- Shoulder pain. Pain usually worsens with activity.
- Limited range of motion.
- More frequent in older patients, weight lifters, or patients who had a previous injury or surgery.
- X-rays: X-rays demonstrate loss of cartilage between the bones, bone spurs (osteophytes).
- Ultrasound or MRI may be ordered to evaluate for a rotator cuff tear.
- Non-operative treatment includes occasional corticosteroid injections to reduce pain and inflammation.
- Operative intervention includes shoulder replacement (hemiarthroplasty, total shoulder arthroplasty, reverse total shoulder arthroplasty).
- In younger patients, a hemiarthroplasty is most often used.
- Reverse total shoulder arthroplasty or hemiarthroplasty can performed when there is a large rotator cuff tear in addition to arthritis.
- Patients stay in the hospital for 1-3 days after surgery for pain control.
- Sling for approximately 1 month after surgery.
- Physical therapy is often needed for 1-3 months post-operatively to improve range of motion and function. Some patients improve motion and strength by completing exercises on their own.