These authors sought to compare early outcomes after total shoulder arthroplasty (TSA) in patients aged 55 years or younger versus patients older than 55 years.
They found that female patients, patients with a history of surgery, and patients with a diagnosis of osteonecrosis were more likely to undergo TSA when aged 55 years or younger.
Comment: The key to the differences in pain and satisfaction may be due to the effects of gender differences in the assessment of the results of surgery and to the other significant differences in the two patient populations: prior surgery (i.e. a prior surgical failure), osteonecrosis (patients with this diagnosis tend to have more pain), smoking (associated with a lower pain threshold) and comorbidities (making life less happy overall) may all negatively influence the younger patients' perceived benefit from the surgery. It is also possible that the expectations of younger patients are different. As a wise person once pointed out, "when you're young, pain is the absence of pleasure, when you're old, pleasure is the absence of pain".
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We have a new set of shoulder youtubes about the shoulder, check them out at this link.
Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link
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We have a new set of shoulder youtubes about the shoulder, check them out at this link.
Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link
Use the "Search" box to the right to find other topics of interest to you.
How you can support progress in shoulder surgery
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
