Catching salmon after a total shoulder

Three months ago a lady presented for right total shoulder arthroplasty. One of her complaints was that her shoulder hurt when she fished. Her preoperative x-rays are shown below. Without a CT scan, the pathoanatomy was apparent: glenoid anteversion and anterior humeral subluxation on the glenoid.

                  

Her 6 week post operative films are shown below. Note the fixation of the humeral stem with impaction autograft and the absence of radiolucent lines around the glenoid fixation pegs.

         

Today (3 months after surgery) we received this message and picture:  "New shoulder working well". 

This is a 30 pound Chinook Salmon. Our patient says she reeled it in, but needed help in holding it up!

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