Glenohumeral Arthritis

Question 1

What are some of the causes of glenohumeral arthritis?

Answer 1

1. OA
2. RA
3. Trauma
4. Osteronecrosis
5. Infection
6. Rotator cuff arthropathy

Question 2

What is the patient population?

Answer 2

most common in patients over 50 years old

Question 3

What are some of the symptoms of glenohumeral arthritis

Answer 3

1. Pain worse posteriorly with movement
2. Decreased ROM and ability to perform ADLs
3. Decreased muscle strength

Question 4

What will you find during the physical exam

Answer 4

1. Atrophy
2. Tenderness
3. Crepitus
4. Decreased ROM
5. Decreased muscle strength

Question 5

What are some of the diagnostic tests to run

Answer 5

1. Radiographs
2. MRI

Question 6

What will radiographs shows?

Answer 6

1. Decreased joint space
2. Osteophytes
3. Flattening of humeral head
4. Erosions
5. Osteopenia (RA)
6. Superior migration of humeral head

Question 7

What will the MRI show?

Answer 7

1. Will show a potential RCT
   *treating the tear can make the pain better

Question 8

What are some of the adverse outcomes of glenohumeral arthritis?

Answer 8

1. Chronic shoulder pain
2. Loss of motion
3. Loss of strength

Question 9

What is the treatment?

Answer 9

1. Conservative first
   *NSAIDs
   *Ice/heat
   *therapy
   *lifestyle modifications
2. Surgical
   *total shoulder replacement or hemiarthroplasty if no strenuous activity