A physically active man presented with pain and stiffness of the right shoulder and these x-rays.

Wishing to avoid the risks and limitations of a conventional total shoulder with a prosthetic glenoid component, he elected a ream and run procedure. He made an excellent functional recovery and returned to full unlimited activity.

He provided a most helpful series of post operative films showing the remodeling of his reamed glenoid.

6 weeks:

1 year:

3 years:

6 years:

8 years:

11 years:

Comment: This series of x-rays provides a special opportunity to track the ongoing remodeling of the glenoid after the ream and run arthroplasty. Note the condensation of bone beneath the "joint space" radiolucency and the lack of medialization/wear over 11 years.

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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link).
Shoulder rehabilitation exercises (see this link).

Wednesday, April 27, 2022

Ream and run for arthritis in an active 60 year old man - how does the reamed glenoid remodel over 11 years?