Abstract
The pathology of the RAshoulder differs from that of the OA shoulder. In addition to replacement of the glenohumeral joint, procedures have to be performed to deal with disorders specific for the RA shoulder, such as bone deficiency of the glenoid, thinning or rupture of the rotator cuff, and severe internal rotation defomity. Timing of shoulder arthroplasty in the rheumatoid patient is stilla controversial issue. Clinical symptoms are more important than the radiographic destruction for timing of surgery. The status of the rotator cuff and the glenoid will predict the functional result.
Controversial issues ar whether the synovitis of the AC-joint and the subacromial area should be treated arthroscopically early to prevent destruction of the cuff, whether repair of the rotator cuff or tendon transfers effect the end result, and whether replacement of the glenoid is beneficial.
The surgical management of advanced destruction of the rheumatoid elbow differs from one center to the next, as controversy exists regarding the success of synovectomy. Total elbow arthroplasty in patients with advanced joint destruction has gained popularity. Controversial issues and new developments will be discussed.
Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
