Monday, June 14, 2021

Shoulder arthritis in the young patient - durability of the ream and run

An active man in his mid 50's presented with pain and loss of function in the right shoulder after a prior labral repair. Because he wished to avoid the risks and limitations associated with a polyethylene glenoid component, he desired to proceed with a ream and run procedure. His preoperative radiograph is shown below. 

After surgery he has been able to return fully to his activities. His x-ray 13 years after surgery is shown below.

Three years after his right shoulder arthroplasty he presented with pain and stiffness of the left shoulder. 
His preoperative x-ray is shown below.

He was able to return to full activities after a left shoulder ream and run. His x-ray at 10 years after his left ream and run is shown below.

Comment: These post operative x-rays show excellent glenoid bone density without evidence of erosion at 10 years  post op.

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 ream and run technique is shown in 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).