Las actuales indicaciones para la atrodesis de hombro incluyen las lesiones post traumáticas del plexo braquial, parálisis del músculo deltoides y del manguito rotador, inestabilidad refractaria severa y deficiencia ósea secundaria a la resección de un tumor en el húmero proximal.
El trapecio, elevador de la escápula, serrato anterior y los músculos romboides deben ser funcionales para optimizar los resultados funcionales luego de la artrodesis del hombro.
Aún no existe consenso con respecto a la posición ideal de la artrodesis, aunque la abducción excesiva o la flexión han sido asociadas con dolor post quirúrgico crónico.
La decorticación tanto de las superficies acromio como glenohumeral incrementa la superficie disponible para la artrodesis y es la vía más común para obtener la fusión deseada.
Aunque existen numerosos métodos para la estabilización de la artrodesis de hombro, el método más popular es aún hoy la técnica AO.
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