98%
921
2 minutes
20
Shoulder arthroplasty has become an increasingly common option for the management of glenohumeral osteoarthritis in younger, higher demand, and athletic individuals. Patients with shoulder arthritis in whom nonsurgical measures fail and who are not candidates for arthroscopic treatment may be evaluated for shoulder arthroplasty. Available options include shoulder hemiarthroplasty, with or without biologic glenoid resurfacing, total shoulder arthroplasty, and less commonly reverse total shoulder arthroplasty. The orthopaedic surgeon should be aware of the evolution and current use of the different shoulder replacement techniques in young active patients with glenohumeral osteoarthritis. In addition, it is important to review practical guidelines and issues with the implementation of those techniques when treating patients with shoulder arthritis who want to return to sport activity postoperatively.
Download full-text PDF |
Source |
---|
Orthop Traumatol Surg Res
September 2025
Universitary Insitute of Locomotion and Sport, Pasteur II Hospital, Nice, France.
Background: This study aimed to evaluate how subscapularis tendon repair influences joint loads in relation to humeral offset and arm position.
Patients And Methods: Two fresh-frozen, whole-body cadaveric shoulders underwent a reverse total shoulder arthroplasty (rTSA) on the humeral side using an internal proprietary load-sensing system (LSS) (Goldilocks, Statera Medical, Montreal, Canada). In addition to three "complex" Activity Daily Life positions ("behind the back", "overhead reach", and "across the chest"), four standard postures (external rotation, extension, abduction, and flexion) were used to record the glenohumeral loads (Newtons) and their locations applied to the implant.
J ISAKOS
September 2025
McMaster University Division of Orthopaedic Surgery, Hamilton, ON, Canada; Oakville Trafalgar Memorial Hospital, Division of Orthopaedic Surgery, Oakville, ON, Canada.
Introduction/objectives: Irreparable subscapularis tears can cause severe functional impairment and present significant clinical challenges. Current treatment options include tendon transfers (TTs), anterior capsular reconstruction, and reverse shoulder arthroplasty. Each approach has distinct biomechanical advantages and limitations, but there remains no consensus regarding the optimal treatment.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
September 2025
Service de Chirurgie Orthopédique, CHRU de Tours, France - Faculté de Médecine, Université de Tours, France.
Purpose: The potential of mixed reality to improve the accuracy of glenoid preparation pin positioning in shoulder arthroplasty has been previously reported. Another benefit of mixed reality may be its ability to assist junior surgeons in enhancing their precision during prosthetic procedures. The aim of this study was to evaluate and compare the accuracy of glenoid preparation pin positioning between a senior surgeon and a junior surgeon utilizing mixed reality guidance.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
September 2025
Keck School of Medicine of USC, University of Southern California, Los Angeles, California.
Background: Tranexamic acid (TXA) is an anti-fibrinolytic agent that has effectively reduced transfusion risk and minimized blood loss after total joint arthroplasty. TXA use has had mixed results on postoperative pain after arthroscopic rotator cuff repair (ARCR). The purpose of this prospective, double-blind, randomized, controlled trial was to examine the impact of TXA on prescription opioid consumption for three postoperative days in an outpatient population after ARCR.
View Article and Find Full Text PDFJ Am Acad Orthop Surg
August 2025
From the Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO (Gutbrod, Herbosa, Wilson, and Miller), the Department of Orthopedic Surgery, Cedars Sinai Medical Center, Los Angeles, CA (Hong), the Institute for Informatics, Washington University School of Medicin
Introduction: Treatment approaches and functional outcomes have been shown to be influenced by a patient's socioeconomic status in certain orthopaedic pathologies. In patients with proximal humerus fractures (PHFs), this study aimed to evaluate the relationship between social deprivation and (1) treatment strategy-including the choice between surgical and nonsurgical management, as well as the type of surgical intervention-and (2) patient-reported outcomes.
Methods: We retrospectively reviewed 275 displaced PHFs from a level 1 trauma center.