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Hagedorn JM, Pittelkow TP, Bendel MA, Moeschler SM, Orhurhu V, Sanchez-Sotelo J. The painful shoulder arthroplasty: appropriate work-up and review of interventional pain treatments. JSES REVIEWS, REPORTS, AND TECHNIQUES 2022; 2:269-276. [PMID: 37588877 PMCID: PMC10426573 DOI: 10.1016/j.xrrt.2022.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Abstract
Shoulder arthroplasty is a successful surgical procedure for several conditions when patients become refractory to conservative management modalities. Unfortunately, some patients experience persistent chronic pain after shoulder arthroplasty. These individuals should undergo a comprehensive evaluation by an orthopedic surgeon to determine whether structural pathology is responsible for the pain and to decide whether reoperation is indicated. At times, a surgical solution does not exist. In these circumstances, a thorough and specific plan for the management of persistent chronic pain should be developed and instituted. In this article, we review common reasons for persistent pain after shoulder arthroplasty and outline the evaluation of the painful shoulder arthroplasty. We then provide a thorough review of interventional pain management strategies. Finally, we hypothesize developments in our field that might provide better outcomes in the future for patients suffering with chronic intractable pain after shoulder arthroplasty.
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Affiliation(s)
- Jonathan M. Hagedorn
- Corresponding author: Jonathan M. Hagedorn, MD, Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN 55905, USA.
| | - Thomas P. Pittelkow
- Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA
| | - Markus A. Bendel
- Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA
| | - Susan M. Moeschler
- Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA
| | - Vwaire Orhurhu
- Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA
| | - Joaquin Sanchez-Sotelo
- Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA
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Noriega-Álvarez E, Pena Pardo FJ, Jiménez Londoño GA, García Vicente A. Gamma camera imaging of musculoskeletal infections. Nucl Med Mol Imaging 2022. [DOI: 10.1016/b978-0-12-822960-6.00215-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Palestro CJ, Clark A, Grady EE, Heiba S, Israel O, Klitzke A, Love C, Sathekge M, Ted T, Yarbrough TL. Appropriate Use Criteria for the Use of Nuclear Medicine in Musculoskeletal Infection Imaging. J Nucl Med 2021; 62:jnumed.121.262579. [PMID: 34593597 PMCID: PMC8612196 DOI: 10.2967/jnumed.121.262579] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 05/12/2021] [Accepted: 05/12/2021] [Indexed: 11/16/2022] Open
Affiliation(s)
| | - Alicia Clark
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
- American College of Nuclear Medicine, Reston, Virginia
| | - Erin E. Grady
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
- American College of Nuclear Medicine, Reston, Virginia
| | - Sherif Heiba
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
| | - Ora Israel
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
| | - Alan Klitzke
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
- American College of Nuclear Medicine, Reston, Virginia
| | - Charito Love
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
| | - Mike Sathekge
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
| | - Treves Ted
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
| | - Tracy L. Yarbrough
- Society of Nuclear Medicine and Molecular Imaging, Reston, Virginia
- American College of Nuclear Medicine, Reston, Virginia
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Noriega-Álvarez E, Ribot PZ. Role of SPECT/CT in bone pathology: Is this technique still a valid option? Rev Esp Med Nucl Imagen Mol 2019; 38:205-206. [PMID: 31256849 DOI: 10.1016/j.remn.2019.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 03/30/2019] [Accepted: 04/01/2019] [Indexed: 10/26/2022]
Affiliation(s)
- E Noriega-Álvarez
- Servicio de Medicina Nuclear del Hospital General Universitario de Ciudad Real. Presidente del Grupo de Trabajo de Patología Músculo-Esquelética de la SEMNIM. EANM's Inflammation & Infection Committee Member.
| | - P Zorrilla Ribot
- Jefe del Servicio de Servicio de Traumatología y Cirugía Ortopédica del Hospital General Universitario de Ciudad Real
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