B0 glenoid in a 37 year old, what is the treatment?

A 35 year old man presented with left shoulder pain for 6 months. He has been doing martial arts and took several falls onto shoulder. Has tried PT for shoulder pain, also NSAIDs - without long term relief. He had bilateral clavicle fractures treated with ORIF. His exam shoulder full motion, with no weakness. Tender over biceps groove, positive O'Brien's and Mayo shear. 

His axillary "truth" view obtained with the arm in a position of functional elevation shows posterior decentering without obvious arthritic change.

His MRI obtained with his arm at the side shows no posterior decentering, but a linear tear of the posterior labrum at the chondral labral junction (red arrow) along with a posterior glenoid articular cartilage defect (yellow arrow).

Comment: The question is whether there is any treatment that will keep the arthritis from progressing.

Please see the discussion of a similar case: "B0 glenoid with functional decentering in a 44 year old man - what to do?"

Contact: shoulderarthritis@uw.edu

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Shoulder rehabilitation exercises (see this link).