A 58 year old active man presented with pain and stiffness in his right shoulder after an open stabilization procedure performed years previously. His radiographs showed severe arthritis with posterior decentering of the humeral head on a posteriorly eroded glenoid.
Because he wished to avoid the risks and limitations of a plastic glenoid, he elected to have a ream and run procedure. This was performed without a preoperative CT scan, without a brachial plexus block, and without attempt to change glenoid version. His x-rays two years after surgery are shown below.
We recently received this note six years after his procedure.
"I want to thank you for your dedication to the development of improved shoulder replacement procedures. I received a ‘ream and run’ replacement of my right shoulder back in March of 2015. Since then my shoulder’s range of motion has continued to increase and my upper body strength has improved significantly.
I have always lived a very active life that was increasingly hampered by the limits and pain in my old arthritic shoulder joint. Now -with my ‘robust shoulder’- I am back to full-on backcountry/Nordic skiing, hiking, biking, paddling, camping, scrambling, and so on."
The technique for the ream and run procedure 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).
