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Glenohumeral Arthritis (Shoulder Arthritis)
Posted: Oct 31 2022 #(C102097)
A

Glenohumeral Arthritis with a B2 glenoid in 64M

HPI

A 64 year-old male presents for evaluation of left shoulder pain. Patient reports a 3-year history of progressive shoulder pain that worsens at night. He is having difficulty with basic ADLs. He has been on NSAIDs and has had 4 cortisone injections over the last 2 years with the last 2 injections not providing much relief. No prior surgeries in the left shoulder

PMH

PMH: Hypertension. Gout. GERD SH: Patient is a retired teacher and is married with good support. Occasional EtOH, no smoking. He enjoys kayaking, pickleball and fishing.

PE

Focused examination of the left shoulder reveals active and passive FE to 120 deg & active and passive ER to 10 deg. IR to left buttock. There is crepitus noted throughout his range of motion. He has 5/5 strength in external and internal rotation. Patient is neurovascularly intact.

Poll
1 of 1
1. In addition to the plain AP and LAT radiographs of the shoulder, would you obtain any additional imaging studies to guide?
No - AP and LAT radiographs are sufficient
3%
22/553
Yes - additional radiographic views (aXR)
1%
11/553
Yes - CT scan of the shoulder (CT)
42%
237/553
Yes - MRI scan of the shoulder (MRI)
13%
76/553
Yes - aXR + CT
9%
51/553
Yes - aXR + MRI
1%
9/553
Yes - CT + MRI
18%
104/553
Yes - aXR + CT + MRI
5%
29/553
Outside my area of expertise - best if I don't vote
2%
14/553
PROCEDURE #1

Left Reverse Total Shoulder Arthroplasty

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OUTCOMES
Post-procedure P1
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