Chillemi Claudio, Franceschini Vincenzo
Department of Orthopaedics and Traumatology, Istituto Chirurgico Ortopedico Traumatologico (ICOT), via Faggiana 1668, 04100 Latina, Italy.
Arthritis. 2013;2013:370231. doi: 10.1155/2013/370231. Epub 2013 Jan 10.
Osteoarthritis (OA) is the most frequent cause of disability in the USA, affecting up to 32.8% of patients over the age of sixty. Treatment of shoulder OA is often controversial and includes both nonoperative and surgical modalities. Nonoperative modalities should be utilized before operative treatment is considered, particularly for patients with mild-to-moderate OA or when pain and functional limitations are modest despite more advanced radiographic changes. If conservative options fail, surgical treatment should be considered. Although different surgical procedures are available, as in other joints affected by severe OA, the most effective treatment is joint arthroplasty. The aim of this work is to give an overview of the currently available treatments of shoulder OA.
骨关节炎（OA）是美国导致残疾的最常见原因，影响着高达32.8%的60岁以上患者。肩部骨关节炎的治疗往往存在争议，包括非手术和手术方式。在考虑手术治疗之前应采用非手术方式，特别是对于轻度至中度骨关节炎患者，或者尽管影像学改变更严重但疼痛和功能受限程度较轻的患者。如果保守治疗无效，则应考虑手术治疗。虽然有不同的手术方法可供选择，就像其他受严重骨关节炎影响的关节一样，最有效的治疗方法是关节置换术。这项工作的目的是概述目前可用的肩部骨关节炎治疗方法。
