Return to ocean swimming after ream and run with anteriorly eccentric humeral head

 An active and highly motivated athlete in his late 50s presented with a painful, stiff shoulder. We obtained these x-ray views.

His AP view showed loss of radiographic joint space and osteophytes

 His axillary "truth" view showed posterior decentering of the humeral head on a flattened glenoid.

 He had a ream and run procedure using a humeral head with 56 mm diameter of curvature and 21 mm thickness with 4 mm anterior eccentricity. The 12 mm humeral stem was fixed with impaction autograft.

Note the recentering of the humeral head on his postoperative "truth" view.

He recently sent this email: "Just a short note to let you know all is well with my shoulder. I had a check up with my local doctor yesterday. It will be 8 months at the end of June. He said all is well and no need to come back. I have full motion and am ocean swimming again."

He was kind enough to also send this video of his swimming. Turn the sound up to hear the ocean waves.

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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).