Shoulder osteoarthritis, chondrolysis, rheumatoid arthritis, degenerative joint disease, and arthritis after shoulder arthroscopy and open surgery.
Edited By: Frederick A. Matsen III, M.D.
Last updated Monday, July 07, 2008
Summary & References
Diagnosis and treatment of shoulder arthritisIn shoulder arthritis, the smooth cartilage that normally covers the surfaces of the ball (humeral head) and socket (glenoid) is lost. The result is that there is bone on bone rubbing between these two joint surfaces.
This bone-on-bone contact produces pain, stiffness, difficulty sleeping and the inability to do activities of daily living, work and sports. Shoulder arthritis may result from wear and tear, osteoarthritis, rheumatoid arthritis, rotator cuff tears or may follow surgery for recurrent dislocations.
Chondrolysis is a severe type of shoulder arthritis in which the cartilage of the joint is abruptly lost. It has been noted to follow shoulder arthroscopy. While the cause is not known, chondrolysis may be associated with the use radiofrequency heat to shrink the shoulder capsule and the use of pain pump catheters placed in the joint after surgery for post-operative administration of local anesthetic, such as Marcaine (bupivacaine) or Xylocaine (lidocaine) and epinephrine. Treatment of shoulder arthritis may include exercises , a ream and run procedure, or a total shoulder.
After performing a clinical exam and x-rays, a shoulder surgeon experienced in
joint replacement can find out if arthritis is the cause of the problem
and if surgery would be helpful. Patients are most likely to benefit
from this surgery if they are well motivated and in good health.
The goal of shoulder replacement arthroplasty is to restore the best
possible function to the joint by removing scar tissue, balancing
muscles, and replacing the destroyed joint surfaces with artificial
ones.
Total shoulder joint replacement arthroplasty is a highly technical
procedure and is best performed by a surgical team who performs this
surgery often. Such a team can maximize the benefit and minimize the
risks. The two-hour procedure is performed under general (or nerve
block) anesthesia.
Streaming video
Dr. Matsen and Sarah Jackins, physical therapist with the UW Bone
and Joint Surgery Center, discuss shoulder surgery with an emphasis on
patient involvement in the UWTV video, "Total Shoulder Replacement: Partnership with the Patient".
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Surgery for rheumatoid arthritis at the University of Washington If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-BONE (2663) to make an appointment.Disclaimer
This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.
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