Rotator cuff deficient arthritis of the glenohumeral joint.
Rotator cuff deficient arthritis of the glenohumeral joint, especially cuff tear arthropathy, has proved a challenging clinical entity for orthopaedic surgeons ever since Charles Neer originally detailed the problem in 1983. Understanding has improved regarding the pathophysiology and pathomechanics underlying cuff tear arthropathy. Surgical reconstruction options can lead to excellent outcomes for patients afflicted with these painful and functionally limited shoulders. Humeral hemiarthroplasty and reverse total shoulder arthroplasty have jumped to the forefront in the treatment of cuff tear arthropathy. As studies continue to look at the results of these procedures in cuff tear arthropathy, existing indications and treatment algorithms will be further refined. In this article the history and pathophysiology of cuff tear arthropathy are reviewed. Additionally, the clinical findings and results of surgical reconstruction are discussed.
The Center for Shoulder, Elbow and Sports Medicine, The New York Orthopaedic Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Alec A
AA
Macaulay
R Michael
RM
Greiwe
Louis U
LU
Bigliani
D001168:Arthritis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D000070636:Rotator Cuff Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed