The Prevalence of Glenohumeral Osteoarthrosis in Unstable Shoulders

Cameron, Michelle; Kocher, Mininder S.; Briggs, Karen K.; Horan, Marilee P.; Hawkins, Richard J.

doi:10.1177/03635465030310012001

Cited by 97 publications

(85 citation statements)

References 7 publications

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“…The average  SD age of all patients in this group was 32.6  11.9 years, which is similar to that found in other studies. 7,8,33 The average  SD age of patients having a rotator cuff repair in this study was similar to findings of other investigators, 14,25,34,36 but younger than that reported by Boissonnault et al 3 (67.0  8.6 years) and others. 20,37 It is not clear why patients in this study were younger.…”

Section: Patient Outcomes Related To Disabilitysupporting

confidence: 91%

“…This descriptive report of clinical and utilization outcomes may assist clinicians in understanding the typical patient response to postoperative physical therapy management. pression for impingement syndromes, 19 repair of instability conditions, 7,8,24 and fractures. Although most shoulder pain is related to disorders of the rotator cuff, such as impingement or cuff tears, uncertainty exists regarding the effectiveness of medical and surgical interventions.…”

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confidence: 99%

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Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Brennan

Parent²,

Cleland³

2010

J Orthop Sports Phys Ther

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provides homogenous categories of patients whose characteristics can be reported.The preponderance of literature that describes outcomes of surgical management for shoulder disorders relates to rotator cuff repair, 12,18 subacromial decomt he incidence of shoulder pain has been estimated at 11.2 per 1000 persons per year and ranks as the third most frequent musculoskeletal complaint of patients visiting a primary care provider. 35 The prevalence of shoulder pain in the general population ranges between 6.9% and 34%. 15The etiology and pathology of shoulder pain can be unclear, which often results in a lack of consensus regarding the appropriate classification of shoulder disorders. 15,35 However, once a patient undergoes a surgical procedure for shoulder pain, the categorization of the patient's shoulder problem is typically described on the basis of the surgical procedure itself. Grouping patients postoperatively on the basis of surgical intervention t studY dEsiGn: Retrospective cohort study. t MEthods: This study included 856 patients (43.7% female; mean  SD age, 51.8  14.2 years) who received outpatient physical therapy following shoulder surgery. Standardized methods for classification of patients to type of shoulder surgery and collection of outcome variables were used. Data were gathered from 57 therapists working in 12 clinics. Patients included had been classified into 1 of 4 surgical categories: repair of a unidirectional instability, rotator cuff repair, rotator cuff repair with a subacromial decompression, or subacromial decompression alone. Descriptive statistics were calculated for baseline characteristics of patients in each surgical category. For all patients, scores on the Disability of the Arm Shoulder and Hand (DASH) questionnaire and a numeric pain rating scale (NPRS) were obtained at the initial and final physical therapy visits, and the change between visits was calculated. Data on number of physical therapy sessions and length of stay (LOS) were collected. For each surgical category, independent-samples t tests were used to determine differences between genders for each initial and final clinical outcome of pain and disability, change scores, utilization of visits, and LOS. The percentage of patients who achieved a minimal clinically important difference (MCID) on the DASH was also determined for each surgical group. For each gender in each surgical category, paired t tests were used to determine if patients achieved significant change in pain and disability.t rEsults: Means for each clinical outcome for the initial and final pain and disability scores, change scores, and the percentage of patients that achieved an MCID are provided. Significant differences were observed between genders for clinical outcomes. In the group treated with unilateral instability repair, women reported significantly greater initial disability than men, and their DASH change scores were significantly greater. In the group that had rotator cuff repairs, women reported significantly greater disability initially a...

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Section: Patient Outcomes Related To Disabilitysupporting

confidence: 91%

mentioning

confidence: 99%

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Brennan

Parent²,

Cleland³

2010

J Orthop Sports Phys Ther

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“…''Dislocation arthropathy'' occurs in patients treated nonoperatively and operatively. Intraarticular changes may occur following a single dislocation, and can worsen with subsequent instability episodes [8,10,15,18,24].…”

Section: Discussionmentioning

confidence: 99%

“…Early degenerative joint disease can mimic or coexist with other pathologic diagnoses, such as impingement [2,6,8]. For early stage arthritis, particularly small focal lesions not easily elucidated by plain radiographs or MR imaging, arthroscopy can be an important diagnostic tool [2].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Arthroscopic Débridement is Worse for Patients With Glenohumeral Arthritis of Both Sides of the Joint

Kerr

McCarty

2008

Clinical Orthopaedics &Amp; Related Research

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“…[2][3][4]7,10 This management has not gained universal acceptance due to controversy over possible increased rates of arthritic changes in the surgically stabilized shoulder in addition to the recognized risks of surgery. 1,9,37 Anterior shoulder dislocations are frequently accompanied by avulsions of the labrum from the glenoid. 13,17,20,27,35 Both in vivo and cadaver studies have determined that the typical sling immobilization position of internal rotation and adduction maintains the avulsed labrum away from the glenoid.…”

mentioning

confidence: 99%

Prolonged Immobilization in Abduction and Neutral Rotation for a First-Episode Anterior Shoulder Dislocation

Deyle

Nagel²

2007

J Orthop Sports Phys Ther

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The Prevalence of Glenohumeral Osteoarthrosis in Unstable Shoulders

Abstract: The overall prevalence of glenohumeral osteoarthrosis was low. Predictors of osteoarthritis included time from injury to surgery and age.

Cited by 97 publications

References 7 publications

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Outcome of Arthroscopic Débridement is Worse for Patients With Glenohumeral Arthritis of Both Sides of the Joint

Prolonged Immobilization in Abduction and Neutral Rotation for a First-Episode Anterior Shoulder Dislocation

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