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CASE DISCUSSION
Huang Gang
The Affiliated Orthopaedic Hospital of Shenzhen University
Chongqing
2018
Case1
History
• Personal Data: 49 Y, Male , Right hand dominant
• Chief Complaint: A 6-week history of right shoulder pain and reduced function
caused by a fall
• Past History: Nothing
• Surgery history: Nothing
Physical Examination
• ROM(Active/Passive) : Fexion45/45,ER 50/50
• Video or Pictures
• Special Physical Examination :O’brien+,Job+
• Others: ASES:22/100,Constant-Murley:37/100,ROWE:40/100
Pre-operative Images (X ray/CT/MRI)
Diagnosis Options
Please choose the diagnosis you preferred:
1. Traumatic dislocation of shoulder joint
2. Bony bankart lesion
3. Hill-Sachs lesion
4. Rotator Cuff Tears
…
Please vote within 10 seconds
My diagnosis and why
1. Chronic locked anterior shoulder dislocation
2. Rotator Cuff Tears
• 1.typical medical history,3 weeks
• 2.physical examination
• 3.X-ray,CT,MRI
Treatment Options
Please choose the treatment you preferred:
1. Conservative treatment
2. open reduction
3. bankart repair
4. Remplissage procedure
5. Rotator cuff repair
6. Latarjet procedure(open or arthroscopic)
7. hemiarthroplasty/Shoulder arthroplasty
…
Please vote within 10 seconds
My treatment and why
1. Arthroscopic Latarjet procedure(endobutton)
2. Remplissage procedure
3. Rotator cuff repair
Result and Post-operative Images (X
ray/CT/MRI)
Post-operative 1w Post-operative 4w Post-operative 8w
Supporting Evidence (Paper reviews)
The Latarjet procedure for the treatment of chronic
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