Sunday, December 14, 2014

What about tennis after a reverse total shoulder?

An 82 year old man came up from California to see us two years ago about a reverse total shoulder for his pseudoparalytic right shoulder. On exam he had only 20 degrees of active elevation. His preoperative x-ray and MRI are shown below.



At surgery his supraspinatus and infraspinatus were absent, but the subscapularis was of good quality and was carefully repaired after the reverse total shoulder arthroplasty (shown below). Note the "East-West" tensioning and the distance between the medial humeral cup and the scapula to minimize the risk of notching.


Today, two years after surgery I received these two videos of his recent tennis lessons.

video

video

Comment: The guidelines for activity after a reverse need to be tailored to each individual case. In this instance, tennis was extremely important to the patient so we encouraged him to go at it - gently! From reviewing these videos, it's apparent that the patient has great hand-eye coordination and a nice touch.

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