Thursday, March 10, 2022

Ream and run for severe arthritis in a 60 year old active woman.

 A 60 year old active woman presented with pain and stiffness of the right shoulder. Radiographs showed severe glenohumeral arthritis.











Because of her active lifestyle and her desire to avoid the risks and limitations of a prosthetic glenoid component, she elected a ream and run arthroplasty.

This was performed without preoperative CT scan, three dimensional planning or brachial plexus block. A standard length stem was impaction autografted in the humeral canal.

The ream and run technique is shown in this link.




Two and a half years after surgery she had returned to her activities. She send us this video of her shoulder motion.


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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).