Thursday, May 13, 2021

Management of a B2 glenoid in a 67 year old athlete - 10 year followup

A 67 year old international level badminton athlete presented with pain and stiffness in the right shoulder.

Radiographs showed advanced glenohumeral arthritis and a type B2 glenoid with posterior subluxation of the humeral head into a posterior glenoid concavity.



After discussion of the options, including atomic and reverse total shoulders, he elected the ream and run procedure. This was done without preop CT or plexus block.

He sent this video of his gym workout at one year after surgery.




He returned 10 years later to have a ream and run on his contralateral shoulder. At 10 years after the ream and run his shoulder x-rays showed a well centered humeral head.




His should was comfortable and he had long since been able to return to competitive badminton.

His shoulder motion is shown in this video.


The ream and run technique is shown in 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).