Massive RC tears is a challenge ◦Repairable tears good result ◦Irreparable tears Limited options Age, muscle atrophy Patient expectations

• 1402/08/04
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Subtypes of impingement syndrome I.primary impingement a.intrinsic b.extrinsic II.secondary impingement III.subcoracoid impingement IV.internal impingement

• 1402/08/04
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Arthroscopic Rotator Cuff Repair With Concomitant Capsular Release. Giuseffi S, Field LD, Giel TV 3rd, Brislin BT, Savoie FH 3rd. Arthrosc Tech. 2016 Aug 1;5(4):e833-e837. eCollection 2016 Aug. One

• 1402/08/04
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Scapular fx: 1% of all fracture ( 5% of all shoulder fractures ) Glenoid fx : 10% of scapular fx High energy trauma High incidence of associated osseous and soft tissue injuries

• 1402/08/04
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Difficulty in exposing the glenoid & fear of glenoid loosening are the common reasons to perform a hemiarthroplasty instead of a TSA

• 1402/08/04
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