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KMID : 0361620200550020188
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Journal of the Korean Orthopaedic Association
2020 Volume.55 No. 2 p.188 ~ p.192
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Large Hill?Sachs Lesion Combined with a Rotator Cuff Tear in an Acute Traumatic Anterior Dislocation of the Shoulder in an Elderly Patient Treated with an Allogenic Iliac Tricortical Bone Graft
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Hyun Yoon-Suk
Lim Jin-Kyu
Baek Seung-Ha
Park Jin-Ho
Lee Seung-Jin
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Abstract
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An indirect reduction through the bicipital groove and allogenic iliac tricortical bone graft was performed as a treatment for a large Hill?Sachs lesion with a rotator cuff tear in an acute traumatic shoulder joint dislocation in an elderly patient. Six months after surgery, the rotator cuff healing and bone union were confirmed. The patient also showed satisfactory clinical results with 95 points of the American Shoulder and Elbow Surgeons (ASES) shoulder score and active range of motion with 155° flexion, 120° abduction, and 70° external rotation and 30° internal rotation at 90° abduction. The surgical method can be considered for a large Hill?Sachs lesion with rotator cuff tear in an acute traumatic shoulder joint dislocation in elderly patients.
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KEYWORD
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shoulder joint, acute traumatic anterior dislocation, Hill?Sachs lesion, allogenic iliac tricortical bone graft
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