Total shoulder with posterior augmented glenoid?
Total shoulder with posterior bone graft?
Total shoulder with corrective reaming?
Reverse total shoulder?
After a discussion of these options, the patient elected a ream and run procedure. An anteriorly eccentric humeral head and a rotator interval plication were required to achieve posterior stability.
Two years after surgery he returned for a similar procedure. At that time he had these x-rays
His function, the result of a vigorous persistent rehabilitation effort on his part, is shown in the video below (taken just before a procedure on his left shoulder).
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