Treating Shoulder Degenerative Arthritis in the Young Athlete - Incorporating Shoulder Arthroplasty? (AANA19)-Shoulder Arthoplasty in Young Patients-Dr. Patrick St. Pierre, M.D.

Video Transcription

Video Summary

The speaker discusses total shoulder arthroplasty (TSA) in young patients with osteoarthritis unresponsive to conservative treatments like injections and therapy. Emphasizing the importance of precise surgical technique, especially replicating the patient's native anatomy, they highlight key factors for success: bone-sparing approaches, optimal glenoid exposure, strong subscapularis healing, and implant positioning. Subscapularis failure and glenoid loosening are common causes of TSA failure, often underestimated clinically. Revision surgeries have moderate success rates, and when subscapularis repair fails, reverse shoulder arthroplasty may be necessary. The speaker advocates for meticulous surgical steps to enhance exposure and fixation and stresses that rehabilitation should focus on patient-driven, home-based exercises rather than over-relying on formal therapy sessions. Overall, TSA remains the gold standard for young, active patients with advanced arthritis but requires careful surgical execution and thoughtful post-operative rehab to maximize longevity and function.

Asset Caption

Instructional Course Lecture: Treating Shoulder Degenerative Arthritis in the Young Athlete - Incorporating Shoulder Arthroplasty?

Keywords

total shoulder arthroplasty

young osteoarthritis patients

subscapularis healing

glenoid exposure

post-operative rehabilitation