AANA25 Shoulder Access Pass-CONCURRENT SESSION 4A: Young Shoulder Osteoarthritis

Video Transcription

Video Summary

The ANA meeting featured expert discussions on managing arthritis and arthroplasty in young, active patients under 50. Dr. Parada presented comprehensive arthroscopic management (CAM) as a minimally invasive option to delay arthroplasty, highlighting techniques like osteophyte removal and capsular release for pain relief and improved motion. Dr. Griswold discussed pyrocarbon hemiarthroplasty, emphasizing its biocompatibility and potential to reduce glenoid erosion compared to traditional cobalt-chrome implants, with promising mid-term outcomes but some concerns about medialization progression. Dr. Mignacci advocated for a novel approach combining an inlay glenoid with a non-spherical humeral head design, reducing edge loading and improving implant longevity and range of motion, even in complex B2 glenoids. Dr. Edwards emphasized patient selection criteria for anatomic total shoulder replacement in the young, stressing the importance of exhausting conservative treatments, preserving bone with stemless implants, and avoiding overstuffing. A panel case discussion underscored varying expert preferences—from pyrocarbon hemiarthroplasty and stemless anatomic implants to inlay glenoids—tailored to patient factors like age, activity, and glenoid morphology. Complex revision cases illustrated challenges with prior surgeries (e.g., Latarjet) and the need for staged, individualized strategies. Overall, the session highlighted evolving techniques and implants aimed at balancing function, implant survival, and revision complexity for young arthritic shoulder patients.

Asset Caption

Moderator: Stephen A. Parada, M.D.
Branum G. Griswold, M.D. | Anthony Miniaci, M.D. | Sara L. Edwards, M.D. | William J. Grantham, M.D.

Keywords

arthritis management

arthroplasty

young active patients

comprehensive arthroscopic management

pyrocarbon hemiarthroplasty

inlay glenoid

non-spherical humeral head

stemless implants

revision shoulder surgery