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Glenohumeral ArthritisAka: Glenohumeral Osteoarthritis, Shoulder Arthritis
- Epidemiology
- Less common site for osteoarthritic changes
- Age of onset typically >50 years old
- Risk Factors
- Chronic rotator cuff disease
- Recurrent Shoulder Dislocations
- Severe shoulder Fractures
- Prior shoulder surgery
- Symptoms
- Gradual onset of pain and stiffness
- Chronic Shoulder Pain
- Crepitus
- Signs
- Limited Shoulder Range of Motion
- Differential Diagnosis
- Rheumatoid Arthritis (later stages)
- Imaging
- Shoulder XRay shows degenerative changes
- Management
- NSAIDs
- Shoulder Intraarticular Corticosteroid Injection
- Consider in refractory cases, but studies do not show significant benefit
- Physical Therapy
- Avoid aggressive therapy (may exacerbate Osteoarthritis)
- Goal is to maintain function and pain control
- Surgical intervention in severe or refractory cases
- Capsular release
- Arthroscopic glenohumeral debridement
- Arthroplasty (Hemiarthroplasty or total shoulder)
- Prevention
- Control comorbid conditions (e.g. Diabetes Mellitus)
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