Glenohumeral arthrodesis

Glenohumeral arthrodesis is a salvage procedure indicated for brachial plexus palsy, refractory instability, humeral and/or glenoid bone loss, deltoid and rotator cuff insufficiency, and chronic infections. The aim is to provide a painless, stable shoulder that is positioned to maximize function. Sc...

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Autores principales:	Michael A. Del Core, MD, Holt S. Cutler, MD, Timothy Schacherer, MD, Michael Khazzam, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Shoulder arthrodesis Glenohumeral arthrodesis Shoulder fusion Glenohumeral fusion Glenohumeral salvage Shoulder salvage Surgery RD1-811
Acceso en línea:	https://doaj.org/article/506d5e6041234294aa8588428ff658d6
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spelling	oai:doaj.org-article:506d5e6041234294aa8588428ff658d62021-11-22T04:32:48ZGlenohumeral arthrodesis2666-639110.1016/j.xrrt.2021.08.011https://doaj.org/article/506d5e6041234294aa8588428ff658d62021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666639121000821https://doaj.org/toc/2666-6391Glenohumeral arthrodesis is a salvage procedure indicated for brachial plexus palsy, refractory instability, humeral and/or glenoid bone loss, deltoid and rotator cuff insufficiency, and chronic infections. The aim is to provide a painless, stable shoulder that is positioned to maximize function. Scapulothoracic motion as well as motion of the elbow and hand deliver satisfactory function in most patients. Intra-articular, extra-articular, and more commonly, combined techniques involving glenohumeral and humeroacromial fusion, have been described. More recently, authors have reported arthroscopic assisted techniques for shoulder arthrodesis with promising results as well as less complicated conversion from shoulder arthrodesis to reverse total shoulder arthroplasty. Despite advances in materials and techniques, glenohumeral arthrodesis continues to be associated with complication rates as high as 43%. A thorough understanding of the indications, contraindications, outcomes, and complications is paramount to improving patient results. Glenohumeral arthrodesis is a safe and effective procedure for the appropriate indications. The high frequency of complications mandates a frank preoperative discussion to ensure that each patient understands the magnitude of the procedure, its risks, possible complications, and expected outcome.Michael A. Del Core, MDHolt S. Cutler, MDTimothy Schacherer, MDMichael Khazzam, MDElsevierarticleShoulder arthrodesisGlenohumeral arthrodesisShoulder fusionGlenohumeral fusionGlenohumeral salvageShoulder salvageSurgeryRD1-811ENJSES Reviews, Reports, and Techniques, Vol 1, Iss 4, Pp 367-372 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Shoulder arthrodesis Glenohumeral arthrodesis Shoulder fusion Glenohumeral fusion Glenohumeral salvage Shoulder salvage Surgery RD1-811
spellingShingle	Shoulder arthrodesis Glenohumeral arthrodesis Shoulder fusion Glenohumeral fusion Glenohumeral salvage Shoulder salvage Surgery RD1-811 Michael A. Del Core, MD Holt S. Cutler, MD Timothy Schacherer, MD Michael Khazzam, MD Glenohumeral arthrodesis
description	Glenohumeral arthrodesis is a salvage procedure indicated for brachial plexus palsy, refractory instability, humeral and/or glenoid bone loss, deltoid and rotator cuff insufficiency, and chronic infections. The aim is to provide a painless, stable shoulder that is positioned to maximize function. Scapulothoracic motion as well as motion of the elbow and hand deliver satisfactory function in most patients. Intra-articular, extra-articular, and more commonly, combined techniques involving glenohumeral and humeroacromial fusion, have been described. More recently, authors have reported arthroscopic assisted techniques for shoulder arthrodesis with promising results as well as less complicated conversion from shoulder arthrodesis to reverse total shoulder arthroplasty. Despite advances in materials and techniques, glenohumeral arthrodesis continues to be associated with complication rates as high as 43%. A thorough understanding of the indications, contraindications, outcomes, and complications is paramount to improving patient results. Glenohumeral arthrodesis is a safe and effective procedure for the appropriate indications. The high frequency of complications mandates a frank preoperative discussion to ensure that each patient understands the magnitude of the procedure, its risks, possible complications, and expected outcome.
format	article
author	Michael A. Del Core, MD Holt S. Cutler, MD Timothy Schacherer, MD Michael Khazzam, MD
author_facet	Michael A. Del Core, MD Holt S. Cutler, MD Timothy Schacherer, MD Michael Khazzam, MD
author_sort	Michael A. Del Core, MD
title	Glenohumeral arthrodesis
title_short	Glenohumeral arthrodesis
title_full	Glenohumeral arthrodesis
title_fullStr	Glenohumeral arthrodesis
title_full_unstemmed	Glenohumeral arthrodesis
title_sort	glenohumeral arthrodesis
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/506d5e6041234294aa8588428ff658d6
work_keys_str_mv	AT michaeladelcoremd glenohumeralarthrodesis AT holtscutlermd glenohumeralarthrodesis AT timothyschacherermd glenohumeralarthrodesis AT michaelkhazzammd glenohumeralarthrodesis
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Glenohumeral arthrodesis

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