Scholar 

  61. Schairer WW, Nwachukwu BU, Lyman S, Craig EV, Gulotta LV. Reverse shoulder arthroplasty versus hemiarthroplasty for treatment of proximal humerus fractures. J Shoulder Elb Surg. 2015;24:1560–6.

    Google Scholar 

  62. Cuff DJ, Pupello DR. Comparison of hemiarthroplasty and reverse shoulder arthroplasty for the treatment of proximal humeral fractures in elderly patients. J Bone Joint Surg Am. 2013;95:2050–5.

    Google Scholar 

  63. Steen BM, Cabezas AF, Santoni BG, Hussey MM, Cusick MC, Kumar AG, Frankle MA. Outcome and value of reverse shoulder arthroplasty for treatment of glenohumeral osteoarthritis: a matched cohort. J Shoulder Elb Surg. 2015;24:1433–41.

    Google Scholar 

  64. Young AA, Walch G, Pape G, Gohlke F, Favard L. Secondary rotator cuff dysfunction following total shoulder arthroplasty for primary glenohumeral osteoarthritis: results of a multicenter study with more than five years of follow-up. J Bone Joint Surg Am. 2012;94:685–93.

    PubMed  Google Scholar 

  65. Saltzman BM, Chalmers PN, Gupta AK, Romeo AA, Nicholson GP. Complication rates comparing primary with revision reverse total shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1647–54.

    Google Scholar 

  66. Griffin JW, Hadeed MM, Novicoff WM, Browne JA, Brockmeier SF. Patient age is a factor in early outcomes after shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1867–71.

    Google Scholar 

  67. Ricchetti ET, Abboud JA, Kuntz AF, Ramsey ML, Glaser DL, Williams GR. Total shoulder arthroplasty in older patients: increased perioperative morbidity? Clin Orthop. 2011;469:1042–9.

    PubMed  Google Scholar 

  68. Waterman BR, Dunn JC, Bader J, Urrea L, Schoenfeld AJ, Belmont PJ. Thirty-day morbidity and mortality after elective total shoulder arthroplasty: patient-based and surgical risk factors. J Shoulder Elb Surg. 2015;24:24–30.

    Google Scholar 

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Churchill, R.W., Padegimas, E.M., Bishop, M.E., Erickson, B.J., Romeo, A.A. (2019). Primary Osteoarthritis. In: Imhoff, A.B., Savoie, F.H. (eds) Rotator Cuff Across the Life Span. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58729-4_49

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