![]() Because the shoulder replacement can wear out over time, this procedure is more common among older people and is usually reserved for the last resort in younger people. Shoulder Replacement: In some rare situations, especially with large defects, the best option may be a shoulder replacement surgery. Direct Blow: A high-energy blow to the shoulder, such as a sporting tackle or RTA can cause a proximal humerus fracture. ![]() A mid-shaft humerus fracture is a break in the middle of your humerus. Disimpaction: Disimpaction is a surgical procedure that lifts up the compressed bone to try to re-establish the normal shape of the humeral head. A proximal humerus fracture is a break in the upper part of your humerus near your shoulder.Your surgeon may use bone from your pelvis or other soft-tissue to fill the void. Bone grafting/tissue filling: When the defect is large, and tightening up the shoulder would be insufficient, the defect in the humeral head must be filled in.By limiting rotation, the Hill-Sachs defect may become a non-engaging defect. Direct impact to the shoulder causes the tuberosity bone to break into multiple fragments Partial rotator cuff tears often accompany non-displaced fractures. Capsular shift: Shifting the shoulder capsule is a surgical procedure that tightens the tissue in the area of the Hill-Sachs defect to prevent excessive rotation of the shoulder.Doing nothing: Observation is the most common treatment, and usually successful when a Hill-Sachs injury involves less than 20% of the humeral head.
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