Thursday, December 21, 2023

Shoulder arthritis in a 38 year old body builder



A 38 year old weight lifter had activity-limiting pain and stiffness in the right shoulder and these X-rays.


Wishing to avoid the risks and limitations of a plastic glenoid component, he elected to proceed with a ream and run procedure (see this link), which was performed without preoperative CT scans, brachial plexus block, or cement. The patient left the hospital the day after his surgery with an excellent range of assisted flexion.


At three months after his procedure he was hard at work at the rehabilitation program (see this link).


Ten months after his surgery, he sent this email and the video below, which he kindly consented for us to share here.

"We hit the 10 month post op mark today, and I wanted to provide an update before the end of the year. Over the past 4-6 weeks things just started to improve significantly. Strength is returning, mobility has been smooth and continues to be no issues anymore. Here is a clip of me pressing 50 pound dumbbells just this week. Only a little discomfort during and into the evening, but no prolonged pains the next morning. Everything is recovering much faster now following each workout."



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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).