2021 Annual Meeting Shoulder Access Pass-Decision Making in the Young Arthritic Patient

Decision Making in the Young Arthritic Patient

Video Transcription

Video Summary

The speaker discusses decision-making for young arthritic shoulder patients, emphasizing individualized treatment based on arthritis cause, anatomy, symptoms, and patient expectations. For focal defects, microfracture or grafting is effective, while diffuse arthritis presents more challenges. Joint preservation techniques, especially the comprehensive arthroscopic management (CAM) procedure to remove osteophytes and relieve axillary nerve impingement, show promising 10-year success. Total shoulder arthroplasty is reserved for advanced cases, mindful of implant longevity and future revision challenges. Emerging options include biologic grafts and partial replacements. A case of a young mixed martial artist illustrates successful mobility restoration and return to sport post-treatment.

Asset Caption

Dr. Peter Millett

Keywords

arthritic shoulder

decision-making

comprehensive arthroscopic management

total shoulder arthroplasty

young patients