Glenohumeral Microfracture

Glenohumeral Microfracture

The treatment of symptomatic cartilage lesions in the glenohumeral joint presents a significant challenge due to poor healing characteristics. Diagnosis of glenohumeral chondral defects is not always clear, and while current imaging modalities are good, many lesions require arthroscopy to fully appreciate. Arthroplasty remains an effective treatment in low-demand patients; however, younger, hig...

Clinical outcomes after microfracture of the glenohumeral joint.

BACKGROUND Microfracture is an effective surgical treatment for isolated, full-thickness cartilage defects with current data focused on applications in the knee. No studies describing clinical outcomes of patients who have undergone microfracture in the shoulder joint have been reported. HYPOTHESIS Treatment of glenohumeral joint articular defects using microfracture would demonstrate similar...

Long-Term Clinical Outcomes after Microfracture of the Glenohumeral Joint: Minimum 7-Year Follow-up

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Microfracture

Microfracture

The therapeutic value of microfracture has been demonstrated in clinical patients. The rationale is that focal penetration of the dense subchondral plate exposes cartilage defects to the benefits of cellular and growth factor influx in addition to improving anchorage of the new tissue to the underlying subchondral bone and, to some extent, the surrounding cartilage. While functional outcomes ha...