An active man in mid-sixties presented with pain and stiffness in his right shoulder. He had previously had an arthroscopic anterior labral repair. Upon examination, his shoulder was stiff and exhibited crepitance when moved. The x-rays taken at the time showed mild arthritis and posterior decentering on the “truth” view of the axillary humeral.
He elected non-operative management.
He returned several years later with increased symptoms, including shoulder pain and 6-8 pain. These x-rays showed severe glenohumeral osteoarthritis, decentering the humeral heads on the glenoid from the posterior, loss of bone in the posterior glenoid and 20 degrees retroversion, a B2 type glenoid.
There were four surgical options: a standard component with “corrective” glenoid-reaming, a posteriorly enhanced component, an inset component and a reversal total shoulder. Due to his active lifestyle, and because he wanted to avoid risks and limitations of the plastic glenoid that is used in total shoulders arthroplasty he chose to go with a “ream and run” procedure.
The glenoid has been reamed to create one concavity, without attempting to change the glenoid’s version. A standard…