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Clin Sports Med. 2017 Jul;36(3):549-572. doi: 10.1016/j.csm.2017.02.009. Epub 2017 Mar 11.

Management and Surgical Options for Articular Defects in the Shoulder.

Author information

1
Department of Orthopedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL 60612, USA.
2
Department of Orthopedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL 60612, USA. Electronic address: brian.cole@rushortho.com.

Abstract

Isolated, full-thickness chondral lesions of the glenohumeral joint are a significant pathology encountered by laborers, athletes, and the elderly. A thorough history should be obtained in any patient presenting to the office with shoulder pain and concern for the etiology being an articular cartilage defect. The first-line imaging should include plain radiographs of the glenohumeral joint; MRI and CT can be ordered as necessary to provide greater detail. Typically, the initial treatment of glenohumeral chondral disease is nonsurgical; however, many surgical treatment options have been refined to provide pain relief, create reparative tissue, or restore the articular surface.

KEYWORDS:

Articular; Autologous chondrocyte implantation; Cartilage; Chondral; Defects; Glenohumeral; Osteochondral autograft; Shoulder

PMID:
28577712
DOI:
10.1016/j.csm.2017.02.009
[Indexed for MEDLINE]

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