The Use of Shoulder Hemiarthroplasty and Humeral Head Resurfacing: A Review of Current Concepts

James C Widnall1, Sujay K Dheerendra*, 1, Robert J MacFarlane2, Mohammad Waseem2
1 Department of Trauma & Orthopaedics, Aintree University Hospital NHS Foundation Trust, Aintree University Hospital, Longmoor Lane, Liverpool, L9 7AL, UK
2 Department of Trauma & Orthopaedics, Macclesfield District General Hospital, Victoria Road, Macclesfield, Cheshire, SK10 3BL, UK

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© Widnall et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License ( which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at 36, Raleigh Close, Old Hall, Warrington, WA5 9Q, UK; Tel: 01925573101; E-mail:


Since Neer’s early work in the 1950s shoulder arthroplasty has evolved as a treatment option for various glenohumeral joint disorders. Both hemiarthroplasty and total shoulder prostheses have associated problems. This has led to further work with regards to potential resurfacing, with the aim of accurately restoring native proximal humeral anatomy while preserving bone stock for later procedures if required. Hemiarthroplasty remains a valuable treatment option in the low demand patient or in the trauma setting. Additional work is required to further define the role of humeral resurfacing, with the potential for it to become the gold standard for younger patients with isolated humeral head arthritis.

Keywords: Humeral resurfacing, hemiarthroplasty, glenohumeral osteoarthritis, proximal humerus fracture.