Comprehensive post-arthroscopic management of a middle aged adult with glenohumeral osteoarthritis: a case report.

Authors:  Hagen ND, Olsen T, Millett P

Comprehensive arthroscopic management (CAM) is a new glenohumeral debridement procedure developed as a joint preserving alternative to total shoulder arthroplasty (TSA).  The procedure consists of several arthroscopic components.  This case report focuses upon an active, middle-aged patient who failed physical therapy treatment and corticosteroid injections for glenohumeral osteoarthritis.  The patient was not an ideal candidate for TSA because of her age, activity level, and concern for implant survival; therefore surgical intervention was performed using the CAM procedure.  Details concerning the rehabilitation protocol are outlined as well as patient outcomes.  For patients less than 55 years of age diagnosed with severe glenohumeral osteoarthritis, the CAM procedure and intensive, motion focused therapy present a promising treatment combination.

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