[Non traumatic pathology of the shoulder: when to perform surgery?].
Non traumatic pathology of the shoulder was broken down in four entities: (1) articular stiffness are best treated with rehabilitation and an arthroscopic arthrolysis is rarely recommended; (2) rotator cuff pathology is represented by calcifying and non calcifying tendinitis, partial and full thickness rotator cuff tears; surgical treatment is performed nowadays under arthroscopy; after 50 years old, surgery is indicated after failure of conservative treatment; (3) glenohumeral osteoarthritis and arthritis are best treated with prosthesis; the results are now comparable to hip arthroplasty; (4) chronic acromio-clavicular pathology is usually treated conservatively.
Walch
Gilles
G
Centre orthopédique Santy, 24, avenue Paul Santy, 69008 Lyon. walch.gilles@wanadoo.fr
Liotard
Jean-Pierre
JP
Nove-Josserand
Laurent
L
Godeneche
Arnaud
A
D000328:Adult; D001168:Arthritis / Q000601:surgery*; D001182:Arthroscopy; D002062:Bursitis / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008875:Middle Aged; D011182:Postoperative Care; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery*; D052256:Tendinopathy / Q000601:surgery*; D013997:Time Factors