Glenohumeral Osteoarthritis In The Young Patient

The management of glenohumeral arthritis in the young patient remains a challenging problem for the treating clinician. The activity demands seen in such patient populations require a unique understanding of what the goals of treatment are to ensure satisfied and sustainable outcomes. In addition, younger patients have a longer life expectancy and more active lifestyles, which can negatively impact the longevity of arthroplasty implants that are traditionally used in the older patient population. As such, the discovery and implementation of novel and anatomy preserving techniques continue to evolve to meet the demand of younger patients without compromising their outcomes. This practical text serves to educate the treating clinician on how to recognize and categorize glenohumeral osteoarthritis in young patients and offers insight into the various operative and non-operative treatment options. Opening chapters examine the prevalence and burden, etiology and evaluation of the condition, followed by chapters discussing the current non-invasive and non-operative approaches to treatment, such as injection therapy. The main complement of chapters are detailed descriptions of surgical approaches, from arthroscopy and cartilage reconstruction to total and reverse shoulder arthroplasty, stemless approaches and arthrodesis. A final chapter expands on future management strategies. Radiographs and intraoperative photos are provided to enhance the text. Presenting the state of the art for this increasingly common condition, Glenohumeral Osteoarthritis in the Young Patient is an ideal resource for orthopedic surgeons and sports medicine specialists alike.

This issue of Clinics in Sports Medicine, guest edited by Dr. Stephen Brockmeier and Brian Werner, will discuss key topics related to Shoulder Arthritis in the Young and Active Patient. Articles include: Etiology of Shoulder Arthritis in the Young Patient, Non-Arthroplasty Options, Shoulder Hemiarthroplasty, Biologic Options for Glenohumeral Osteoarthritis, Total Shoulder Arthroplasty in the Athlete and Active Individual, Minimally Invasive and Subscapularis Sparing Techniques for Shoulder Arthroplasty, Rehab Strategies after Shoulder Arthroplasty, "Return to Play" after Shoulder Replacement Surgery, Outcomes After Shoulder Replacement Surgery in the Young Patient, and Future Frontiers in Shoulder Arthroplasty and the Management of Shoulder Osteoarthritis.

This book provides a concise and up-to-date resource on common shoulder disorders. The reader will learn about various shoulder conditions, their presentation, evaluation and management. Anatomy, biomechanics, function, clinical history taking and examination, radiological imaging and other investigations, as well as principles of non-surgical and surgical management of the troublesome shoulder are presented first. The Shoulder Made Easy conveys clear, easily understood information to help practitioners in day-to-day clinical practice as well as in preparation for undergraduate or postgraduate exams. The book focuses on: Commonly encountered clinical symptoms of the shoulder: patients don't present with a clinical diagnosis but with symptoms such as pain, stiffness, weakness or instability and a thorough consideration of what could be accounting for such symptoms and how such symptoms may be dealt with is presented. Commonly encountered clinical disorders of the shoulder: each clinical disorder is concisely presented with the background, clinical symptoms, investigations, differential diagnosis, treatment and a further reading section. This book attempts to present information in an easily read, succinct way. In particular, this book tries to unpick and explain those concepts of shoulder disorders that may be difficult to understand. An attempt is made to pass on knowledge but more importantly also stimulate lateral thinking. Key diagrams, clinical photographs and radiographs are used as necessary to highlight important points; references to relevant landmark articles are also provided in each chapter. The book will be of great interest to medical students, junior orthopaedic doctors, GP’s and physiotherapists.

Success in shoulder arthroplastic surgery is not necessarily dependent only on the principle of construction of a prosthetic device, nor on the way this device is implanted or fixed to the bony interface, but more so on the understanding and handling of the soft tissues surrounding the articulation. Based on their experience in basic anatomy and function, the editors of this book were able to develop a prosthetic device which can take into account individual anatomical variations in each patient, making a successful outcome of surgery much more predictable. This must-have for any shoulder surgeon not only informs on the current state-of-the-art, but also provides an understanding of what advances can be achieved with innovative thinking in the field of orthopaedic surgery.

Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries of evidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.

Over the past decade, significant efforts have been made to develop stem cell-based therapies for difficult to treat diseases. Multipotent mesenchymal stromal cells, also referred to as mesenchymal stem cells (MSCs), appear to hold great promise in regards to a regenerative cell-based therapy for the treatment of these diseases. Currently, more than 200 clinical trials are underway worldwide exploring the use of MSCs for the treatment of a wide range of disorders including bone, cartilage and tendon damage, myocardial infarction, graft-versus-host disease, Crohn’s disease, diabetes, multiple sclerosis, critical limb ischemia and many others. MSCs were first identified by Friendenstein and colleagues as an adherent stromal cell population within the bone marrow with the ability to form clonogenic colonies in vitro. In regards to the basic biology associated with MSCs, there has been tremendous progress towards understanding this cell population’s phenotype and function from a range of tissue sources. Despite enormous progress and an overall increased understanding of MSCs at the molecular and cellular level, several critical questions remain to be answered in regards to the use of these cells in therapeutic applications. Clinically, both autologous and allogenic approaches for the transplantation of MSCs are being explored. Several of the processing steps needed for the clinical application of MSCs, including isolation from various tissues, scalable in vitro expansion, cell banking, dose preparation, quality control parameters, delivery methods and numerous others are being extensively studied. Despite a significant number of ongoing clinical trials, none of the current therapeutic approaches have, at this point, become a standard of care treatment. Although exceptionally promising, the clinical translation of MSC-based therapies is still a work in progress. The extensive number of ongoing clinical trials is expected to provide a clearer path forward for the realization and implementation of MSCs in regenerative medicine. Towards this end, reviews of current clinical trial results and discussions of relevant topics association with the clinical application of MSCs are compiled in this book from some of the leading researchers in this exciting and rapidly advancing field. Although not absolutely all-inclusive, we hope the chapters within this book can promote and enable a better understanding of the translation of MSCs from bench-to-bedside and inspire researchers to further explore this promising and quickly evolving field.

This book comprehensively covers the diagnosis, classification, assessment, and management of shoulder arthritis, a condition with increasing incidence that affects people of all ages. In a multidisciplinary format, it discusses imaging, laboratory testing, nutrition, surgery and rehabilitation. The first part of the book covers conservative treatments, followed by various minimally invasive treatments and specific techniques in the second part. The subsequent parts of the book focus on joint replacement, including alternative options to traditional arthroplasty. Each part is further divided by age group, addressing specific considerations unique to each population. The final part explores new technologies applied to shoulder arthroplasty. Published in collaboration with ISAKOS, this book provides a thorough discussion on how to prevent failure, diagnose, and manage shoulder arthritis in patients of all ages. Written by leading international shoulder experts, it is an essential resource for shoulder surgeons, rehabilitators, and other healthcare practitioners.

Here is a technique intensive textbook of shoulder arthroplasty detailing how to handle all relevant aspects of shoulder replacement surgery. Distinguished shoulder surgeons Gary M. Gartsman—author of the well-received Shoulder Arthroscopy—and T. Bradley Edwards provide step-by-step details for each category of shoulder arthroplasty, covering indications and contraindications, pre-operative planning and imaging, results and complications, and more. Copious color intraoperative photographs and illustrations make this book one that all shoulder surgeons need to have at hand! Presents the personal techniques of two master surgeons to give you the benefit of an authoritative approach to challenging surgeries as well as a consistent tone throughout the book. Covers pre-operative planning and surgical techniques in meticulous detail, including Glenoid Component, Reduction/Deltoid Tensioning, Humeral Surface Replacement, and Biological Glenoid Resurfacing. Emphasizes results, complications, and the important topic of post-operative orthosis and rehabilitation to provide a timely focus on outcomes, a rapidly growing trend in orthopaedic surgery. Features intraoperative photographs accompanied by line drawings for added clarification of the procedures. Organizes material in a consistent, structured format for easier use of the text as a technical reference.

The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).

This book presents the consensus findings of the ISAKOS Shoulder Committee regarding the treatment options in patients suffering from shoulder pain and reduced function or dead arm syndrome as a consequence of rotator cuff injuries. The aim is twofold: to equip readers with a precise knowledge of the presenting characteristics of these injuries in different age groups and to describe in detail the initial management and surgical and non-surgical approaches, taking into account the age-specific features. Readers will find clear descriptions of all the latest arthroscopic techniques, which allow repair of even the largest tears. The indications for and performance of tendon transfer procedures, biceps tenotomy, tenodesis, hemiarthroplasty, anatomic shoulder arthroplasty, reverse total shoulder arthroplasty, and revision surgery are explained. Helpful guidance is also provided on the use of strategies to promote rotator cuff healing, including stem cell therapy and scaffolds. The authors are leading experts in the field, and the book will be of value for all shoulder surgeons and orthopaedic trainees and consultants, as well as sports medicine specialists.