Locked posterior glenohumeral dislocations with a reverse Hill-Sachs impaction fracture involving less than 30% of the humeral head are most frequently treated with lesser tuberosity transfer into the defect, whereas those involving more than 50% undergo humeral head arthroplasty. Reconstruction of the defect with segmental femoral osteochondral allografts has been proposed to treat patients between these two ranges, but the medium-/long-term outcomes of this joint-preserving procedure are controversial.
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Western Ontario Shoulder Instability index (WOSI)
Timeframe: 2 months
American Shoulder and Elbow Surgeons Shoulder Score (ASES)
Timeframe: 2 months
Constant-Murley score (CS)
Timeframe: 2 months