What is the preferred treatment of a 58 year old woman with post-dislocation arthritis.

A 58 year old woman presents with painful stiffness of her shoulder after a dislocation 25 years ago (treated non operatively). She is physically active and has increased pain in the shoulder after using it.

Her Simple Shoulder Test results are shown below.

Her shoulder was strong, but stiff - much of the motion was scapulothoracic.

Her x-rays at the time of presentation are shown below.

What is the appropriate treatment for this patient?

Comments welcome at shoulderarthritis@uw.edu

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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).