Pathogenesis, evaluation, and management of osteolysis after total shoulder arthroplasty
Radiographic osteolysis after total shoulder arthroplasty (TSA) remains a challenging clinical entity, as it may not initially manifest clinically apparent symptoms but can lead to clinically important complications, such as aseptic loosening. A thorough consideration of medical history and physical...
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Published in | Clinics in shoulder and elbow Vol. 25; no. 3; pp. 244 - 254 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | Korean |
Published |
2022
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Subjects | |
Online Access | Get full text |
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Summary: | Radiographic osteolysis after total shoulder arthroplasty (TSA) remains a challenging clinical entity, as it may not initially manifest clinically apparent symptoms but can lead to clinically important complications, such as aseptic loosening. A thorough consideration of medical history and physical examination is essential to rule out other causes of symptomatic TSA-namely, periprosthetic joint infection-as symptoms often progress to vague pain or discomfort due to subtle component loosening. Once confirmed, nonoperative treatment of osteolysis should first be pursued given the potential to avoid surgery-associated risks. If needed, the current surgical options include glenoid polyethylene revision and conversion to reverse shoulder arthroplasty. The current article provides a comprehensive review of the evaluation and management of osteolysis after TSA through an evidence-based discussion of current concepts. |
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Bibliography: | KISTI1.1003/JNL.JAKO202229961603635 |
ISSN: | 2383-8337 2288-8721 |