Monday, December 15, 2014
Considerations in treating shoulder arthritis in patients under 50 years of age
Glenohumeral arthritis in young individuals seems to be increasingly diagnosed and offered surgical treatment. As we’ve posted before these young individuals have different types of arthritis than their older counterparts – many are associated with failed prior surgeries, including chondrolysis, anchor problems in labral repairs, infection, and capsulorrhaphy arthropathy. Other causes of arthritis in young folks include avascular necrosis, inflammatory arthropathy, and glenoid dysplasia. Finally, young individuals may present with earlier stages of arthritis because of their inability to perform at their desired level. Thus there are at least three reasons why the management of arthritis in younger individuals is more demanding: (1) higher patient expectations, (2) increased longevity, (3) more complex pathology and (4) earlier presentation.