Ream and run for B2 glenoid - close followup at a distance of 220 miles without telemedicine

 A 56 year old very active man from another state presented with pain and stiffness of his right shoulder after a prior successful ream and run on his left shoulder. His pre operative films below show the arthritic humeral head to be posteriorly decentered on a retroverted biconcave glenoid.

His post ream and run films are shown below.

This man has been very diligent about his exercises and shares frequent videos demonstrating his progress.

Here is his video six weeks after surgery. Note that he's using his prior left ream and run to assist the right side.

 

 

The great thing about this type of followup is that the patient can prepare the videos anytime at his convenience and the surgeon can view them at his convenience. As partners they can address any concerns and modify the rehabilitation as necessary. 

This method of asynchronous communication is more convenient and economical for both the patient and the surgeon than telemedicine, which requires both to be available at the same time.

Contact: shoulderarthritis@uw.edu

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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).