Comprehensive arthroscopic management may be a durable option for glenohumeral OA
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NASHVILLE, Tenn. — Comprehensive arthroscopic management provided improved patient-reported outcomes and satisfaction at 10-year follow-up and showed similar survival to total shoulder arthroplasty, according to a presenter.
“Comprehensive arthroscopic management (CAM) is a more comprehensive arthroscopic option for patients [with glenohumeral osteoarthritis (GHOA)],” Daniel B. Haber, MD, an orthopedic surgeon at Panorama Orthopedics and Spine in Golden, Colorado, said during his presentation at the American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting. “We know that [CAM] includes traditional arthroscopic techniques but also has inferior humeral osteoplasty, complete capsular release, axillary neurolysis and biceps tenodesis, and may also include microfracture in appropriate patients,” Haber added.
To study the long-term outcomes and survivorship of CAM for GHOA, Haber and colleagues analyzed 38 CAM procedures. Primary outcome measures included range of motion, survivorship or progression to total shoulder arthroplasty (TSA), as well as American Shoulder and Elbow Surgeons score, SF-12 survey, pain catastrophizing scale, single assessment numeric evaluation, QuickDASH, satisfaction and pain scores.
Haber and colleagues found CAM had a 75% survivorship at 5 years and a 63% survivorship at 10 years. They also found humeral head flattening to be a risk factor for CAM failure. After analyzing all outcome measures, researchers determined a CAM procedure is durable in survivors.
“This suggests that [CAM] is an effective joint-preserving alternate to TSA or may even be used as a bridging procedure prior to arthroplasty in appropriately selected patients,” Haber concluded.
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Haber DB, et al. Survivorship and patient-reported outcomes after comprehensive arthroscopic management of glenohumeral osteoarthritis: Minimum 10-year follow-up. Presented at: American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting; July 7-11, 2021; Nashville, Tennessee.
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