Ream and run with eccentric head and rotator interval plication for glenohumeral arthritis

This week a 50 year old woman presented for ream and run surgery. Her presenting Simple Shoulder Test score was 0/12 and had essentially no glenohumeral motion. She came in with a CT scan showing severe glenohumeral arthritis.

Her preoperative plain films revealed, in addition to the arthritis, 

some posterior instability when the arm is placed in a functional position of flexion.

This week she had a ream and run using a 56  21 eccentric anterior head with a rotator interval plication to stabilize the humeral head in flexion. The stem was securely fixed with impaction grafting.

At the time of hospital discharge on the second post operative day she had 170 degrees of assisted elevation and taking only minor analgesics.

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