Some patients have found that gaining shoulder motion after a ream and run is difficult. We are working to slightly modify our surgical technique with the goal of facilitating the rehabilitation. These modifications are directed at optimizing stability without over tightening the shoulder.
Here's a recent case of an active man in his mid 50s who chose a ream and run procedure to avoid the activity limitations associated with a standard total shoulder.
His preoperative films show inferior decentering of the humeral head in the AP view
Here is his 155 degrees of assisted flexion just before discharge on his first post operative day.
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