At the time of presentation, he had bone on bone contact between the head of his humerus and the glenoid. His preoperative film is shown below.
The x-ray immediately after the ream and run is shown below
The film at three months is below
At 12 months after the ream and run he is back to full farming. His x-ray shows a dark space between the humeral head and the glenoid indicating the growth of fibrocartilage over the surface of the glenoid bone.
As this case demonstrates, we found that the ream and run can yield excellent results in older active individuals.
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