Surgical Treatment for the Shoulder Joint in Rheumatoid Patients.
10.5397/cise.2016.19.3.179
- Author:
Hyung Moon YOON
;
Young Hoon JO
;
Bong Gun LEE
- Publication Type:Review
- Keywords:
Rheumatoid arthritis;
Shoulder;
Arthroplasty;
Reverse shoulder arthroplasty
- MeSH:
Arthritis, Rheumatoid;
Arthroplasty;
Congenital Abnormalities;
Humans;
Osteoporosis;
Rotator Cuff;
Shoulder Joint*;
Shoulder*
- From:Clinics in Shoulder and Elbow
2016;19(3):179-185
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rheumatoid arthritis (RA) is a systemic disease with medication as the treatment of choice. However, surgical treatment is recommended when no improvement is noted despite aggressive conservative treatment. Synovectomy provides desirable outcomes for RA patients in the early stage with a glenohumeral joint of Larsen grade II or less; conversely, arthroplasty is recommended for patients with a glenohumeral joint of grade III or higher. RA patients often have attenuation and dysfunction of the rotator cuff, and reverse shoulder arthroplasty has been proven to provide favorable outcomes in some patients. RA is often complicated with osteoporosis and bony deformity; therefore, close attention is necessary to prevent fractures during shoulder arthroplasty.
