Rheumatoid arthritis, osteoporosis, and cuff tear arthropathy in a 60 year old lady - 12 year followup after CTAA

A 60 year old lady presented with pain and loss of motion of the left shoulder along with this radiographic appearance. 

After discussion of the alternatives of total and reverse shoulder arthroplasty, the patient elected a cuff tear arthropathy arthroplasty (CTAA - see this link).

At the time of surgery the complete absence of rotator cuff and subscapularis was noted along with very soft fragile bone.

She returned to the office 12 years after surgery with a painless functional shoulder

And these radiographs

Comment: It is noteworthy that the shoulder has remained stable in spite of the absence of the subscapularis and that there has been no medial erosion of the prosthetic humeral head in over a decade.

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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).