AANA Shoulder Arthroscopy - August 2024-Glenohumeral OA_ Comprehensive Arthroscopic Management and Patch Resurfacing

Glenohumeral OA_ Comprehensive Arthroscopic Management and Patch Resurfacing – Worth the Trouble_

Video Transcription

Video Summary

Peter Millett discusses treatment options for glenohumeral osteoarthritis in young patients, emphasizing challenges with total shoulder arthroplasty due to loosening and revision risks. He presents arthroscopic comprehensive arthroscopic management (CAM) as a joint-preserving option preferred under age 47, detailing its technique and 10-year survivorship of about 63%. CAM effectively relieves pain by removing deformities and decompressing the axillary nerve. Interposition arthroplasty, involving biologic grafts, shows mixed results with around 56% 10-year survival and higher revision rates. Arthroscopic approaches and interposition arthroplasty can delay or avoid arthroplasty in young, active patients, but require careful patient selection and awareness of limitations.

Asset Caption

Peter Millett, MD, MSc

Keywords

glenohumeral osteoarthritis

total shoulder arthroplasty

comprehensive arthroscopic management

interposition arthroplasty

young patients