Sunday, March 3, 2024

Shoulder arthritis in a young weightlifter and firefighter


A 40 year old weightlifter, firefighter and high school football coach from Florida presented with painful glenohumeral arthritis after a prior arthroscopic instability repair. His Simple Shoulder Test responses are shown below.


Physical examination revealed a stiff shoulder.

His preoperative images are shown below





Wishing to avoid the risks and limitations associated with the polyethylene glenoid component used in conventional total shoulder arthroplasty, he proceeded with a ream and run procedure 10 months ago.

His postoperative radiographs are shown below




With a fully dedicated rehab effort he was able to complete a half-marathon in under six and half hours seven months after surgery. 

At ten months after surgery he had returned to work as a firefighter and sent this report and videos






Comment: This is obviously no ordinary patient, no ordinary shoulder arthritis and no ordinary rehab effort. We be informed by the progressive recovery and long term followup.

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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).