title: Gleno-Humeral arthritis in young patients: clinical and radiographic analysis of humerus resurfacing prosthesis and meniscus interposition.
abstract: Recently, interest about glenoid resurfacing with lateral meniscus in osteoarthritis of the shoulder has been increasing. Aim of this study is to evaluate the results of this procedure, from a clinical and a radiographic point of view. Constant score, DASH (Disability of the Arm, Shoulder, and Elbow) questionnaire, some specific questions about satisfaction after surgery, and radiographic exams were performed pre-operatively and post-operatively, at a minimum follow-up of 2 years. Constant score improved from 49.8 to 66.2. 84.4% of the patients were satisfied. Mean Dash was about 24.2 points. Gleno-Humeral measurement on X-Ray shows a good widening of the articular space after surgery (5.92 mm), but a narrowing (2.07 mm), at 2 years of follow-up. We have suspended glenoid resurfacing because narrowing of the articular space at follow-up can be related to meniscal resorption and clinical results are good but comparable with humeral resurfacing alone, as seen in the literature. Long-term follow-up studies are needed.
authors.affiliation: E Agnelli Hospital, Via Brigata Cagliari 39, 10064 Pinerolo, To, Italy. n.lollino@libero.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Lollino
authors.forename: Andrea
authors.initials: A
authors.lastname: Pellegrini
authors.forename: Paolo
authors.initials: P
authors.lastname: Paladini
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Campi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Porcellini
mesh_terms: D000328:Adult; D019643:Arthroplasty, Replacement / Q000379:methods*; D061165:Glenoid Cavity; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging* / Q000601:surgery*; D017060:Patient Satisfaction; D011859:Radiography; D012785:Shoulder Joint / Q000601:surgery*; D055815:Young Adult