Managing the shoulder of a 68 year old active man with a B2 glenoid? RFE?

A 68 year old man presented with pain and stiffness of his right shoulder that had not responded to non-operative management.

His Simple Shoulder Test indicated that he could perform only 2 of the 12 functions.

His x-rays showed glenohumeral arthritis with posterior decentering of the humeral head on a biconcave glenoid.

After discussion of the options of reverse total shoulder, anatomic total shoulder, and the ream and run procedure, he elected the latter. His ream and run was performed without preoperative CT scan, 3D planning, or brachial plexus block. His biceps tendon was intact and preserved. His glenoid was reamed to a single concavity.

He carefully followed the rehab program with care to protect the subscapularis.

At 10 weeks after surgery he was back in the swimming pool and generously gave permission to show this video.

You can support cutting edge shoulder research that is leading to better care for patients with shoulder problems, click on this link

Follow on twitter/X: https://x.com/RickMatsen
Follow on facebook: https://www.facebook.com/shoulder.arthritis
Follow on LinkedIn: https://www.linkedin.com/in/rick-matsen-88b1a8133/

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).