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Ream and run and weight coaching

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.