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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Surgical options for patients with shoulder pain
Salma Chaudhury1, Stephen E Gwilym, Jane Moser
1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Windmill Road, Oxford OX3 7LD, UK.
Nature Reviews. Rheumatology
|April 2, 2010
Summary
Shoulder pain often resolves with conservative treatments like rest and physical therapy. Surgery is reserved for persistent cases, requiring accurate diagnosis for successful outcomes in conditions such as rotator cuff tears or arthritis.
Area of Science:
- Orthopedics
- Musculoskeletal Medicine
- Surgical Management
Background:
- Shoulder pain is a prevalent musculoskeletal issue with varied origins.
- Conservative treatments are typically effective for mild shoulder pain.
- Surgery is indicated only when conservative measures fail over 3-6 months.
Purpose of the Study:
- To outline the surgical management of common painful shoulder conditions.
- To emphasize the importance of accurate diagnosis and imaging for surgical consideration.
- To review the efficacy of surgical interventions for shoulder pain.
Main Methods:
- Review of surgical management strategies for common shoulder pathologies.
- Discussion of diagnostic requirements and imaging modalities for surgical planning.
- Analysis of evidence from case series on surgical intervention outcomes.
Main Results:
- Conservative treatment is the primary approach for most shoulder pain cases.
- Surgery is necessary for a small proportion of patients with persistent symptoms.
- Surgical success is contingent upon precise diagnosis and patient-specific factors.
Conclusions:
- Surgical interventions can be effective for shoulder pain when appropriately indicated.
- Accurate diagnosis and imaging are crucial for successful surgical management of shoulder conditions.
- This article provides an overview of surgical options for impingement, rotator cuff tears, frozen shoulder, osteoarthritis, rheumatoid arthritis, and calcific tendonitis.
