Total shoulder arthroplasty (TSA) offers a predictable solution for many patients who have end- stage glenohumeral arthrosis. However, the outcomes of TSA have been reported to be less favorable in younger patients because of higher activity demands, heightened expectations, concerns for implant longevity, and the potential need for multiple revision operations over the course of the patients’ lifetimes.As a result, arthroscopic techniques have evolved in an attempt to postpone the need for joint replacement by improving pain and function. We have described a comprehensive arthroscopic management (CAM) technique that addresses the known pain generators in the shoulder.
The CAM technique includes arthroscopic glenohumeral debridement, chondroplasty, synovectomy, loose body removal, inferior humeral osteoplasty, axillary nerve neurolysis, and capsular releases when indicated (Video 1). In addition, subacromial and/or subcoracoid decompression and biceps tenodesis are performed. The purpose of this report is to provide a detailed description of the technical aspects of our method.