A 60 year old rock climber and cross country skier had pain and stiffness in the right shoulder and these x-rays showing complete loss of radiographic joint space and posterior decentering of the humeral head in the arthritic glenoid.
He elected to have a ream and run procedure to avoid the risks and limitations associated with a plastic glenoid component. This was done without preop CT or plexus block.
His x-rays at 3 months show some early remodeling of the reamed glenoid.
Three years after his procedure, he had fully returned to his activities and had the x-rays below, showing complete remodeling of his glenoid articular surface.
The ream and run technique is shown in this link.
How you can support research in shoulder surgery Click on this link.
Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link).
Shoulder rehabilitation exercises (see this link).
