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Arthritis of dislocation

J J Brems1

  • 1Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Ohio, USA.

The Orthopedic Clinics of North America
|August 26, 1998
PubMed
Summary
This summary is machine-generated.

Arthritis of dislocation, a shoulder degenerative joint disease, is linked to prior instability repairs. Modern surgical techniques without hardware may reduce its incidence, with arthroplasty as a treatment option.

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Area of Science:

  • Orthopedics
  • Degenerative Joint Disease
  • Shoulder Instability

Background:

  • Arthritis of dislocation is a specific degenerative joint disease affecting the shoulder.
  • A significant number of patients developing this condition have a history of prior shoulder instability repairs.
  • Subtle subluxations and hyperlaxity in peripheral joints can indicate underlying instability patterns.

Purpose of the Study:

  • To explore factors contributing to arthritis of dislocation.
  • To evaluate the impact of surgical techniques on the incidence of this condition.
  • To outline principles for managing arthritis of dislocation, including surgical and rehabilitative approaches.

Main Methods:

  • Review of patient data to identify recurring factors associated with arthritis of dislocation.

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  • Analysis of examination findings, including subtle subluxations and peripheral joint hyperlaxity.
  • Evaluation of current and emerging surgical stabilization techniques for shoulder instability.
  • Assessment of surgical principles for shoulder arthroplasty in cases of arthritis of dislocation.

    • Main Results:

    • Prior instability repairs are frequently observed in patients with arthritis of dislocation.
    • Modern surgical techniques avoiding hardware may decrease the occurrence of this arthritis.
    • Shoulder arthroplasty is a viable treatment option for arthritis of dislocation, even in young patients.
    • Specific surgical principles, including deltoid function preservation and proper component positioning, are crucial for successful arthroplasty.

    Conclusions:

    • Understanding and addressing instability patterns through appropriate stabilization can potentially reduce the incidence of arthritis of dislocation.
    • Current surgical management of instability, particularly arthroscopic procedures, requires careful consideration of risks and benefits.
    • Effective shoulder arthroplasty for arthritis of dislocation necessitates adherence to specific surgical principles and comprehensive rehabilitation.