Ream and run in the management of posterior subluxation

Here are the preoperative films of a man about 50 years of age who came from the SouthEast corner of the U.S. for a ream and run.

Note that the axillary view shows functional posterior decentering of the humeral head on the glenoid face.

After conservative glenoid reaming to change the glenoid shape but not its version, the humeral head was centered using an anteriorly eccentric head component. No preoperative CT, no patient specific instrumentation, no posteriorly augmented plastic glenoid component, no cement.

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