Nicholson G P, Misamore G W
Department of Orthopaedics, Indiana University, Indianapolis, 46202, USA.
Semin Arthroplasty. 1995 Oct;6(4):273-9.
Shoulder arthroplasty can relieve the pain and improve the functional status of an arthritic shoulder. Because of the unique anatomic characteristics of the glenohumeral joint, the rotator cuff provides stability and control of shoulder motion. Thus, an intact, functioning rotator cuff is necessary for successful shoulder arthroplasty. There are clinical situations where the rotator cuff is torn, absent, or incompetent and an arthritic condition affects the shoulder. The patient must understand that, when confronted with rotator cuff insufficiency and shoulder arthritis, the goal of surgical treatment is limited to pain relief, with shoulder function often limited by the condition of the rotator cuff. We will discuss the incidence of rotator cuff disease associated with differing arthritic conditions, the treatment options available, and expected outcomes in these difficult and challenging clinical situations.
肩关节置换术可以缓解疼痛并改善患有关节炎的肩部的功能状态。由于盂肱关节独特的解剖学特征，肩袖提供肩部运动的稳定性和控制。因此，完整、功能良好的肩袖对于成功的肩关节置换术是必要的。存在肩袖撕裂、缺失或功能不全且关节炎状况影响肩部的临床情况。患者必须明白，当面临肩袖功能不全和肩关节关节炎时，手术治疗的目标仅限于缓解疼痛，肩部功能通常受肩袖状况的限制。我们将讨论与不同关节炎状况相关的肩袖疾病的发生率、可用的治疗选择以及在这些困难且具有挑战性的临床情况下的预期结果。
