AANA19 Shoulder Access Pass-Questions and Answers_ Concurrent Scientific Session II_ Symposium - Degenerative Disease Shoulder-Dr. Felix H. Savoie, M.D.

Questions and Answers_ Concurrent Scientific Session II_ Symposium - Degenerative Disease Shoulder-Dr. Felix H. Savoie, M.D.

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Video Summary

The panel discussed treatment strategies for shoulder osteoarthritis, emphasizing total shoulder arthroplasty (TSA) for older patients and arthroscopic capsular release for younger patients with concentric arthritis. Initial management includes activity modification, anti-inflammatories, and physical therapy, with cortisone injections commonly used for symptom relief. Biologics like PRP and stem cells lack strong shoulder-specific evidence, used mainly upon patient request. Regarding glenoid resurfacing, thicker acellular dermal allografts are preferred over meniscal grafts due to lower failure rates. Addressing stiffness involves concurrent capsular release during surgery to restore motion. Postoperatively, early passive motion is encouraged to maintain graft integrity.

Keywords

shoulder osteoarthritis

total shoulder arthroplasty

arthroscopic capsular release

glenoid resurfacing

postoperative rehabilitation