Shoulder replacement

SHOULDER ARTHRITIS - WHAT IT IS ?

It is a clinical condition in which the joint that connects the ball of the arm bone (humeral head) to the shoulder blade socket (glenoid) has damaged or worn out cartilage.

CAUSES OF SHOULDER ARTHRITIS:

Osteoarthritis is the gradual wearing down of the joint cartilage that occurs predominantly in elderly people, and sometimes as the result of overuse in athletes. Post-traumatic arthritis happens after a significant trauma is sustained by the joint, ruining the cartilage. This could be the result of a car accident or after repeated trauma. Rheumatoid arthritis is a disease where the body attacks its own cartilage and destroys it. In each of these cases, cartilage is being destroyed.

SIGNS AND SYMPTOMS :

Main symptom of shoulder arthritis is pain; this is due to the grinding of the bones against each other because of the lack of cartilage. Pain usually occurs in the front of the shoulder and is worse with motion. People with shoulder arthritis will also experience moderate to severe weakness, stiffness developing over many years, and the inability to sleep on the affected shoulder.

INVESTIGATIONS REQUIRED :

Diagnosis is simple; usually the doctor can tell if you have shoulder arthritis by your symptoms, but he or she will most likely also take an x-ray or MRI.

TREATMENT POSSIBLE :

Treatment of shoulder arthritis is usually aimed at reducing pain; there is no way to replace lost cartilage except through surgery. Pain medicines available over-the-counter can be prescribed by the doctor, glucosamine sulfate is an effective preserver of cartilage. Another way to prevent the further loss of cartilage would be to maintain motion in the shoulder,
For patients with severe shoulder arthritis that does not respond to non-operative treatment, shoulder surgery can be very helpful. Depending on the condition of the shoulder and the specific expectations of the patient, surgical options include total shoulder joint replacement arthroplasty , ‘ream and run’ (humeral hemiarthroplasty with non prosthetic glenoid arthroplasty) , and reverse (Delta) total shoulder joint replacement arthroplasty

REHABILITATION AND RECOVERY :

Patient is allowed to move and lift the shoulder very next day of the surgery . in start passive movement are done but as the wound heals and patient regains power patient is allowed to active shoulder movement. By the end of 1-2 months patient is able to do most of the activities including overhead movements.