Saturday, December 15, 2012

Ream and run for severe glenoid deformity

An active 70 year old man presents with these films and an Simple Shoulder Test (SST) score of zero out of twelve.

 He elected a ream and run so that he would have the potential to resume a high level of physical activity.
Seven months after surgery, his Simple Shoulder Test (SST)  score had improved from zero out of twelve to seven out of twelve and his radiographs looked like this.
Note that we used an eccentric anterior humeral head to balance his articulation. Not also the maturation of the glenoid bone and the appearance of the soft tissue layer between the humeral prosthesis and the glenoid surface.
 Rehabilitation is still ongoing, but the mechanics of the joint are improved as are his self-assessed comfort and function.


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