J Am Acad Orthop Surg 2018 Sep;26(17):e361-e370
From the Department of Orthopedic Surgery, OrthoCarolina, Charlotte, NC (Dr. Saltzman), the Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada (Dr. Leroux), and the Rush University Medical Center, Chicago, IL (Dr. Verma and Dr. Romeo).
Glenohumeral osteoarthritis in the young patient (aged <60 years) is a difficult condition, given both age and functional demands. Primary osteoarthritis is the most common etiology in this patient demographic, but secondary causes include osteonecrosis, previous trauma (eg, fracture-dislocation), previous infection (eg, septic arthritis), previous capsulorrhaphy, previous arthroscopic surgery (eg, chondrolysis), and glenoid dysplasia. Nonsurgical modalities, including activity modification, pharmacotherapy, physical therapy, and intra-articular injections, are the mainstay of management; however, in young patients who have exhausted nonsurgical management, surgical options include arthroscopic débridement, humeral head replacement with or without glenoid treatment (ie, biologic glenoid resurfacing, glenoid reaming), and total or reverse total shoulder arthroplasty. Read More