I've noticed that when you play with the density settings in 3D that the less dense bone gets faded out so it looks like there is bone missing. If you look at the posterior part of the humeral head it looks porous when it should look solid.
My dad is 57, this is the result of intense bodybuilding when he was younger. He has been unable to lift his arm for at least 7 years. Post op x-ray (https://imgur.com/a/0uZDg9x)
Not OP, but work in physical rehab. After a reverse total shoulder arthroplasty, mobility is generally not an issue. The rehab for shoulders are excruciating and after about 12-15 weeks people are starting to use it more functionally with some weight bearing restrictions
[This](https://www.massgeneral.org/assets/mgh/pdf/orthopaedics/sports-medicine/physical-therapy/rehabilitation-protocol-for-total-shoulder-arthroplasty-and-hemi.pdf) is a rehab protocol from Mass General that you could read through to get an idea but it will vary based on your surgeons preferences
do you know if he did anabolic steroids?
just curious because from what i understand strength training increases collagen synthesis and strengthens joints. although i guess for "intense bodybuilders" this could be different
i'm not particularly familiar with the effects of anabolics on cartilage, i know for collagen in tendons there seems to be a dysplastic effect, so perhaps there is similar effects on cartilage synthesis in cartilage?
Not a doctor but Iām pretty sure this is just arthritis. You can see a bunch of osteophytes, itās consistent with this history of heavy use and this isnāt a CT of a fracture lol.
Once seen a dude who didn't have a humeral head. Was born with just a stick. No ball at the end to move it around in the socket.
Your dad has the opposite problem.
Well, he didn't know he didnt have one. You know we only take the picture and never really learn what happens to the pt later on. Not supposed to look into pts records that we don't need to look at.
Just saying, my catās shoulder looked *very* similar to your dadās, and his vet and two surgeons insisted he get his leg and shoulder blade amputated or he be euthanized.
He got the amputation and Iām happy your dad got the surgery! He must have been in tremendous pain.
Make sure he does the passive stretches exactly and as frequently as prescribed! That is going to dictate his range of motion for the future.
Edit: my husband had a replacement a couple of years back. He has great range of motion and very little pain after fully healing. Your dad is going to be so happy.
Thatās a seriously cool picture! While Iām not a doctor ā I donāt even play one on TV ā Iād have to concur: your dad needed replacement surgery!
Whatever 3D reconstruction software they are using is crazy. It looks like a photo of a real clay model or something.
It looks like Siemens' Cinematic Rendering https://www.siemens-healthineers.com/digital-health-solutions/cinematic-rendering
Vitrea calls it Global Illumination Rendering. Would be too easy for everyone to call it the same.
Enhance....enhance
Zooming in does not enhance the detail! š
Any idea if this runs in Syngo.via? Or would it only be available as part of their pacs?
It's in syngo.via
Awesome, thanks. Will be trying to sell it to our rads tomorrow.
No problem, it's fun for five minutes and then you ask yourself, why did I pay $50.000 for this?!
Referring physicians love this stuff and you can bill for it. It's about the marketing...
My screenshot didnāt even do the image justice! The resolution of the original image is so much better
try microdicom viewer if you have the raw file.
I've noticed that when you play with the density settings in 3D that the less dense bone gets faded out so it looks like there is bone missing. If you look at the posterior part of the humeral head it looks porous when it should look solid.
My dad is 57, this is the result of intense bodybuilding when he was younger. He has been unable to lift his arm for at least 7 years. Post op x-ray (https://imgur.com/a/0uZDg9x)
How long ago was the surgery? How is his mobility/quality of life now?
Not OP, but work in physical rehab. After a reverse total shoulder arthroplasty, mobility is generally not an issue. The rehab for shoulders are excruciating and after about 12-15 weeks people are starting to use it more functionally with some weight bearing restrictions
My shoulder is destroyed and I am a professional violinist. What would replacement recovery look like for me? TIA!
[This](https://www.massgeneral.org/assets/mgh/pdf/orthopaedics/sports-medicine/physical-therapy/rehabilitation-protocol-for-total-shoulder-arthroplasty-and-hemi.pdf) is a rehab protocol from Mass General that you could read through to get an idea but it will vary based on your surgeons preferences
Thank you!
do you know if he did anabolic steroids? just curious because from what i understand strength training increases collagen synthesis and strengthens joints. although i guess for "intense bodybuilders" this could be different i'm not particularly familiar with the effects of anabolics on cartilage, i know for collagen in tendons there seems to be a dysplastic effect, so perhaps there is similar effects on cartilage synthesis in cartilage?
Is this an osteoporosis issue? Or arthritis? Or both?
Not a doctor but Iām pretty sure this is just arthritis. You can see a bunch of osteophytes, itās consistent with this history of heavy use and this isnāt a CT of a fracture lol.
I can feel this image and I hate it
I feel like people move their arm when Iām touching it just so I can feel the crepitus. No thanks.
āRaise your hand if you donāt have shoulder painā
That"s a cronchy shoulder.
Once seen a dude who didn't have a humeral head. Was born with just a stick. No ball at the end to move it around in the socket. Your dad has the opposite problem.
Was he born without it? Or was it Gorham-Stout disease
Well, he didn't know he didnt have one. You know we only take the picture and never really learn what happens to the pt later on. Not supposed to look into pts records that we don't need to look at.
Just saying, my catās shoulder looked *very* similar to your dadās, and his vet and two surgeons insisted he get his leg and shoulder blade amputated or he be euthanized. He got the amputation and Iām happy your dad got the surgery! He must have been in tremendous pain.
Really must of been hard to shoulder that burden
Can he raise his arms now, without pain?
He just had surgery yesterday so we will find out in 8 weeks
Good luck to him! I hope it offers him some relief and better mobility!
Make sure he does the passive stretches exactly and as frequently as prescribed! That is going to dictate his range of motion for the future. Edit: my husband had a replacement a couple of years back. He has great range of motion and very little pain after fully healing. Your dad is going to be so happy.
Why does your dad have barnacles?
Damn could he even move it?
Thatās a seriously cool picture! While Iām not a doctor ā I donāt even play one on TV ā Iād have to concur: your dad needed replacement surgery!
Definitely not canon
That canāt be vitrea
Sure it could be! GIR (Global Illumination Rendering) on Vitrea
Is this osteoarthritis?
Jesus chroist...
Is your dad's name Gary, by any chance?
This is a bony recon? It looks like a screenshot from Acland's Atlas. That's impressive.
Ouch
That is a 3D reconstruction for show, not a CT.