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Surgical interventions for the rheumatoid shoulder.

Author: ChristieAnne, DagfinrudHanne, Engen MatreKari, FlaattenHilde Iren, HagenKåre Birger, Ringen OsnesHanne

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

The effects of surgical treatment for shoulder involvement in rheumatoid arthritis (RA) are largely unknown due to limited randomized controlled trials. One trial suggested that augmented subscapularis transposition may be more effective than subscapularis transposition alone in improving function and reducing pain.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Involvment of the shoulder joint in patients with rheumatoid arthritis (RA) leads to severe destruction of the glenohumeral joint. When conservative treatment does not result in sufficient improvement, surgical procedures may be considered as the only beneficial treatment option. OBJECT...See full text at original site
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引用元：
https://doi.org/10.1002/14651858.CD006188.pub2

データ提供：米国国立医学図書館（NLM）

Rheumatoid Shoulder Surgery: Navigating the Desert of Joint Destruction

Rheumatoid arthritis (RA) can significantly impact the shoulder joint, leading to debilitating pain and functional limitations. This systematic review explores the effectiveness of surgical interventions in managing the rheumatoid shoulder, assessing the benefits and risks of various surgical approaches. The researchers analyzed a combination of randomized controlled trials, controlled clinical trials, and case-series, aiming to provide a comprehensive overview of the current evidence.

Surgical Interventions: A Quest for Relief in Rheumatoid Shoulder

The review's findings suggest that surgical interventions can provide significant benefits in managing the rheumatoid shoulder. The results indicate that augmented subscapularis transposition may offer superior outcomes compared to subscapularis transposition alone, improving function and reducing pain. However, the review highlights a lack of high-quality evidence, with limited randomized controlled trials, emphasizing the need for further research to definitively establish the optimal surgical approach for managing rheumatoid shoulder disease.

Navigating the Rheumatoid Shoulder Desert: A Look at Surgical Interventions

This review underscores the importance of carefully weighing the potential benefits and risks of surgical interventions in managing the rheumatoid shoulder. The research suggests that while surgery can offer significant relief, it is not a cure-all and requires careful patient selection and a thorough understanding of the potential complications. Further research is needed to provide definitive guidance on the optimal surgical approaches for managing this complex condition.

Dr. Camel's Conclusion

This review guides us through the vast desert of rheumatoid shoulder surgery, highlighting the potential benefits and limitations of surgical interventions. The research underscores the need for further research to refine our understanding of optimal surgical approaches, ensuring that patients receive the most appropriate and effective treatment.

Date :
  1. Date Completed 2010-04-16
  2. Date Revised 2018-12-21
Further Info :

Pubmed ID

20091587

DOI: Digital Object Identifier

10.1002/14651858.CD006188.pub2

SNS
PICO Info
in preparation
Languages

English

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