Friday, December 15, 2023

Shoulder arthritis in a 64 year old active man: 11 year followup after ream and run.

 A 64 year old man with painful, activity limiting right shoulder arthritis wished to avoid the risks and limitations of a conventional total shoulder arthroplasty. His preoperative films are show below.





He elected a ream and run procedure (see this link). Eleven years after his procedure, he returned at the age of 75 with full function (11/12 on the SST) of his right shoulder and the x-rays shown below. 



The reason for his returning was painful, activity limiting left shoulder arthritis and the x-rays below.





He desired a ream and run on the left. At two months after surgery he has full comfortable assisted motion and is well launched on his strengthening program. Two month x-rays are shown below.



The costs of CT scans, 3-D planning, glenoid components, and brachial plexus blocks were avoided in this case. 

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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).