Evaluating Glenohumeral Osteoarthritis: The Relative Impact of Patient Age, Activity Level, Symptoms, and Kellgren-Lawrence Grade on Treatment

نویسندگان

  • Adam Schumaier University of Cincinnati Department of Orthopaedics and Sports Medicine, Cincinnati, Ohio, USA
  • Andrew Green Department of Orthopaedic Surgery, Warren-Alpert School of Medicine at Brown University, Providence, Rhode Island
  • Anthony Miniaci Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  • Anthony Romeo Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA
  • Brian Grawe University of Cincinnati Department of Orthopaedics and Sports Medicine, Cincinnati, Ohio, USA
  • Brody Flanagin Orthopaedic Associates of Dallas, Dallas, Texas, USA
  • Charles Getz Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Ed Yian Department of Orthopaedics, Southern California Permanente Medical Group, Anaheim, California, USA
  • Frances Cuomo Department of Orthopaedic Surgery, Montefiore, New York, New York, USA
  • Gerald Williams Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Gregory Nicholson Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA
  • J. Gabriel Horneff Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Jack Kazanjian Premier Orthopaedics, Havertown, Pennsylvania, USA
  • Jay Keener Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri, USA
  • Joseph Abboud Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Joshua Dines Hospital for Special Surgery, New York, New York, USA
  • JT Tokish Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, South Carolina, USA
  • Matthew Ramsey Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Randall Otto Premier Care Orthopaedics and Sports Medicine, St. Louis, Missouri, USA
  • Richard Friedman Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA
  • Ruth Delaney University College Dublin, Dublin, Ireland
  • Samer Hasan Cincinnati Sports Medicine, Cincinnati, Ohio, USA
  • Scott Kaar Department of Orthopaedic Surgery, Saint Louis University, St. Louis, Missouri, USA
  • Scott Paxton Department of Orthopaedic Surgery, Warren-Alpert School of Medicine at Brown University, Providence, Rhode Island
  • Stephanie Muh Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA
  • Surena Namdari Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • William Levine Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, USA
چکیده مقاله:

Background: It is not always clear how to treat glenohumeral osteoarthritis, particularly in young patients. The goals ofthis study were to 1) quantify how patient age, activity level, symptoms, and radiographic findings impact the decisionmakingof shoulder specialists and 2) evaluate the observer reliability of the Kellgren-Lawrence (KL) grading system forprimary osteoarthritis of the shoulder.Methods: Twenty-six shoulder surgeons were each sent 54 simulated patient cases. Each patient had a differentcombination of age, symptoms, activity level, and radiographs. Responders graded the radiographs and chose atreatment (non-operative, arthroscopy, hemiarthroplasty, or total shoulder arthroplasty). Spearman correlations andchi square tests were used to assess the relationship between factors and treatments. Sub-analysis was performedon surgical cases. An intra-class correlation (ICC) was used to assess observer agreement.Results: The significant correlations (P

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عنوان ژورنال

دوره 7  شماره 2

صفحات  151- 160

تاریخ انتشار 2019-03-01

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