@entity75 of the glenohumeral joint in early stages and in younger @entity1 are an important problem and present a challenge during clinical decision making. Although prosthetic arthroplasty remains the gold standard for treatment in later stages of the disease, alternatives are desirable in the early stages and in young @entity1 . The purposes of this study are to evaluate the results of arthroscopic debridement and capsular release in @entity1 with grade IV @entity75 of the glenohumeral joint and to determine the factors associated with their success. Sixty-one @entity1 with grade IV @entity75 of the glenohumeral articular surfaces were treated with arthroscopic debridement, with or without arthroscopic capsular release. Standardized data collection was performed at the initial office visit and at the time of final follow-up. Overall outcome was analyzed with regard to @entity1 ' self-assessment of @entity158 , function, improvement, satisfaction, and duration of @entity158 relief. Forty-five of the @entity1 had a minimum follow-up of 2 years. Time-to-event analysis was used to evaluate the duration of @entity158 relief. The mean @entity1 satisfaction score (0 = not satisfied; 10 = completely satisfied) improved from 0.67 preoperatively to 6.28 at final follow-up (P <.0001), with 87% of @entity1 indicating that they would have the surgery again. Although workers' compensation @entity1 obtained inferior results, significant improvement in @entity158 and function was obtained in 88% of all @entity1 (P <.0001). Most @entity1 noted the onset of @entity158 relief within 5 weeks of surgery and obtained a duration of @entity158 relief of 28 months or greater (P <.05). The addition of concomitant procedures, such as acromioplasty, distal clavicle resection, labral debridement, or labral repair, did not have a negative impact on the functional results after arthroscopic debridement and capsular release. In well-selected @entity1 with grade IV @entity75 of the glenohumeral joint, significant improvements in @entity158 relief and function follow arthroscopic debridement of the glenohumeral joint. Arthroscopic capsular release can be added in @entity1 with a loss of passive arcs of shoulder motion. @entity75 greater than 2 cm(2) appear to be associated with return of @entity158 and failure of this procedure.

Non-prosthetic management of grade IV XXXX of the glenohumeral joint.

@entity75 :: ('MESH:D001927', 'Disease') :: ['osteochondral lesions', 'Osteochondral lesions'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity75 :: (MESH:D001927,Disease) :: ['osteochondral lesions']
