34 Questions
What is the incidence rate of shoulder dislocation in the general population?
1.7%
What is the gold standard for treatment of severe symptomatic GH arthritis?
Total shoulder arthroplasty (TSA)
What is the condition of severe restriction of active and passive ROM without evidence of intrinsic pathology of the joint?
Capsulitis
What is the primary diagnostic tool for detecting concomitant pathology in frozen shoulder?
X-Rays (Zanca’s view)
What is the recommended therapy for painful AC joint degenerative arthritis?
Surgery
What is the condition characterized by loss of active and passive motion with normal passive motion in the shoulder joint?
Adhesive capsulitis
What is the primary approach for arthroscopic release in frozen shoulder?
Posterior capsular release
What is the most common cause of painful AC joint osteolysis?
Weight lifters disease
What is the success rate of arthroscopic release in frozen shoulder?
50-90%
What is the condition characterized by deterioration of the fibrocartilaginous disc in the AC joint?
Painful AC joint degenerative arthritis
What is the primary surgical procedure for AC joint degenerative arthritis?
Mumford procedure
What is the primary cause of frozen shoulder in the general population?
Idiopathic
What is the primary approach for diagnosing frozen shoulder?
X-Rays (Zanca’s view)
What is the critical value for glenoid bone loss in shoulder stabilization surgery?
13.5%
What is the optimal critical value for glenoid bone loss in arthroscopic stabilization?
17.3%
What measurement is crucial for deciding between Latarjet procedure and arthroscopic Bankart repair?
APdeficit/APwidth(%)
How are rotator cuff tears classified?
Based on depth, size, shape, number of tendons, topography, and retraction
Which of the following is a type of shoulder arthropathy?
Degenerative joint disease
What are the three types of shoulder arthroplasty?
Humeral hemiarthroplasty, anatomic total shoulder arthroplasty, and reverse total shoulder arthroplasty
What is required for anatomic total shoulder arthroplasty?
Adequate rotator cuff integrity and glenoid bone stock for fixation
Which design is used in reverse total shoulder arthroplasty?
Grammont design
How does the incidence of glenohumeral arthritis compare to knee degenerative joint disease?
300 times lower
What is the range of prevalence for glenohumeral arthritis in different populations?
0.1 to 0.4
What are some pathologies requiring shoulder arthroplasty?
Degenerative arthropathy, rheumatoid arthritis, avascular necrosis, fractures, and post-traumatic arthropathy
What is the recommended treatment for conditions such as chondromatosis and pigmented synovitis?
Arthroscopic debridement
What may be necessary in cases where a tight anterior capsule leads to posterior translation of the humeral head and glenoid erosion?
Capsular release
What has been shown to provide pain relief and improved range of motion in patients with early degenerative osteoarthritis (OA) of the shoulder?
Arthroscopic debridement
What does the study emphasize the need for further research to explore?
The future potential of arthroscopic treatments for glenohumeral arthritis
What is the role of arthroscopy in diagnosing and treating glenohumeral joint degenerative disease?
Diagnostic tool and for procedures such as debridement, synovectomy, and loose body removal
What has been found to improve symptoms in patients, particularly those with inflammatory diseases?
Arthroscopic synovectomy and bursectomy
What does the study conclude about the effect of arthroscopic debridement on the natural history of glenohumeral arthritis?
May not significantly alter the natural history of glenohumeral arthritis
What is recommended for glenohumeral arthritis, including procedures like microfractures and LHB tenotomy?
Arthroscopic treatment
What has shown promising results in terms of pain relief and patient satisfaction for glenohumeral arthritis?
Arthroscopic treatment, including procedures like microfractures and LHB tenotomy
What is discussed in the text regarding the role of arthroscopic debridement and synovectomy in patients with near-normal preoperative range of motion and concentric glenohumeral articulation?
The role of arthroscopic debridement and synovectomy
Study Notes
Inverted-Bearing Reverse Shoulder Arthroplasty: Clinical and Radiological Results
- Inverted Bearing Reverse Shoulder Arthroplasty (IB-RSA) was performed on a 60-year-old female with several years of worsening pain, limited range of motion, and subluxation.
- The patient's clinical examination revealed limited shoulder function and imaging showed severe posterior subluxation and retroversion.
- The patient's history included an irrepairable massive rotator cuff tear, instability, and osteoporosis.
- The study discusses the role of arthroscopy in diagnosing and treating glenohumeral joint degenerative disease, including its use as a diagnostic tool and for procedures such as debridement, synovectomy, and loose body removal.
- Arthroscopic debridement has been shown to provide pain relief and improved range of motion in patients with early degenerative osteoarthritis (OA) of the shoulder.
- Arthroscopic synovectomy and bursectomy have also been found to improve symptoms in patients, particularly those with inflammatory diseases.
- The removal of loose bodies through arthroscopy is a recommended treatment for conditions such as chondromatosis and pigmented synovitis.
- Capsular release may be necessary in cases where a tight anterior capsule leads to posterior translation of the humeral head and glenoid erosion.
- Arthroscopic treatment for glenohumeral arthritis, including procedures like microfractures and LHB tenotomy, has shown promising results in terms of pain relief and patient satisfaction.
- The study emphasizes the need for further research to explore the future potential of arthroscopic treatments for glenohumeral arthritis.
- The text discusses the role of arthroscopic debridement and synovectomy in patients with near-normal preoperative range of motion and concentric glenohumeral articulation.
- The study concludes that arthroscopic debridement may not significantly alter the natural history of glenohumeral arthritis and may only provide limited long-term pain relief.
Explore the clinical and radiological results of Inverted Bearing Reverse Shoulder Arthroplasty (IB-RSA) and the role of arthroscopy in diagnosing and treating glenohumeral joint degenerative disease. Understand the potential benefits and limitations of arthroscopic treatments for conditions like glenohumeral arthritis and shoulder degenerative osteoarthritis.
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