An active 56 year old man presented with pain, stiffness and limited function of his right shoulder after a prior stabilization procedure. The right shoulder x-rays at that time are shown below.
To avoid the risks and limitation of a polyethylene glenoid component, he elected a ream and run procedure. The ream and run technique is shown in this link and on this video. A preoperative CT scan was not obtained. The procedure was performed under general anesthesia without a brachial plexus block.
Three years later at the age of 59 he had a ream and run on his left shoulder.
Recently he kindly came by for a longer term followup at the age of 69, 13 years after his right ream and run and 10 years after his left. He had comfortable and unlimited function of his shoulders. His followup x-rays are shown below with no evidence of medial migration or loosening of the impaction grafted humeral stems.
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Here are some videos that are of shoulder interest
