Monday, August 21, 2017

Ream and run - working to make the rehab easier

Some patients have found that gaining shoulder motion after a ream and run is difficult. We are working to slightly modify our surgical technique with the goal of facilitating the rehabilitation. These modifications are directed at optimizing stability without over tightening the shoulder.

Here's a recent case of an active man in his mid 50s who chose a ream and run procedure to avoid the activity limitations associated with a standard total shoulder. 

His preoperative films show inferior decentering of the humeral head in the AP view
 and posterior decentering of the humeral head on the axillary 'truth' view.
 His postoperative films show centering in both planes.

No brachial plexus block anesthetic was used.
Here is his 155 degrees of assisted flexion just before discharge on his first post operative day.
We hope these methods will make the recovery after this procedure easier. Time will tell!

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Information about shoulder exercises can be found at this link.

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