An avid golfer presented to us 2 years after a right total shoulder performed at another institution. While never comfortable after the initial surgery, the pain in the arm had been steadily increasing. The AP x-ray showed the humeral component had migrated into various with ballooning of the lateral humeral cortex.
At surgery we are able to bypass the weakened portion of the humerus with a standard stem fixed with impaction allograft, as shown below.
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