Clin Should Elbow.  2016 Sep;19(3):179-185. 10.5397/cise.2016.19.3.179.

Surgical Treatment for the Shoulder Joint in Rheumatoid Patients

• Yoon HM
• Jo YH
• Lee BG

• KMID: 2353643
• DOI: http://doi.org/10.5397/cise.2016.19.3.179

Abstract

Rheumatoid arthritis (RA) is a systemic disease with medication as the treatment of choice. However, surgical treatment is recommended when no improvement is noted despite aggressive conservative treatment. Synovectomy provides desirable outcomes for RA patients in the early stage with a glenohumeral joint of Larsen grade II or less; conversely, arthroplasty is recommended for patients with a glenohumeral joint of grade III or higher. RA patients often have attenuation and dysfunction of the rotator cuff, and reverse shoulder arthroplasty has been proven to provide favorable outcomes in some patients. RA is often complicated with osteoporosis and bony deformity; therefore, close attention is necessary to prevent fractures during shoulder arthroplasty.

Keyword

Rheumatoid arthritis; Shoulder; Arthroplasty; Reverse shoulder arthroplasty

MeSH Terms

Arthritis, Rheumatoid
Arthroplasty
Congenital Abnormalities
Humans
Osteoporosis
Rotator Cuff
Shoulder Joint*
Shoulder*