Friday, May 2, 2025

Back to big wave surfing a year after a stemless chrome cobalt ream and run

 A 50 year old active man from a few states south of us presented with a painful right shoulder that prevented him from enjoying his favorite sport - surfing the big waves. Two shoulder surgeons had told him he'd likely need to stop surfing.

His x-rays at the time of our clinic visit (shown below) show advanced osteoarthritis of the shoulder.

Wishing to avoid the risks and limitations that can be associated with the polyethylene glenoid component used in conventional total shoulder, he elected to proceed with a ream and run arthroplasty.

His procedure was performed without preoperative CT scans and without a nerve block. The shoulder was exposed with a subscapularis peel. The biceps tendon was preserved and the glenoid was conservatively reamed without attempt to modify version. A stemless chrome-cobalt humeral component was implanted.

His postoperative x-rays are shown below. 


We recently received this note, "Just wanted to share with you how happy I am with the results of my Ream and Run operation from April 9, 2024. To celebrate the one-year mark, I took a surf trip to El Salvador and was able surf 3 - 5 hour every day with no pain. I’m so grateful to be able to return to the activities I enjoy. 

He shared the photo below from his El Salvador trip.





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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).