Managing the B2 glenoid in an active 62 year old without a glenoid component

An active 62 year old presented with severe glenohumeral arthritis and a type B2 glenoid.

Wishing to avoid the risks and limitations of a glenoid component, he elected a ream and run procedure (see this link). 

Recently he send this email: " It’s now 8 years later and as I approach age 70, please be advised that my shoulder is strong, flexible and I have absolutely no limits to what I can do. And yes, the procedure did in fact add another 20 yards to my drive.

 

His followup x-rays (below) show re-centering of an anteriorly eccentric humeral head on a healed glenoid and an impaction grafted standard stem without evidence of stress shielding. 

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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).