Tuesday, May 9, 2023

Managing severe anchor arthropathy in a young male athlete

 A very athletic man in his early 40s presented with pain and stiffness of his right shoulder after prior suture anchor repairs of the glenoid labrum. Clinical examination revealed shoulder stiffness and crepitance on shoulder motion. Standard x-rays showed osteoarthritis, inferior subluxation of the humeral head and a prominent suture anchor protruding into the joint.




Because of his desire to return to high level physical activity and to avoid the risks and limitations associated with the polyethylene glenoid component used in conventional total shoulder arthroplasty, he desired to proceed with a ream and run procedure (see this link).

At surgery the humeral head was deformed and the prominent suture anchor was seen on the glenoid joint surface.

The suture anchor was removed with a trephine prior to glenoid reaming.



His postoerative x-rays are shown below,




He did a terrific job with his rehabilitation.

He sent a video of his shoulder function at one year after surgery and kindly gave his permission to share it here.


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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).