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[Post-traumatic shoulder arthrodeses--indications, technique, results]

A Dávid1, S Makowski, G Muhr

  • 1Chirurgische Universitätsklinik und Poliklinik, Bochum.

Der Unfallchirurg
|November 1, 1995
PubMed
Summary

Shoulder arthrodesis (surgical fusion) can improve function and reduce pain in patients with severe shoulder conditions. While it restricts motion, it offers significant benefits for those with painful, limited shoulder movement.

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Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal Disorders

Background:

  • Shoulder arthrodesis restricts range of motion but can alleviate pain.
  • It is indicated for glenohumeral infections, arthritis, and rotator cuff paralysis with stability.

Purpose of the Study:

  • To evaluate the outcomes of shoulder arthrodesis in patients with painful, restricted shoulder motion.

Main Methods:

  • Retrospective review of ten shoulder arthrodesis procedures performed between 1978 and 1991.
  • Patients had conditions including post-internal fixation infections, post-traumatic arthritis, and complete plexus lesions.

Main Results:

  • Follow-up averaged over 3 years, with acceptable function reported based on Neer and Hawkins scores.
  • Nine out of ten patients experienced significant functional improvement and pain relief.

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Conclusions:

  • Shoulder arthrodesis provides substantial pain relief and functional gains for select patients.
  • Despite range of motion limitations, it is a viable option for managing debilitating shoulder conditions.