Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2005-9-20
pubmed:abstractText
Treatment of young, active persons with symptomatic cartilage lesions of the glenohumeral joint represents a significant challenge. Diagnosis of glenohumeral chondral defects is not always straightforward and effective treatment requires familiarity with a number of techniques. Low-demand individuals may accept palliative therapy in the form of arthroscopic debridement as a temporizing solution. However, younger, high-demand individuals require a careful, stepwise approach that includes reparative, restorative, and reconstructive strategies. Reparative strategies use marrow-stimulation techniques to induce formation of fibrocartilage. Restorative tactics attempt to replace damaged cartilage with hyaline or hyaline-like tissue using osteochondral or chondrocyte transplantation. Large lesions that are not candidates for reparative or restorative procedures can be approached using reconstruction methods such as biologic resurfacing. This review examines causes of chondral injury in the glenohumeral joint, discusses diagnostic strategies, and presents a practical framework including palliative, reparative, restorative, and reconstructive options with which one can formulate a treatment plan for these patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1526-3231
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1131-42
pubmed:meshHeading
pubmed-meshheading:16171640-Adrenal Cortex Hormones, pubmed-meshheading:16171640-Anti-Inflammatory Agents, Non-Steroidal, pubmed-meshheading:16171640-Arthroplasty, pubmed-meshheading:16171640-Arthroplasty, Replacement, pubmed-meshheading:16171640-Bone Marrow Cells, pubmed-meshheading:16171640-Cartilage, Articular, pubmed-meshheading:16171640-Chondrocytes, pubmed-meshheading:16171640-Chondroitin Sulfates, pubmed-meshheading:16171640-Debridement, pubmed-meshheading:16171640-Fractures, Compression, pubmed-meshheading:16171640-Glucosamine, pubmed-meshheading:16171640-Humans, pubmed-meshheading:16171640-Hyaline Cartilage, pubmed-meshheading:16171640-Incidence, pubmed-meshheading:16171640-Joint Instability, pubmed-meshheading:16171640-Magnetic Resonance Imaging, pubmed-meshheading:16171640-Palliative Care, pubmed-meshheading:16171640-Physical Therapy Modalities, pubmed-meshheading:16171640-Postoperative Care, pubmed-meshheading:16171640-Shoulder Dislocation, pubmed-meshheading:16171640-Shoulder Fractures, pubmed-meshheading:16171640-Shoulder Joint, pubmed-meshheading:16171640-Wounds and Injuries
pubmed:year
2005
pubmed:articleTitle
Nonarthroplasty treatment of glenohumeral cartilage lesions.
pubmed:affiliation
Sports and Orthopaedic Specialists, Minneapolis, Minnesota, USA.
pubmed:publicationType
Journal Article, Review