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Surgery

Preserving shoulder movement in advanced OA—yes we CAM!

When nonsurgical options for osteoarthritis of the glenohumeral joint are exhausted, total shoulder arthroplasty has been well studied and carries the most predictable outcome. For patients wishing to remain active, however, proven shoulder-preserving options have been less predictable. A new study now adds to preliminary evidence supporting the complete arthroscopic management procedure.

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Figure 1: Anteroposterior radiograph of the right shoulder demonstrating inferior humeral head osteophyte with minimal glenohumeral joint-space narrowing in a patient aged 50 years with moderate glenohumeral osteoarthritis.

References

  1. Izquierdo, R. et al. American academy of orthopaedic surgeons clinical practice guideline on: the treatment of glenohumeral joint osteoarthritis. J. Bone Joint Surg. Am. 93, 203–205 (2011).

    Article  Google Scholar 

  2. Kim, S. H. et al. Increasing incidence of shoulder arthroplasty in the United States. J. Bone Joint Surg. Am. 93, 2249–2254 (2012).

    Article  Google Scholar 

  3. Millett, P. J. et al. Comprehensive Arthroscopic Management (CAM) procedure: clinical results of a joint-preserving arthroscopic treatment for young, active patients with advanced shoulder osteoarthritis. Arthroscopy 29, 440–448 (2013).

    Article  Google Scholar 

  4. Cameron, B. D. et al. Non-prosthetic management of grade IV osteochondral lesions of the glenohumeral joint. J. Shoulder Elbow Surg. 11, 25–32 (2002).

    Article  Google Scholar 

  5. Van Thiel, G. S. et al. Retrospective analysis of arthroscopic management of glenohumeral degenerative disease. Arthroscopy 26, 1451–1455 (2010).

    Article  Google Scholar 

  6. Kerr, B. J. & McCarty, E. C. Outcome of arthroscopic debridement is worse for patients with glenohumeral arthritis of both sides of the joint. Clin. Orthop. Relat. Res. 466, 634–638 (2008).

    Article  Google Scholar 

  7. Porcellini, G. et al. Arthroscopic treatment of early glenohumeral arthritis. J. Orthop. Traumatol. 14, 23–29 (2013).

    Article  Google Scholar 

  8. Ogilvie-Harris, D. J. & Wiley, A. M. Arthroscopic surgery of the shoulder. A general appraisal. J. Bone Joint Surg. Br. 68, 201–207 (1986).

    Article  CAS  Google Scholar 

  9. Weinstein, D. M. et al. Arthroscopic debridement of the shoulder for osteoarthritis. Arthroscopy 16, 471–476 (2000).

    Article  CAS  Google Scholar 

  10. Liem, D. & Kasten, P. Management of glenohumeral osteoarthritis in the young patient: ask the experts. J. Shoulder Elbow Surg. 21, 561–566 (2012).

    Article  Google Scholar 

Download references

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Correspondence to Nikhil N. Verma.

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Competing interests

N. N. Verma declares that he has received royalties from Arthroscopy, Smith & Nephew and Vindico Medical Orthopaedics Hyperguide; has acted as a paid consultant for Arthrex and Smith & Nephew; owns stock in Omeros; has received research support from Arthrex, Athletico, Conmed Linvatec, Miomed, Mitek and Smith & Nephew; is a Board member of the Journal of Knee Surgery, Arthroscopy, SLACK Inc and the Arthroscopy Association Learning Centre. J. D. Harris declares no competing interests.

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Verma, N., Harris, J. Preserving shoulder movement in advanced OA—yes we CAM!. Nat Rev Rheumatol 9, 386–388 (2013). https://doi.org/10.1038/nrrheum.2013.77

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