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Glenohumeral Arthritis (Shoulder Arthritis)
Posted: Mar 20 2024 #(C102445)
A

Glenohumeral Arthritis in 58M

;
Glenohumeral Arthritis in 58M

HPI

A 58 year-old-male presents with progressively worsening shoulder pain over the last 10 years. His pain is severe enough that it limits much of his overhead activities. He has difficulty sleeping at night due to shoulder pain. He completed physical therapy and had 3 injections over past 5 years, none of which provided lasting relief of his symptoms.

PMH

He is otherwise healthy and active with mild hypertension.

PE

On physical exam he has 130 degrees of forward flexion, 70 degrees of external rotation, and 5 degrees of internal rotation. He has 5/5 strength in all planes for rotator cuff strength.

Poll
1 of 1
1. If you choose to use the Walch classification, how would you classify the glenoid?
I would not choose Walch classification
14%
48/336
    • A1
    0%
    0/336
    • A2
    5%
    17/336
    • B1
    3%
    11/336
    • B2
    16%
    56/336
    • B3
    19%
    66/336
    • C1
    15%
    52/336
    • C2
    6%
    22/336
    • D
    1%
    6/336
    • Outside my area of expertise - best if I don't vote
    17%
    58/336
    • PROCEDURE #1 DOP: 9/1/2023

    Reverse Total Shoulder Arthroplasty with Software Planning and Patient-Specific Guides & Implants

    Intra-procedure P1
    icon
    OUTCOMES
    6 months after
    Post-procedure P1
    POLL#
    Surgeon's Choices
    2
    If you choose Arthroplasty, what procedure would you perform?
    Reverse total shoulder arthroplasty (RSA)
    4
    If you choose Reverse total shoulder arthroplasty (RSA), would you use a CT scan-based pre-operative templating software program to plan for this surgery?
    Yes
    7
    If you choose Reverse Total Shoulder Arthroplasty (RSA), how would you manage the glenoid?
    Augment base plate (Augment)
    8
    If you choose Reverse Total Shoulder Arthroplasty (RSA), what would be your technique for implanting your glenoid component?
    Posteriorly augmented baseplate
    9
    If you choose Reverse total shoulder arthroplasty (RSA), how would you manage the subscapularis?
    Tenotomy
    10
    If you choose Reverse Total Shoulder Arthroplasty (RSA), would you repair the subscapularis?
    Yes
    11
    If you choose Reverse total shoulder arthroplasty (RSA), would you use neuromonitoring for this case?
    No
    12
    If you performed the operation shown and obtained the construct shown WITH subscapularis repair, what would your immediate postoperative weight-bearing status be?
    Partial-weight bearing (< 5 lbs, PWB)
    13
    If you performed the operation shown and obtained the construct shown WITH subscapularis repair, when would you begin Passive ROM exercises such as pendulums?
    1-2 weeks (7-14 days)
    14
    If you performed the operation shown and obtained the construct shown WITH subscapularis repair, when would you begin Active ROM exercises?
    3-4 weeks (15-28 days)
    15
    If you performed the operation shown and obtained the construct shown WITH subscapularis repair, when would you begin Strengthening exercises?
    5-6 weeks (29-42 days)
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