Here are the x-rays of a man in the mid forties with severe arthritis after a prior surgical repair for anterior instability many years ago. We refer to this condition as capsulorrhaphy arthropathy. On presentation to us he had very little shoulder motion and a Simple Shoulder Test of 6 out of 12.
On the AP view, note the complete obliteration of the joint space.
He requested a ream and run procedure which we performed over two and a half years ago. He worked very hard at his rehabilitation exercises.
Today we saw him for follow-up. He reported he was back to full activities and had a Simple Shoulder Test score of 12 out of 12.
His x-rays show excellent position of his humeral prosthesis, a nicely concave glenoid, and a stable shoulder. Note the use of the anteriorly eccentric head which can be seen on the axillary view. Note also the absence of a plastic socket and the absence of bone cement.
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