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preferred to treat osteoarthritis and explains why total arthroplasty is contraindicated in patients with a high risk of glenoid loosening: i.e. those at risk of early loosening because of rotator cuff tear; young, active patients with a risk of early wear
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primary and post-traumatic osteoarthritis. 6 Although little has been reported on this type of arthroplasty, one multicentre case-series has shown good short-term results. 7 Elbow hemi-arthroplasty Elbow hemi-arthroplasty (HA) is the
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Osteoarthritis Moderate to severe degenerative joint changes have been found in asymptomatic individuals (CT scan or post-mortem) in 50–90% of individuals aged over 60 years. 69 , 84 , 95 Lawrence et al 95 reviewed CT scans of 137 asymptomatic
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or extrinsic factors that may be unrelated to the rotator cuff or the ACJ. A recent study by Yiannakopoulos et al. ( 26 ) evaluated clinical progression of ACJ osteoarthritis in patients who underwent isolated arthroscopic RCR regardless of the
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Department of Human Biology, Division of Biomedical Engineering, University of Cape Town, South Africa
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Department of Human Biology, Division of Biomedical Engineering, University of Cape Town, South Africa
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glenohumeral joint osteoarthritis (GHJOA) will usually have posterior wear ( 12 ). Walch et al. first introduced a description and classification of glenoid morphological changes in 1999, based on observations on 2D CT scan images of patients with GHJOA ( 13
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Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg a.d.H., Germany
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Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg a.d.H., Germany
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glenohumeral osteoarthritis, and in many cases, associated glenoid bone defects also need to be addressed ( 2 ). There are several bone grafting procedures available, and their effect on the position of the center of rotation (COR) can vary. Depending on the
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posterior bone block and an 18-year follow-up, report a 36% recurrence rate and the development of glenohumeral osteoarthritis in all cases, associated with incongruous lateral graft placement and the presence of multidirectional instability or hypermobility
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of the prosthesis overextends the physiological level of the native radial head and leads to overstuffing of the radiohumeral joint and compression and potential early osteoarthritis of the medial part of the ulnohumeral joint. The incidence of
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irreparable rotator cuff tears without osteoarthritis, 3 inflammatory arthritis, 4 fracture sequelae, 5 tumour resection, 6 failed hemiarthroplasty after fracture, 7 failed hemiarthroplasty with cuff deficiency, 8 failure after
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shoulder-demanding activities, instability symptoms, or joint stiffness to permanent pain when posterior cartilage damage and osteoarthritis progress ( 24 ). A conspicuous birth history or a severe traumatic posterior force, including a history of seizures