The first had a cuff repair and subacromial decompression with a pain pump a decade ago followed by progressive loss of comfort and function. X-rays showed joint space loss.
In spite of the patient's young age, we recommended a total shoulder because of our observation that individuals with chondrolysis have a difficult time rehabilitating a ream and run procedure.
At the time of surgery, the cartilage over the humeral head was gone.
We hope that some comfort and function will be restored after the total shoulder.
The second patient had had arthroscopic surgery with a pain pump over 6 years ago. Two years later the patient's surgeon performed a hemiarthroplasty for chondrolysis.
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