Is there sufficient evidence to support intervention to manage shoulder arthritis?

Abstract

Background

We explore the nature, extent and validity of research studies concerning the management of shoulder arthritis to identify whether current management recommendations are adequate.

Methods

A full electronic search for relevant studies published between 2002 and 2012 was performed. The search focused on level 1 and level 2 studies. Full texts of selected articles were retrieved and assessed for quality against validated criteria.

Results

Four hundred and eleven studies were identified on the initial search and screened. Sixteen studies were selected for inclusion in the review. The studies identified were unable to provide a clear indication of best intervention for shoulder arthritis. The inclusion of a range of shoulder pathologies in some studies and the diversity in outcome measures used made it difficult for systematic reviews to effectively pool data. Better outcomes have been shown with total shoulder replacement over hemiarthroplasty for shoulder osteoarthritis; however, primary studies were often of limited quality. Sparse evidence is available for all other interventions, regardless of whether operative or non-operative.

Conclusions

The present review highlights the need for standardization of outcome assessment following treatment of shoulder arthritis. More rigorous and robust primary studies are needed to guide clinical practice on the best interventions for arthritis of the shoulder.

Keywords

hemiarthroplasty osteoarthritis reverse shoulder tenodesis total

Get full access to this article

View all access options for this article.

References

Urwin

Symmons

Allison

. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 1998; 57: 649–55.

Royal College of General Practitioners; Office of Populations, Censuses and Surveys. Third national morbidity survey in general practice, 1980–1981. Department of Health and Social Security, Series MB5 No 1. London: HMSO.

Ravenscroft

Calvert

. Utilisation of shoulder arthroplasty in the UK. Ann R Coll Surg Engl 2004; 86: 25–8.

Kim

Wise

Zhang

Szabo

. Increasing incidence of shoulder arthroplasty in the United States. J Bone and Joint Surg Am 2011; 93: 2249–54.

Arksey

O’Malley

. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005; 8: 19–32.

Edwards

Kadakia

Boulahia

. A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of a multicenter study. J Shoulder Elbow Surg 2003; 12: 207–13.

Radnay

Setter

Chambers

. Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: a systematic review. J Shoulder Elbow Surg 2007; 16: 396–402.

Bryant

Litchfield

Sandow

. A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg 2005; 87: 1947–56.

Litchfield

Griffin

. Quality-of-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis. A prospective, randomized trial. J Bone Joint Surg Am 2005; 87: 2178–85.

10.

Singh

Sperling

Buchbinder

. Surgery for shoulder osteoarthritis. Cochrane Database Syst Rev 2010; 10: CD008089–CD008089.

11.

Litchfield

McKee

Balyk

. Cemented versus uncemented fixation of humeral components in total shoulder arthroplasty for osteoarthritis of the shoulder: a prospective, randomized, double-blind clinical trial – A JOINTs Canada Project. J Shoulder Elbow Surg 2011; 20: 529–36.

12.

Singh

Sperling

Cofield

. Revision surgery following total shoulder arthroplasty: analysis of 2588 shoulders over three decades (1976 to 2008). J Bone Joint Surg Br 2011; 93B: 1513–7.

13.

Izquierdo

Voloshin

Edwards

. Treatment of glenohumeral osteoarthritis. J Am Acad Orthop Surg 2010; 18: 375–82.

14.

Rahme

Mattsson

Wikblad

. Stability of cemented in-line pegged glenoid compared with keeled glenoid components in total shoulder arthroplasty. J Bone Joint Surg Am 2009; 91: 1965–72.

15.

Fama

Edwards

Boulahia

. The role of concomitant biceps tenodesis in shoulder arthroplasty for primary osteoarthritis: results of a multicentric study. Orthopedics 2004; 27: 401–5.

16.

Namdari

Alosh

Baldwin

. Biological glenoid resurfacing for glenohumeral osteoarthritis: a systematic review. J Shoulder Elbow Surg 2011; 20: 1184–90.

17.

Smith

Guyver

Bunker

. Indications for reverse shoulder replacement: a systematic review. J Bone Joint Surg – Br 2012; 94: 577–83.

18.

Ladermann

Lubbeke

Melis

. Prevalence of neurologic lesions after total shoulder arthroplasty. J Bone Joint Surg Am 2011; 93: 1288–93.

19.

Zavadil

Satterlee

Costigan

. Autologous platelet gel and platelet-poor plasma reduce pain with total shoulder arthroplasty. J Extra Corpor Technol 2007; 39: 177–82.

20.

Lathia

Jung

Chen

. Efficacy of acupuncture as a treatment for chronic shoulder pain. J Altern Complement Med 2009; 15: 613–8.

21.

Brantingham

Cassa

Bonnefin

. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. J Manipulative Physiol Ther 2011; 34: 314–46.

22.

Rasmussen

Jakobsen

Brorson

. The Danish Shoulder Arthroplasty Registry: clinical outcome and short-term survival of 2,137 primary shoulder replacements. Acta Orthop 2012; 83: 171–3.

23.

Sharma

Dreghorn

. Registry of shoulder arthroplasty: the Scottish experience. Ann R Coll Surg Engl 2006; 88: 122–6.

24.

Khan

Longo

Ahrens

. A systematic review of the reverse shoulder replacement in rotator cuff arthroplasty, rotator cuff tears, and rheumatoid arthritis. Sports Med Arthrosc Rev 2011; 19: 366–79.

25.

Kircher

Wiedemann

Magosch

. Improved accuracy of glenoid positioning in total shoulder arthroplasty with intraoperative navigation: a prospective-randomized clinical study. J Shoulder Elbow Surg 2009; 18: 515–20.

26.

Nuttall

Haines

Trail

. A study of the micromovement of pegged and keeled glenoid components compared using radiostereometric analysis. J Shoulder Elbow Surg 2007; 16(3 Suppl): S65–70.

27.

Collin

Tay

Melis

. A ten-year radiologic comparison of two-all polyethylene glenoid component designs: a prospective trial. J Shoulder Elbow Surg 2011; 20: 1217–23.

28.

Kasten

Maier

Rettig

. Proprioception in total, hemi- and reverse shoulder arthroplasty in 3D motion analyses: a prospective study. Int Orthop 2009; 33: 1641–7.

29.

Nuttall

Haines

Trail

. The effect of the offset humeral head on the micromovement of pegged glenoid components: a comparative study using radiostereometric analysis. J Bone Joint Surg – Br 2009; 91: 757–61.

30.

Christie

Dagfinrud

Ringen

. Beneficial and harmful effects of shoulder arthroplasty in patients with rheumatoid arthritis: results from a Cochrane review. Rheumatology 2011; 50: 598–602.

31.

Rabalais

McCarty

. Surgical treatment of symptomatic acromioclavicular joint problems: a systematic review. Clin Orthop Relat Res 2007; 455: 30–7.

32.

Edwards

Sabonghy

Elkousy

. Glenoid component insertion in total shoulder arthroplasty: comparison of three techniques for drying the glenoid before cementation. J Shoulder Elbow Surg 2007; 16(3 Suppl): S107–10.

33.

Edwards

Labriola

Stanley

. Radiographic comparison of pegged and keeled glenoid components using modern cementing techniques: a prospective randomized study. J Shoulder Elbow Surg 2010; 19: 251–7.

34.

Gartsman

Elkousy

Warnock

. Radiographic comparison of pegged and keeled glenoid components. J Shoulder Elbow Surg 2005; 14: 252–7.

35.

Rahme

Mattsson

Wikblad

. Cement and press-fit humeral stem fixation provides similar results in rheumatoid patients. Clin Orthop Relat Res 2006; 448: 28–32.

36.

Candal-Couto

Gamble

Astley

. The New Zealand national shoulder arthroplasty register: the first four years. J Bone Joint Surg Br 2012; 94B(Suppl II): 99–99.

37.

Rozing

Nagels

. Shoulder and elbow arthroplasty: one-stage or two-stage. J Shoulder Elbow Surg 2008; 17: 9–13.

38.

Heller

Tarricone

. Oxaprozin versus diclofenac in NSAID-refractory periarthritis pain of the shoulder. Curr Med Res Opin 2004; 20: 1279–90.

39.

Smith

Thyoka

Lavy

. Septic arthritis of the shoulder in children in Malawi. A randomised, prospective study of aspiration versus arthrotomy and washout. J Bone Joint Surg – Br 2002; 84: 1167–72.

40.

Khitrov

. The use of artrofoon in the therapy of disorders of the paraarticular apparatus. Bull Exp Biol Med 2009; 148: 478–81.

41.

Bilberg

Ahlmen

Mannerkorpi

. Moderately intensive exercise in a temperate pool for patients with rheumatoid arthritis: a randomized controlled study. Rheumatology 2005; 44: 502–8.

42.

Christie

Dagfinrud

Engen

. Surgical interventions for the rheumatoid shoulder. Cochrane Database Syst Rev 2010; 1: CD006188–CD006188.

43.

Christie

Dagfinrud

Engen

. Surgical interventions for the rheumatoid shoulder. Cochrane Database Syst Rev 2010; 1: CD006188–CD006188.

44.

Papalia

Osti

Del

. Glenohumeral arthropathy following stabilization for recurrent instability. Br Med Bull 2010; 96: 75–92.

45.

Kim

Chung

. Asymptomatic acromioclavicular joint arthritis in arthroscopic rotator cuff tendon repair: a prospective randomized comparison study. Arch Orthop Trauma Surg 2011; 131: 363–9.

46.

Kirchhoff

Braunstein

Buhmann

. Stage-dependant management of septic arthritis of the shoulder in adults. Int Orthop 2009; 33: 1015–24.

47.

Monteforte

Rovetta

. Changes in size of periarthritis calcifications in patients with painful shoulder treated with injectable disodium-clodronate. Int J Clin Pharmacol Res 2002; 22: 7–12.

48.

Rigato

Battisti

Fortunato

. Comparison between the analgesic and therapeutic effects of a musically modulated electromagnetic field (TAMMEF) and those of a 100 Hz electromagnetic field: blind experiment on patients suffering from cervical spondylosis or shoulder periarthritis. J Med Eng Technol 2002; 26: 253–8.