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Adult Reconstruction
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Shoulder Osteoarthritis - Primary OA and Treatment Ladder

Shoulder Osteoarthritis

A 62-year-old right-hand-dominant male accountant presents with progressive right shoulder pain over 3 years. He describes deep joint pain, morning stiffness lasting 30 minutes, and pain at night. He has difficulty reaching behind his back and overhead. Examination reveals limited active range of motion (forward elevation 120 degrees, external rotation 30 degrees). Radiographs show joint space narrowing, posterior glenoid wear, and marginal osteophytes. Regarding primary glenohumeral osteoarthritis and initial management:

Mark each as TRUE or FALSE

A

Primary glenohumeral osteoarthritis is less common than hip or knee OA, affecting approximately 5% o...

B

Initial conservative management includes activity modification, physiotherapy for range of motion an...

C

Primary shoulder OA always requires immediate surgical intervention; physiotherapy has no role in ma...

D

Radiographic grading of glenohumeral OA includes assessment of joint space narrowing, osteophyte for...

E

Differential diagnosis of shoulder pain in this age group includes rotator cuff pathology, cervical ...

Answer the questions to see explanations

Click T (True) or F (False) for each option