Shoulder Arthritis Treatment Options
- Joint resurfacing procedure
- Joint replacement (shoulder arthroplasty)
Questions to Define a Patients Shoulder Joint Arthritis
- Does the arthritis affect one side of the joint or both sides?
- Is the rotator cuff intact and functional?
- What is the age of the patient and the activity demands requested of the joint replacement?
- What is the quality of the bone available?
The answers to these questions allow for selection of the procedure that resects the least bone but still gives the best possible result without compromising future treatment options.
A total shoulder replacement is done when both sides of the joint have arthritis and both the humeral head and glenoid surface is replaced.
A reverse shoulder replacement is performed when there is arthritis in the shoulder joint combined with a massive unrepairable rotator cuff tear.
Shoulder implants are used for shoulder replacements. There are many implants available and the surgeon will select an implant based on their experience and with the goal of a reliable result, based on the reported outcomes in the orthopedic literature.
Examples of the different shoulder arthroplasties are shown below.
Resurfacing Hemi-arthroplasty for Humeral Head AVN referred to as a Cap
Total Shoulder Arthrplasty for arthritis on both sides of the joint
Reverse Total Shoulder Arthroplasty for arthritis on both sides of the joint & no rotator cuff Function