Below are the x-rays and MRI of a man who was 75 years old at the time of presentation with severe cuff tear arthropathy and an irreparable cuff tear. He had a large degenerative cyst in is proximal humerus. We suspect in many hands this would lead to a reverse total shoulder.
We performed an impaction grafted CTA arthroplasty because of his desire for a high level of activity and because he had neither pseudo paralysis or anterior superior escape.
Two and a half years later he presented because of an acute tear in his opposite rotator cuff. He reported having no pain in the shoulder with the CTA arthroplasty and demonstrated a full range of active motion. He had returned to all his desired activities, including golf and heavy duty gardening.
Here are his followup films.
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