2021 Annual Meeting Shoulder Access Pass-Moderator: Panel Discussion: Treatment of Arthritis in the Young and Active Patient-Pepe

Moderator: Panel Discussion: Treatment of Arthritis in the Young and Active Patient-Pepe

Video Transcription

Video Summary

The discussion centers on managing shoulder pain in a 55-year-old powerlifter with advanced joint degeneration and subluxation. Non-surgical options like PRP and corticosteroids provided limited relief. Examination and imaging revealed intact but degenerated rotator cuff, retroverted glenoid, and posterior humeral head subluxation. Treatment strategies include patient education, modifying lifting techniques, and biologic injections. Surgical options debated include hemiarthroplasty and total shoulder arthroplasty, with decisions tailored to patient activity levels and preferences. The chosen procedure was a stemless humeral implant with partial glenoid correction (ream and run). Post-op, the patient returned to gym with mild residual pain; conversion to total shoulder may be needed.

Asset Caption

Dr. Matthew Pepe

Keywords

shoulder pain

powerlifter

joint degeneration

stemless humeral implant

shoulder arthroplasty