Monday, April 8, 2019

Ream and Run: climbing as therapy: dry tooling


An active technical climber presented with a painful stiff left shoulder than was limiting his ability to pursue challenging international routes. Here is a photo of him climbing in Laos.


Below are his x-rays at presentation showing osteoarthritis and a biconcave glenoid with posterior decentering.



One year ago he had a left ream and run using an anteriorly eccentric humeral component. His postoperative films show good alignment of his humeral head with his reamed glenoid in both views.


Four months ago he returned for a ream and run on the right shoulder.

His postoperative films are shown here.


This week he sent this video of him "dry tooling" in his gym, stating that his shoulders are getting stronger everyday.




This man has obviously put forth a terrific rehabilitation effort and it is paying off. 

We've noted that climbing is an excellent form of therapy after the ream and run procedure.
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We have a new set of shoulder youtubes about the shoulder, check them out at this link.

Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link

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