A 76 year old physically active surgeon presented with pain and stiffness in the left shoulder and these x-rays showing a type B2 glenoid with retroversion, biconcavity, and posterior decentering of the humeral head on the glenoid.
Because of his active lifestyle and his glenoid deformity he elected a ream and run procedure (https://www.reamandrun.com/). At the time of surgery the glenoid was conservatively reamed to a single concavity preserving glenoid bone stock without attempting to change the glenoid version. An anteriorly eccentric humeral head was used to center the humerus on the glenoid. A thin stemmed, smooth, standard length stem was fixed with impaction autografting.
He presented 7 years after surgery at the age of 87 for evaluation of his opposite shoulder. He reported and demonstrated full function of his left shoulder. His x-rays at 7 years after his ream and run are shown below. There is no evidence of stress shielding. The glenoid has remodeled to a smooth stable joint surface.
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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).
