He presented to us 6 months later with the x-rays shown below.
Note the presence of suture anchors, the flattening of the humeral head, the large osteophytes and the medialization of the humeral head
On the axillary "truth" view, note the glenoid biconcavity and retroversion.
Because of his young age, his high desired activity level, and his risks to avoid the risks and limitations associated with a polyethylene glenoid, he desired a ream and run procedure.
His postoperative x-rays are shown below with an impaction grafted standard stem, low filling ratio, and a smooth glenoid concavity.
His axillary view shows the use of an anteriorly eccentric humeral head. The glenoid was reamed conservatively, without attempt to alter preoperative glenoid version.
The centering of his humeral head is shown by first drawing a circle around the humeral articular surface.
Finding the center of the circle.
And drawing the perpendicular bisector of the line segment connecting the anterior and posterior edges of the reamed glenoid. Thee excellent centering is shon below.
I've also been rowing every other day, which is uncomfortable but not too too painful. I have not done any lat pull-downs yet because I don't have access to a machine, but I'm going to try to set up some bands to work with. I am able to use my arm for most basic daily things that don't require me to lift it.
I am now taking 3000 mg of acetaminophen and 7.5 mg meloxicam a day. I will run out of meloxicam tomorrow and was planning to switch to 440 mg of naproxen 2x a day, unless you suggest anything different. "
Here he's showing his exercises at 4 weeks post op.
Abduction stretch
Pulley
Supine stretch
Forward lean/table slide
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