PMID: 8686464Jun 1, 1996Paper

Shoulder destruction in rheumatoid arthritis. Classification and prognostic signs in 83 patients followed 5-23 years

Acta Orthopaedica Scandinavica
A HirookaT Ochi


We studied the natural course and the possibility of making prognoses about shoulder joint destructions in 83 patients with rheumatoid arthritis (RA) (166 shoulder joints). For this purpose, we used radiographic patterns and 2 indices (upward migration and medial displacement). The patterns of joint destruction were classified into 5 groups: 1) non-progressive type (n 74) with normal radiographs, only osteopenia or small erosions even after 15-20 years of RA; 2) erosive type (n 22) showing marginal erosions but no collapse; 3) collapse type (n 34) showing subchondral cysts, followed by collapse; 4) arthrosis-like type (n 12) showing arthrotic features; 5) mutilating type (n 14) showing mutilating bone destructions. From the radiographic findings and the 2 indices determined at 5-10 years, we could predict the prognosis of shoulder joint destruction after 15-20 years of RA. Our findings may be of value for selecting treatment, including surgery, for the rheumatoid shoulder.


Sep 11, 2008·Zeitschrift für Rheumatologie·A KiekenbeckG Salzmann
Mar 15, 2001·Annals of the Rheumatic Diseases·J T LehtinenM U Lehto
Nov 29, 2011·International Journal of Rheumatology·Naoki MiyoshiTakeo Matsuno
Sep 17, 2009·Skeletal Radiology·Carlos Eduardo Sala RamosAnamaria Siriani de Oliveira
Feb 1, 2008·Journal of Shoulder and Elbow Surgery·Jochem NagelsPiet M Rozing
Jul 17, 2007·Journal of Shoulder and Elbow Surgery·Hiroyuki TanakaHideki Yoshikawa
Oct 24, 2006·Journal of Shoulder and Elbow Surgery·Adam M SmithRobert H Cofield
Mar 4, 2008·Arthritis and Rheumatism·Michiel A J van de SandePiet M Rozing
Feb 4, 2010·Journal of Clinical Ultrasound : JCU·B G PijlsH J Arens
Jan 10, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Adam M SmithRobert H Cofield
Dec 13, 2005·Journal of Shoulder and Elbow Surgery·Adam M SmithRobert H Cofield
Feb 25, 2015·PloS One·Jan F HenselerRob G H H Nelissen
Feb 8, 2006·Clinical Orthopaedics and Related Research·M A J van de Sande, P M Rozing
Jun 22, 2006·Clinical Orthopaedics and Related Research·M A J van de SandeP M Rozing
Jul 8, 2010·Clinical Orthopaedics and Related Research·Peter C LapnerEmilio Lopez-Vidriero
Sep 1, 2001·Modern Rheumatology·M YonedaT Yamamoto
Mar 15, 2003·Scandinavian Journal of Rheumatology·Y OlofssonL T H Jacobsson

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