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Epidemiology of Glenohumeral Joint Osteoarthritis

epidemiology glenohumeral joint osteoarthritis shoulder osteoarthritis
Epidemiology of Glenohumeral Joint Osteoarthritis

The glenohumeral joint is the third most common large joint to be affected following the knee and hip.1

Population-based studies have demonstrated that 16.1%–20.1% of adults older than 65 years have radiographic evidence of glenohumeral OA.2

Age is the greatest risk factor for the development of primary (idiopathic) osteoarthritis in all joints.5 Clinically, this is important for differentiating shoulder arthritis from adhesive capsulitis for patients without accompanying x-rays.

Osteoarthritis is a multifactorial disease with strong genetic and occupational components.3

It’s been shown that there is a strong correlation between tears of the rotator cuff and degenerative changes of the articular cartilage that was independent of the factor of age.6 However, the area of cartilage damage does not necessarily increase as the size of the tear increases.7 Moreover, the incidence of full-thickness rotator cuff tears in osteoarthritis is low. 

Superior labrum anterior posterior lesion is also associated chondral lesions and may contribute to early-onset glenohumeral osteoarthritis.8

The prevalence of arthritis for all joints is higher in whites, men older than 45 years, women older than 55 years, and persons with less than eight years of education.4 Additional systemic factors (gender, hormonal status, nutrition, race, and ethnicity), and under the influence of loading conditions (obesity, trauma, and physical activities), osteoarthritis may evolve or progress.4

References

  1. Zhang Y, Jordan JM. Epidemiology of osteoarthritis [published correction appears in Clin Geriatr Med. 2013 May;29(2):ix]. Clin Geriatr Med. 2010;26(3):355-369. doi:10.1016/j.cger.2010.03.001
  2. Kobayashi T, Takagishi K, Shitara H, et al. Prevalence of and risk factors for shoulder osteoarthritis in Japanese middle-aged and elderly populations. J Shoulder Elbow Surg. 2014;23(5):613-619. doi:10.1016/j.jse.2013.11.031
  3. Yucesoy B, Charles LE, Baker B, Burchfiel CM. Occupational and genetic risk factors for osteoarthritis: a review. Work. 2015;50(2):261-273. doi:10.3233/WOR-131739
  4. National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health. Arthritis. http://www.cdc. gov/arthritis/. Accessed September 2, 2020.
  5. Loeser RF, Collins JA, Diekman BO. Ageing and the pathogenesis of osteoarthritis. Nat Rev Rheumatol. 2016;12(7):412-420. doi:10.1038/nrrheum.2016.65
  6. Feeney MS, O'dowd J, Kay EW, Colville J. Glenohumeral articular cartilage changes in rotator cuff disease. J Shoulder Elbow Surg. 2003;12(1):20-23. doi:10.1067/mse.2003.128565
  7. Hsu HC, Luo ZP, Stone JJ, Huang TH, An KN. Correlation between rotator cuff tear and glenohumeral degeneration. Acta Orthop Scand. 2003;74(1):89-94. doi:10.1080/00016470310013725
  8. Patzer T, Lichtenberg S, Kircher J, Magosch P, Habermeyer P. Influence of SLAP lesions on chondral lesions of the glenohumeral joint. Knee Surg Sports Traumatol Arthrosc. 2010;18(7):982-987. doi:10.1007/s00167-009-0938-2

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