A patient in the mid 30's from the opposite coast presented to us with shoulder pain, stiffness, and limited function. He'd previously had a SLAP repair in 2009 and an open surgical debridement in 2010 without substantial change in his symptoms. He answered "no" to 7 of the 12 questions of the Simple Shoulder Test. He had essentially no motion at the glenohumeral joint. He brought in the x-ray he'd had 'back home' - it is shown below.
In clinic we repeated the AP view with a similar result
However as shown below, the axillary view (= the 'truth view') revealed severe posterior subluxation without any evidence of glenoid retroversion.
At surgery, the humeral head looked like this.
The resected head looked like this.
We performed a ream and run that included the use of an anteriorly eccentric head and a rotator interval plication. Here are his postoperative films.
His assisted range of motion the morning after surgery can be seen in this link.
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You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
