Bodybuilding championship after ream and run

A 60 year old bodybuilder who presented with glenohumeral arthritis.

After a discussion of the risks and benefits of a standard anatomic total shoulder and the ream and run procedure, he elected the latter.

His followup x-rays 18 months after surgery are show below showing no evidence of stress shielding or glenoid wear.

He recently sent the news that he had won a local bodybuilding championship in his age division and was headed for the national championship.

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
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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).

Arthritis in a 37 year old body builder/weight lifter with B2 pathoanatomy

A 37 year old man from a few states South, dedicated to body building, presented with a prior diagnosis of right shoulder arthritis, labral tears, bursitis, biceps tendinitis previously treated elsewhere with "an arthroscopic subacromial decompression, distal clavicle excision, capsular release, chondroplasty, humeral and glenoid osteoplasty, removal of loose bodies, and manipulation under anesthesia" without apparent benefit.

At his initial visit, he was 5ft 10in, very muscular with a body weight of 240lbs. His shoulder motion was very limited: 100 degrees of elevation and no rotation.

His Simple Shoulder Test on presentation is shown below.

His x-rays at presentation are shown below.

Because of his desire to return to heavy weight training, he elected to have a ream and run procedure. No CT scan or three dimensional preoperative planning software was used.

His surgery was performed without a brachial plexus block. An in situ head cut was used because the shoulder's muscularity and capsular tightness. 

His postoperative films are shown below.

One week after surgery, he had regained excellent flexibility

At three months after surgery, he was working on strength of flexion

At seven months post op, he was progressing his exercises.

At a year after surgery he sent this video of his workouts.

Comment: As can be seen, this is no ordinary patient, but rather one who is extremely motivated and who has been committed to stay in close email contact with the surgical team, even though he lives over a thousand miles away. As emphasized in The ream and run: not for every patient, every surgeon or every problem, patient motivation and surgical technique are elements critical to the outcome of the ream and run procedure. All the videos shown here were part of the patient's communication with the ream and run team and are shown with the patient's permission.

While other arthroplasty options - anatomic total shoulder, augmented glenoid components, reverse total shoulder - could have been considered after his failed arthroscopic surgery, none seemed as compatible with his activity goals as the ream and run procedure.

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

Follow on twitter: https://twitter.com/RickMatsen or https://twitter.com/shoulderarth
Follow on facebook: click on this link
Follow on facebook: https://www.facebook.com/frederick.matsen
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).

Ream and run and weight training

Ten months ago a man in his 50s presented with pain and severe stiffness of his left shoulder. Here were his x-rays at that time, showing total loss of the glenohumeral joint cartilage and deformity of the humeral head.

He selected a ream and run procedure. Here are his postoperative films. Note the use of a thin humeral head component because of the stiffness of his joint and the use of a thin impaction autografted humeral stem because of the thickness of his humeral cortex.

Here is a video of his supine stretch one week after surgery 

                                     

Here is a video at 10 months after surgery showing his workout.

To see a YouTube video on how the ream and run is done, click on this link.

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To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.

Use the "Search" box to the right to find other topics of interest to you.

How you can support progress in shoulder surgery

You may be interested in some of our most visited web pages  arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'

Shoulder arthritis in a body builder managed with a ream and run

An active bodybuilder in his mid 50s presented with bilateral shoulder pain and these radiographs

He elected to have bilateral ream and run procedures so that he could continue his weight training.
At two years after surgery, he returned to the office with comfortable and functional shoulders and these x-rays.

At three years after surgery he sent these videos and kindly allowed us to share them here.

The surgical technique for this procedure can be seen on YouTube by clicking on this link and this link.

=====

To see our new series of youtube videos on important shoulder surgeries and how they are done, click here.

Use the "Search" box to the right to find other topics of interest to you.

How you can support progress in shoulder surgery

You may be interested in some of our most visited web pages  arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'