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Dislocations of the Shoulder with Special Reference to Accompanying Small Fractures
Richard H. Hall; Frank Isaac; Charles H. Booth
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Orthopaedic Section of the Surgical Service and the Radiological Service, United States Veteranas Administration Hospital, Long Beach
1959 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1959 Apr 01;41(3):489-494
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1. A defect in the posterosuperior area of the anatomical neck of the humerus was demonstrated roentgenographically in patients with acute anterior dislocation and both by roentgenograms and at surgery in patients with recurrent anterior dislocations.

2. This defect can rarely be seen on conventional, routine roentgenograms of the shoulder; at times it can be demonstrated in an uncertain degree of internal rotation. It can easily be seen in the simple roentgenographic projection described.

3. Since this defect, if large, may facilitate recurrent dislocation, it should be looked for in all acute injuries. If it can be accomplished by adequate immobilization, this defect should be allowed to meal and fill in.

4. In recurrent dislocation of the shoulder the defect should be evaluated when planning surgical repair. It is the author's opinion that the defect, if large, should be repaired just as the labral defect is repaired anteriorly.

5. The defect, usually traumatic in origin, should not be confused with normal anatomical variations.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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