APEX Shoulder Mastering Surgical Techniques for Clinical Success-Glenohumeral OA: Comprehensive Arthroscopic Management and Patch Resurfacing

Glenohumeral OA: Comprehensive Arthroscopic Management and Patch Resurfacing – Worth the Trouble?

Video Transcription

Video Summary

In the video, Dr. Peter Millett discusses the treatment options for glenohumeral osteoarthritis in young patients. He explains that total shoulder arthroplasty may not be the best choice due to component loosening and long-term survival concerns. Instead, he recommends arthroscopic treatment, specifically a procedure called CAM (comprehensive arthroscopic management), which includes removing the goat's beard deformity, releasing the inferior capsule, and decompressing the axillary nerve. Dr. Millett presents case examples and shares the results of their studies, showing that the CAM procedure has a 63.2% survivorship rate at 10 years. He also briefly discusses interposition arthroplasty as an alternative treatment option.

Asset Caption

Peter Millett, MD, MSc

Keywords

glenohumeral osteoarthritis

arthroscopic treatment

CAM procedure

shoulder arthroplasty

interposition arthroplasty