Wednesday, March 2, 2022

Ream and run for a 64 year old woman "iron man" - 8 year followup.

Women can do well with the ream and run procedure. See: Women with arthritis having the ream and run

Here's a great example: a 64 year old woman Boston Marathon competitor and 6 time iron man athlete presented 8 years ago with right shoulder pain and stiffness due to osteoarthritis. She previously had an arthroscopic labral repair and debridement 11 years prior and was told she had osteoarthritis at that time. 

Her x-rays at presentation (below) show loss of joint space 

with a biconcave glenoid.


Our ream and run procedure is shown in this link.


After her ream and run she returned to her sports. Her swimming stroke is shown below:



She kindly returned to the office for followup evaluation eight years after her ream and run. Her x-rays show a stable, remodeled glenoid and a secure impaction grafted standard length thin stem. There is no evidence of stress shielding.

The humeral head is well centered in the reamed glenoid



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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 ream and run procedure (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).