Primary Osteoarthritis

Abstract

Glenohumeral arthritis is an increasingly recognized source of shoulder pain and disability. Significant surgical advances have been made in the management of this condition. There are currently a number of non-operative, non-arthroplasty, and arthroplasty options available to the practicing shoulder and elbow surgeon for treating glenohumeral arthritis. As these options have been further developed, the demand for shoulder arthroplasty has steadily increased in recent years. The purpose of this chapter is to detail the common presentation and appropriate diagnostic evaluation of the patient with glenohumeral arthritis. We aim to detail the full spectrum of treatment options. We will emphasize historical outcomes and our institutional experience with a number of arthroplasty options including hemiarthroplasty, hemiarthroplasty with concentric glenoid reaming (“ream and run”), hemiarthroplasty with biologic resurfacing, total shoulder arthroplasty, and reverse total shoulder arthroplasty.