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Wheeless' Textbook of Orthopaedics
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Chronic Unreduced Anterior Shoulder Dislocations




- Discussion:
    - chronic unreduced dislocations of greater than 6 months duration may
          involve significant destruction of the humeral head from large
          Hill Sachs lesions or reverse Hill Sachs defects;

- Treatment:
    - these usually require arthroplasty;
    - w/ TSR humeral component is placed in 60 - 75 deg of retroversion
          (chronic posterior) or neutral version (chronic anteior);



Chronic unreduced dislocations of the shoulder.

Chronic anterior dislocation of the shoulder.
      EL Flatow et al.   J. Shoulder Elbow Surg.   Vol 2. 1993. p 2-10.







Original Text by Clifford R. Wheeless, III, MD.