A 60ish year old active woman (personal trainer for 32 years) presented with left shoulder pain and stiffness and these radiographs showing glenohumeral osteoarthritis
and posterior decentering of the humeral head on a biconcave glenoid as shown on an axillary "truth" view.
Because of her active lifestyle and to avoid the risks and limitations of a prosthetic glenoid component, she elected to have a ream and run procedure
The procedure was performed without a preoperative CT scan or the use of 3D preoperative planning software. A brachial plexus block was not used.
At eight days after surgery, she sent this photo of her motion.
Shown below are her x-rays at 5 weeks and one day after surgery.
At which time she started her active motion as shown below.
She added swimming at six weeks as shown below
A few days later
At this early stage she and we are proud of her excellent effort at rehabilitation.
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 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).
Shoulder rehabilitation exercises (see this link).
Follow on twitter: Frederick Matsen (@shoulderarth)
