At the time of her visit with us she had a stiff painful shoulder and was unable to perform any of the 12 functions of the Simple Shoulder Test.
Her radiographs show bone on bone contact in both the AP and the axillary views as shown below, suggesting chondrolysis (noting that primary degenerative joint disease would be very unusual in a young woman).
At surgery, the loss of cartilage over the humeral head was evident.
She elected to have a ream and run procedure to avoid the potential risks associated with a total shoulder arthroplasty (glenoid component wear and loosening).
Her postoperative films are shown below. Note the absence of a plastic glenoid and the absence of bone cement. Note the humeral stem has been secured using impaction auto grafting using bone harvested from the humeral head.
Immediately after surgery, the shoulder demonstrated full assisted flexion. Stay tuned for periodic progress reports.
Check out the new Shoulder Arthritis Book - click here.
Use the "Search" box to the right to find other topics of interest to you.