A recent study published in the American Journal of Sports Medicine highlights comprehensive arthroscopic management's role in effectively treating glenohumeral osteoarthritis.
Here are five things to know:
1. Patient selection plays a vital role in determining whether to employ arthroscopic joint preservation or total shoulder arthroplasty in young patients suffering from GHOA.
2. Researchers sought to identify predicting factors of early failure in patients undergoing comprehensive arthroscopic management for GHOA.
3. Data included 107 shoulders in 98 patients who had undergone CAM. Although all patients had met clinical and radiographic criteria for TSA, all had opted for joint preservation with arthroscopic management. Of the 98 patients, 72 were men and 26 were women. Their mean age was 52 years old.
4. Study results showed:
- 15.8 percent of 107 shoulders progressed to TSA at a mean of two years.
- Remaining patients had a mean follow-up of 3.9 years.
- Patients with significantly less preoperative joint space failed much more than those who succeeded.
- Patients with higher Kellgren-Lawrence grades for osteoarthritis had higher failure rates.
- Patients who were at least 50 years old had higher failure rates.
5. The CAM procedure reliably improves pain levels and overall function in active patients with advanced GHOA, according to the researchers' conclusions. Patients with less joint space and abnormal posterior glenoid shape had higher early failure rates. Researchers also noted that patients should be made aware about the procedure's limitations.
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