What are the symptoms of shoulder arthritis?
- Pain – which is aggravated by activity and progressively worsens
- A deep, aching pain in the joint
- Soreness to touch the joint
- Difficulty lifting arms to comb hair or reach to a shelf
- Click and grinding sounds may also be noticeable as you move your shoulder
- Difficulty sleeping due to shoulder pain
- If the glenohumeral shoulder joint is affected, the pain is centered in the back of the shoulder and may intensify with changes in the weather.
- Arthritis relating to the acromioclavicular (AC) joint is focused on the top of the shoulder and this pain can sometimes travel to the side of the neck.
- Someone with rheumatoid arthritis may have pain throughout the shoulder if both the glenohumeral and AC joints are affected.
- Someone with osteoarthritis may have pain throughout the shoulder if both the glenohumeral and AC joints are affected.
What are surgical treatments?
- If non-surgical treatments such as cortisone, physiotherapy and medication do not relieve pain surgical treatments may be very helpful in reducing pain, improving sleep and helping you return to everyday activities.
- Advanced arthritis of the shoulder can be treated with a shoulder replacement (arthroplasty).
- In this procedure, the damaged parts of the shoulder joint are removed and replaced with artificial components called prostheses.
What are the different types of shoulder replacements?
- Although shoulder replacements aren’t as common as hip or knee replacements, they offer the same success in returning function and relieving pain.
Total shoulder replacement
- In total shoulder replacement, the damaged bone of the humerus and of the glenoid are replaced with metal and poly replacement components.
Reverse Total Shoulder Replacement
- Some patients with shoulder arthritis are diagnosed with a special type of shoulder arthritis called cuff tear arthropathy. Patients with cuff tear arthropathy will not benefit greatly from a total shoulder replacement because the cuff is a very important part of being able to lift the arm. Alternatively, a reverse total shoulder replacement changes the anatomy of the shoulder such that the deltoid muscle can function without a rotator cuff muscle, allowing the patient to lift their arm pain free.
- In all, reverse total shoulder replacements are becoming a more popular choice of shoulder replacement for all shoulder arthritis conditions.
Mathys Short Stem Total Shoulder Replacement
- The critical factors when looking at shoulder replacement are stability and function. The shoulder is not a weight bearing joint like the knee and so different considerations are important.
- This option is best suited for younger patients. The Mathy’s short stem shoulder replacement is bone preserving and has a variable angle interface to maximise and restore biomechanical function.
Personalised Reverse and Total Shoulder Replacement
- The shoulder is not a weight bearing joint like the knee and so different considerations are important. Best suited for patients with abnormal anatomy, patient specific instrument technology (PSI) is tailor made for your joint, rather than a one-size-fits-all approach – giving you maximum stability from your prothesis placement. This condition is also multi-purpose and addresses both rotator cuff tears AND arthritis.