Combined Arthroscopic Capsular Release, Acromioclavicular Joint Excision, and Acromioplasty for End-Stage Glenohumeral Joint Arthritis

End-stage glenohumeral arthritis in the young patient presents a formidable challenge to even the most experienced shoulder surgeon. Whereas shoulder arthroplasty has proven to be a reliable surgical treatment of advanced arthritis in the elderly population (1–5), this option may be less desirable in the young, active patient (6). Specific alternatives to replacement arthroplasty include physical therapy and other nonoperative interventions, arthroscopic debridement, capsular release, synovectomy, periarticular osteotomy, resection arthroplasty, interpositional arthroplasty, and shoulder arthrodesis (7,8). This article specifically focuses on arthroscopic debridement with combined capsular release, distal clavicle resection, and acromioplasty for end-stage glenohumeral arthritis.

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