54 year old women with severe B2 glenoid: 10 year followup

 An active 54 year old woman presented with pain, stiffness and instability of her right shoulder. Her x-rays and CT at presentation are shown below demonstrating a severe B2 glenoid with almost 100% of posterior decentering of the humeral head.

After discussion of the alternatives, including a posterior augmented glenoid and a reverse total shoulder she elected to proceed with an anatomic glenoid using a thin impaction grafted humeral stem with minimal glenoid reaming, accepting the glenoid retroversion (see Glenoid Version: acceptors and correctors). A rotator interval plication was used to manage excessive posterior translation. 

She returned for followup at 10 years after surgery demonstrating a comfortable strong shoulder with full range of motion and reporting active use of the shoulder for all her desired activities.

Her x-rays at 10 years post op showed the humeral head centered on the retroverted glenoid with no evidence of humeral or glenoid component loosening.

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Contact: shoulderarthritis@uw.edu

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).