Wednesday, June 24, 2020

Ream and run - back to ocean swimming at 8 months

An active and highly motivated athlete in his late 50s presented with a painful, stiff shoulder. We obtained these x-ray views.
His AP view showed loss of radiographic joint space and osteophytes

 His axillary "truth" view showed posterior decentering of the humeral head on a flattened glenoid.
 He had a ream and run procedure using a humeral head with 56 mm diameter of curvature and 21 mm thickness with 4 mm anterior eccentricity. The 12 mm humeral stem was fixed with impaction autograft.
Note the recentering of the humeral head on his postoperative "truth" view.

He recently sent this email: Just a short note to let you know all is well with my shoulder. I had a check up with my local doctor yesterday. It will be 8 months at the end of June. He said all is well and no need to come back. I have full motion and am ocean swimming again.

He was kind enough to also send this video of his swimming. Turn the sound up to hear the ocean waves.


To see a YouTube video on how the ream and run is done, click on this link.


We have a new set of shoulder youtubes about the shoulder, check them out at this link.

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

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