Degenerative arthrosis

Abstract

Degenerative arthrosis of the shoulder is less commonly||| diagnosed than at the joints of the lower extremity. The shoulder joint does||| not bear weight and some of the mechanical stresses are taken up by the||| subacromial space. However, anatomical studies reveal a significant incidence||| of degenerative changes at the glenohumeral joint with increasing age.||| Arthrosis is caused by mechanical loading, rotator cuff defects, and abnormal||| joint motion following surgery. Clinical symptoms are rarely focused on the||| glenohumeral joint. Clinical findings are also unspecific. Rotation of the||| elevated arm with compression of the joint is a reliable sign of arthrosis. The||| diagnosis is made with anteroposterior and axial radiographs. Ultrasonography||| should always be performed and computed tomography only in specific cases.||| Nonoperative treatment includes analgesic and antiphlogistic medication, motion||| therapy, and muscle exercises. Shoulder arthroplasty is favoured in advanced||| arthrosis. New prostheses are intended to reconstruct the normal anatomy as||| closely as possible.

Operation und Therapie bei Omarthrose

“…Die chirurgische Therapie der Omarthrose hat sich erst durch die Fortschritte der Endoprothetik in den letzten 50 Jahren durchgesetzt [7]. Die Einführung der Neer-I-Hemiprothese (1.…”

Comparison of Patients’ and Surgeons’ Expectations before Shoulder Arthroplasty

“…Osteoarthritis of the shoulder can be divided into primary osteoarthritis, which mostly affects patients over 60 and is related to sex, body mass index (BMI) and physical activity, and secondary osteoarthritis, which often occurs due to a large rotator cuff lesion or after a fracture which leads to changed shoulder kinematics [ 1 , 2 ]. Patients especially suffer from pain during both day and night and loss of range of motion, which impairs activities of daily and professional life.…”