Obesity is Associated with an Increased Prevalence of Glenohumeral Osteoarthritis and Arthroplasty

Wall, Kevin; Politzer, Cary S.; Chahla, Jorge; Garrigues, Grant E.

doi:10.1016/j.ocl.2019.12.001

Cited by 18 publications

(7 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, Baumann et al similarly estimated the prevalence of GHOA in individuals over the age of 65 to be 20% [19]. Moreover, global epidemiological studies provide well-defined incidence rates of OA in the knee [20], hip [21], and hand [22], and yet, the incidence of GHOA is inconclusive [5,18,[23][24][25] (Figure 3). Incidence and prevalence can vary significantly among subpopulations, and as such, these figures are simply estimates and cannot accurately predict the incidence and prevalence of GHOA among all patient populations.…”

Section: Resultsmentioning

confidence: 99%

Glenohumeral Osteoarthritis: A Biological Advantage or a Missed Diagnosis?

Crane,

Wagner,

Wong

et al. 2024

JCM

View full text Add to dashboard Cite

(1) Background: Osteoarthritis is a degenerative joint disease that is commonly diagnosed in the aging population. Interestingly, the lower extremity joints have a higher published incidence of osteoarthritis than the upper extremity joints. Although much is known about the disease process, it remains unclear why some joints are more affected than others. (2) Methods: A comprehensive literature review was conducted utilizing the search engines PubMed, Google Scholar, and Elsevier from 2014 to 2024, directing our search to osteoarthritis of various joints, with the focus being on glenohumeral osteoarthritis. (3) Results and Discussion: The literature review revealed a publication difference, which may be explained by the inconsistency in classification systems utilized in the diagnosis of shoulder osteoarthritis. For instance, there are six classification systems employed in the diagnosis of glenohumeral osteoarthritis, making the true incidence and, therefore, the prevalence unobtainable. Furthermore, susceptibility to osteoarthritis in various joints is complicated by factors such as joint anatomy, weight-bearing status, and prior injuries to the joint. (4) Conclusions: This review reveals the lack of understanding of shoulder osteoarthritis’s true incidence and prevalence while considering the anatomy and biomechanics of the glenohumeral joint. In addition, this is the first paper to suggest a single criterion for the diagnosis of glenohumeral osteoarthritis.

show abstract

Section: Resultsmentioning

confidence: 99%

Glenohumeral Osteoarthritis: A Biological Advantage or a Missed Diagnosis?

Crane,

Wagner,

Wong

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…This study represents the first retrospective analysis to date to examine the impact of PT on patient outcomes based on the radiographic severity of GHOA. Although GHOA can be managed both conservatively and surgically, a great deal of attention in the literature has been given to surgical interventions, while relatively little exists on PT interventions [6][7][8][9]. Furthermore, this study assists the clinician in deciding which patients suffering from shoulder-related MSP may be most appropriate for PT referral if GHOA is involved and surgical intervention is not warranted [1,[3][4][5].…”

Section: Discussionmentioning

confidence: 99%

Comparing Outcomes After Referral to Physical Therapy for Patients With Glenohumeral Osteoarthritis Based on the Radiographic Osteoarthritis Severity: A Retrospective Analysis

Baumann,

Indermuhle,

Oleson

et al. 2023

Cureus

View full text Add to dashboard Cite

IntroductionGlenohumeral osteoarthritis (GHOA) is a common cause of musculoskeletal pain (MSP) that can frequently lead to pain and functional disability in patients throughout the world. GHOA can be managed with conservative or surgical interventions, although conservative interventions, such as physical therapy (PT), are generally first-line interventions depending on the severity of GHOA. The purpose of this retrospective analysis was to examine how conventional PT impacts outcomes for patients with GHOA based on the severity of radiographic GHOA findings. MethodsThis study is a retrospective chart review of patients who were referred to PT for MSP and received PT in the outpatient setting between 2016 and 2022. Inclusion criteria were patients who received PT in the outpatient setting, received PT for MSP, had shoulder radiograph imaging within two years of initial PT evaluation, had more than one PT visit (i.e. attended a follow-up session after initial evaluation), and did not have a history of shoulder surgery. Primary outcome measures were pain, abduction active range-of-motion (AROM), and disability via the quick disabilities of the arm, shoulder, and hand (DASH). Patients were divided into the No GHOA group (n=104), Mild GHOA group (n=61), and Moderate/Severe GHOA group (n=55) based on the radiographic GHOA severity. ResultsAll included patients (n=220) had a mean age of 62.2 ± 12.4 years old with a mean number of PT visits of 7.8 ± 4.5 visits. There was initially a significant difference in the magnitude of pain improvement between the three groups based on radiographic severity of GHOA (Kruskal-Wallis H=6.038; p=0.049); however, post hoc testing revealed no significant difference between any of the three groups for pain improvement (p=0.061 to p=1.000). There was also no significant difference in the magnitude of abduction AROM improvement between the three groups based on the radiographic severity of GHOA (Kruskal-Wallis H=2.887; p=0.236). Finally, there was no significant difference in the magnitude of disability improvement via the Quick DASH between the three groups based on the radiographic severity of GHOA p=0.925). ConclusionPatients with GHOA referred to PT experience small but statistically significant short-term improvements in pain, abduction AROM, and disability regardless of GHOA radiographic severity. There is no significant association between the magnitude of clinical improvement and the severity of radiographic GHOA. However, despite statistically significant improvements in pain, only patients with mild GHOA experienced clinically significant improvements in pain. Patients with GHOA, regardless of severity, may or may not experience clinically significant improvements in disability after PT.

show abstract

“…1,18,19 Clinically, patients with OA typically present with significant pain, joint stiffness, or feelings of instability and often have a history of increased age, obesity, malalignment, and/or previous joint injury. 20 Coinciding with an aging population, increasing obesity rates 21 , and increased early participation and specialization in competitive sports [22][23][24] , the global prevalence of OA in the U.S. is projected to reach 25% by 2030 25 . Inevitably, the projected increase in OA prevalence has pertinent implications on rates of future disability 26,27 , national healthcare costs 2 , and personal loss of income 28 .…”

Section: Discussionmentioning

confidence: 99%