After a discussion of the options, the patient elected a hemiarthroplasty with maximal bone preservation.
Three months after surgery the shoulder is comfortable and has smooth motion to 140 degrees. Strength is coming along nicely with the supine press program.
X-rays at three months, shown below, show congruent, sclerotic joint surfaces and a humeral prosthesis centered in the glenoid concavity.
The patient is pleased with her progress as are we.
Comment: This represents a conservative approach to a complex problem.
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