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Managing severe anchor arthropathy in a young male athlete

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Managing severe anchor arthropathy in a young male athlete


 An athletic man in early 40s with pain and stiffness on his right side after previous suture anchor repairs to the glenoid Labrum. A clinical examination revealed stiffness of the shoulder, as well as crepitance with shoulder movement. Standard x-rays revealed osteoarthritis and inferior subluxation in the humeral heads, as well as a prominent suture anchored protruding from the joint.




In order to resume high levels of physical activity, and to avoid the risks or limitations that come with the polyethylene glenoid used in total shoulder replacements conventionally, the patient wanted to undergo a ream-and-run procedure (see the link).

The glenoid surface was adorned with a prominent suture.


Before glenoid reaming, the suture anchor is removed using a trephine.



Below are his postoerative radiographs.




He did an excellent job in his rehabilitation.

He sent me a video that shows his shoulder at one year post-surgery. I have his permission.


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