Wednesday, May 4, 2022

The B2 glenoid in a 46 year old man - what to do about the glenoid?

 A 46 year old active man presented with osteoarthritis of the right shoulder and x-rays showing a retroverted B2 glenoid. 



He elected a ream and run procedure (see this link) because of his young age and high activity level.

At 7 years after surgery he had full, comfortable function of the shoulder. 

His 7 year follow radiographs show an impaction grafted humeral component without evidence of stress shielding. 



His axillary "truth" view showed the anteriorly eccentric humeral head centered on the healed glenoid. Note that the preoperative retroversion was not "corrected". 

You can support cutting edge shoulder research that is leading to better care for patients with shoulder problems, click on this link.


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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).