Monday, September 13, 2021

44 year old with severe humeral head collapse from avascular necrosis

 A 44 year old patient who had been treated for lupus with high dose steroids presented with pain and loss of motion of the right shoulder and these x-rays showing avascular necrosis with proximal humeral deformity.

After discussion of the options, he elected a hemiarthoplasty without glenoid arthroplasty.

Here are his films at 7 months when he presented requesting the same procedure on the contralateral shoulder for a similar deformity.

On examination he demonstrated 140 degrees of comfortable active elevation. 

It is hoped that this will provide a durable solution for a severe deformity in a young man.

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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link)
The smooth and move for irreparable cuff tears (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).