Saturday, November 28, 2015

Ream and run - recent cases and early rehabilitation

In this post we show some recent cases with x-rays before and after the ream and run procedure along with some photographs sent in by patients demonstrating their early progress in rehabilitation.


Case 1: Active 48 year old patient with degenerative joint disease.


The standardized axillary view shows functional decentering

 Postoperative x-rays

 Postoperative axillary view shows centering achieved using anteriorly eccentric humeral head.


Range of motion shown on a video sent by patient at one week after surgery



Case 2: Active 44 year old patient with chondrolysis after arthroscopic surgery and postoperative infusion of local anesthetics with a pain pump. Preoperatively there was no motion possible at the shoulder joint.




Forward lean two weeks after ream and run procedure


Supine stretch two weeks after ream and run



Case 3: Active 35 year old with with chondrolysis after arthroscopic surgery and postoperative infusion of local anesthetics with a pain pump. 





Range of motion on photos sent by patient one month after ream and run procedure



Comment: These cases demonstrate the utility of the ream and run procedure in active individuals with high degrees of motivation and the value of using video and photographs to track the success of the rehabilitation program.

Be sure to visit "Ream and Run - the state of the art"  regarding this radically conservative approach to shoulder arthritis at this link.