title: Shoulder arthroplasty options in young (<50 years old) patients: review of current concepts.
abstract: BACKGROUND
  Prosthetic shoulder arthroplasty provides excellent pain relief and functional restoration for patients with glenohumeral arthritis, but concerns of survivorship have limited its use in younger patients.
  
  
  CONCLUSIONS
  Despite general reports of high long-term survivorship, implant failure and functional deterioration after total shoulder arthroplasty are major concerns in the management of younger patients. In addition to having a longer life expectancy, younger patients also tend to be more active and can be expected to place greater demands on their shoulder arthroplasty.
  
  
  CONCLUSIONS
  Alternative strategies have been developed and used for shoulder arthroplasty in younger patients. This manuscript reviews current concepts of shoulder arthroplasty in young patients.
authors.affiliation: Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.
authors.forename: Michael H
authors.initials: MH
authors.lastname: Johnson
authors.affiliation: Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.
authors.forename: E Scott
authors.initials: ES
authors.lastname: Paxton
authors.affiliation: Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI, USA. Electronic address: agshoulder@aol.com.
authors.forename: Andrew
authors.initials: A
authors.lastname: Green
mesh_terms: D000328:Adult; D000367:Age Factors; D001168:Arthritis / Q000601:surgery; D001178:Arthroplasty / Q000379:methods*; D005260:Female; D061165:Glenoid Cavity / Q000601:surgery*; D006801:Humans; D006811:Humerus / Q000601:surgery*; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011475:Prosthesis Failure; D012785:Shoulder Joint / Q000601:surgery*; D015996:Survival Rate
keywords: Shoulder; arthroplasty; biologic; glenoid; hemiarthroplasty; humeral resurfacing; young