Osteoarthritis in Young Patients and Current Treatments

作者: Roman Brzóska , Adrian Błasiak , Polydoor E Huijsmans , Anthony Miniaci , Giuseppe Porcellini

DOI: 10.1007/978-3-642-53983-1_1

关键词: OsteoarthritisRotator cuffShoulder arthritisAutologous transplantationOsteochondritis dissecansArthritisSurgeryArthroplastyMeniscus (anatomy)Medicine

摘要: The articular cartilage of the shoulder is not endowed with intrinsic repair abilities; therefore in presence diseases, like instability or cuff injury, even minor lesions may rapidly lead to early glenohumeral joint arthritis. unusual young patients, and often they are found during arthroscopic procedures several pathologic conditions. Less common conditions include glenoid dysplasia osteochondritis dissecans. varying thicknesses different resistance properties subchondral bone result depths widths depending on offered by surface. Minor associated rotator ligament damage will induce topographically types stress various areas Recent older research findings showed as knee, a correlation between wear lesion site symptoms. Several conservative options available manage arthritis directed alleviate pain, reduce inflammation, and, especially, halt at least slow down evolution Such therapies entail changes lifestyle systemic topical drug administration. Viscosupplementation using hyaluronic acid constitute helpful treatment option patients who have osteoarthritis an intact cuff, while lesser satisfactory results been case tears advanced osteoarthritis. surgical primary arthritis, including simple debridement more complex techniques such resurfacing fascia lata meniscus, osteochondral autologous transplantation, arthroplasty, total arthroplasty.

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