Wednesday, May 31, 2017

The B2 glenoid in a young active person

Three months ago a patient in his late thirties presented with a painful stiff shoulder without a prior injury. While his AP view shows only an inferior humeral osteophyte

His 'truth' view axillary, shows posterior decentering and a biconcave glenoid, a "B2" glenoid. No CT needed.

He elected to have a ream and run procedure. At the time of surgery it was necessary to use an anteriorly eccentric humeral head component and a rotator interval plication to re-stabilize his shoulder.  At his three month followup, he had a comfortable shoulder, 165 degrees of assisted elevation. His active elevation is improving at 120 degrees. His AP x-rays are shown below.

His postoperative 'truth' view is shown below, with a humeral head centered in his reamed glenoid.
We are now proceeding with an active strengthening program.
Consultation for those who live a distance away from Seattle.

Click here to see the new Shoulder Arthritis Book

Click here to see the new Rotator Cuff Book

To see the topics covered in this Blog, click here

Use the "Search" box to the right to find other topics of interest to you.

You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'

See from which cities our patients come.

See the countries from which our readers come on this post.