Prevention and management of post-instability glenohumeral arthropathy

Brian R. Waterman, Kelly G. Kilcoyne, Stephen Parada, Josef K. Eichinger

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Post-instability arthropathy may commonly develop in high-risk patients with a history of recurrent gleno-humeral instability, both with and without surgical stabilization. Classically related to anterior shoulder instability, the incidence and rates of arthritic progression may vary widely. Radiographic arthritic changes may be present in up to two-thirds of patients after primary Bankart repair and 30% after Latarjet procedure, with increasing rates associated with recurrent dislocation history, prominent implant position, non-anatomic reconstruction, and/or lateralized bone graft placement. However, the presence radiographic arthrosis does not predict poor patient-reported function. After exhausting conservative measures, both joint-preserving and arthroplasty surgical options may be considered depending on a combination of patient-specific and anatomic factors. Arthroscopic procedures are optimally indicated for individuals with focal disease and may yield superior symptomatic relief when combined with treatment of combined shoulder pathology. For more advanced secondary arthropathy, total shoulder arthroplasty remains the most reliable option, although the clinical outcomes, wear characteristics, and implant survivorship remains a concern among active, young patients.

Original languageEnglish (US)
Pages (from-to)229-241
Number of pages13
JournalWorld Journal of Orthopaedics
Volume8
Issue number3
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Fingerprint

Joint Diseases
Arthroplasty
Arthritis
Survival Rate
Joints
History
Pathology
Transplants
Bone and Bones
Incidence

Keywords

  • Arthropathy
  • Dislocation
  • Glenohumeral
  • Instability
  • Latarjet

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Prevention and management of post-instability glenohumeral arthropathy. / Waterman, Brian R.; Kilcoyne, Kelly G.; Parada, Stephen; Eichinger, Josef K.

In: World Journal of Orthopaedics, Vol. 8, No. 3, 01.01.2017, p. 229-241.

Research output: Contribution to journalArticle

Waterman, Brian R. ; Kilcoyne, Kelly G. ; Parada, Stephen ; Eichinger, Josef K. / Prevention and management of post-instability glenohumeral arthropathy. In: World Journal of Orthopaedics. 2017 ; Vol. 8, No. 3. pp. 229-241.
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