The ream and run for severe anchor arthropathy in a young athletic man.

A very athletic man in his early 40s presented with pain and stiffness of his right shoulder after previous surgeries for instability.

His preoperative x-rays show severe osteoarthritis secondary to contact of the humeral head with an exposed suture anchor.

Because he wanted to avoid the limitations and risks associated with the plastic glenoid used in total shoulder arthroplasty, he elected to proceed with a ream and run procedure - the technique for which is shown in this link.

At surgery it was necessary to remove the prominent suture anchor with a trephine.

Five months after surgery and after a vigorous rehabilitation effort, he returned with a comfortable and functional shoulder. X-rays at that time showed a standard humeral stem inserted with bone preservation and impaction autograft using bone from the resected humeral head.

After his clinic visit he sent this video showing his range of active motion (click on the box at lower right to enlarge).

A very high level of motivation and persistence enabled this patient to overcome his severe preoperative deformity.

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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).