An active man in his 40s presented with severe pain and loss of motion in his left shoulder.
His x-rays on presentation are shown below.
His axillary "truth" view shows a severe B2 glenoid with retroversion, biconcavity and posterior decentering.
At two years after surgery, his motion was excellent and painless.
Comment: This case shows a bone-preserving approach to the B2 glenoid in comparison to the bone removal associated with some posteriorly augmented glenoid components
or with "corrective" anterior reaming.
As well it avoids the risks and limitations associated with a prosthetic glenoid component.
To see a YouTube video on how the ream and run is done, click on this link.
To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.
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