2022 AOSSM Annual Meeting Recordings with CME-Histopathology of Rotator Cuff Tendons in Elderly Patients with Glenohumeral Arthritis Without Cuff Tears

Histopathology of Rotator Cuff Tendons in Elderly Patients with Glenohumeral Arthritis Without Cuff Tears

Video Transcription

Video Summary

The video features Daisuke Marikyo, who conducted a study comparing the outcomes of different surgical options for elderly patients with granulohumeral arthritis (GHOA) and intact calf muscles. The two options studied were total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA). The study involved histological analysis of calf tendon tissue samples and clinical and radiographic assessments of patients who underwent TSA or RSA. The results showed similar tendon degeneration in both groups, but TSA patients had a higher incidence of calf dysfunction. RSA had better clinical outcomes in terms of constant RON score and flexure. Elderly patients with GHOA may have a risk of secondary calf dysfunction and poor outcomes after TSA.

Asset Caption

Daisuke Mori, MD

Keywords

elderly patients

total shoulder arthroplasty

reverse shoulder arthroplasty

calf dysfunction

clinical outcomes