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Jetske Viveen Department of Trauma and Orthopedic Surgery, Flinders Medical Centre and University, Adelaide, Australia
Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands

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Izaak F. Kodde Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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Andras Heijink Department of Orthopedic Surgery, Catharina Hospital, Eindhoven, The Netherlands

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Koen L. M. Koenraadt Foundation for Orthopedic Research, Care & Education, Amphia Hospital, Breda, The Netherlands

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Michel P. J. van den Bekerom Shoulder and Elbow Unit, Department of Orthopedic Surgery, Amsterdam, The Netherlands

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Denise Eygendaal Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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, regardless of the level of evidence. Only articles including at least five cases with a minimum of follow-up of two years were considered. No minimum of failed RHPs per article was set. A study was excluded if the type of prosthesis and/or the mode of

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Izaäk F. Kodde Orthopedic Center Antwerp, AZ Monica Hospital, Antwerp, Belgium
Department of Orthopedic Surgery, St. Antonius Hospital, Utrecht, The Netherlands

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Jetske Viveen Department of Orthopedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, The Netherlands

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Bertram The Department of Orthopedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, The Netherlands

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Roger P. van Riet Orthopedic Center Antwerp, AZ Monica Hospital, Antwerp, Belgium

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Denise Eygendaal Department of Orthopedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, The Netherlands
Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands

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objectifying problems with the prosthesis. 9 Therefore, the aim of the current article is to provide an evidence-based algorithm for the work-up and treatment of failed RHA. All recommendations are based on a critical appraisal of the literature on

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Emilio Calvo Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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María Valencia Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Antonio Maria Foruria Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Juan Aguilar Gonzalez Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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published studies reporting the results of revision surgery after failed shoulder stabilization using the Latarjet technique is very scant ( 8 ). In this review, an update in the etiology, clinical and imaging assessment, and the surgical options of failed

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Thomas Kozak Albany Health Campus, Albany, Australia
Royal Perth Hospital, Perth, Australia

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Stefan Bauer Ensemble Hospitalier de la Côte, Morges, Switzerland

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Gilles Walch Hôpital Privé Jean-Mermoz, Centre Orthopédique Santy, Lyon, France

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Saad Al-karawi Albany Health Campus, Albany, Australia

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William Blakeney Albany Health Campus, Albany, Australia
Royal Perth Hospital, Perth, Australia

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80 years if they were high functioning with an elevated quality of life. A sensible option is a trial of non-operative management with conversion to RTSA for those in whom non-operative treatment fails. A meta-analysis looked at acute versus delayed

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Przemysław Lubiatowski Sport Trauma and Biomechanics Unit, University of Medical Sciences, Poznań, Poland
Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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Joanna Wałecka Sport Trauma and Biomechanics Unit, University of Medical Sciences, Poznań, Poland
Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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Marcin Dzianach Rehasport Clinic, Poznań, Poland

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Jakub Stefaniak Sport Trauma and Biomechanics Unit, University of Medical Sciences, Poznań, Poland
Rehasport Clinic, Poznań, Poland
Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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Leszek Romanowski Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, Poland

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when the initial attempt at conservative therapy fails. Ruch at al reported the results of arthroscopic treatment for patients who were symptomatic for at least six months despite non-operative therapy. 22 However, they have admitted that for most

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Simon A. Hurst Department of Trauma & Orthopaedic Surgery, Imperial College, St Mary’s Hospital Campus, London, UK

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Thomas M. Gregory Department of Trauma & Orthopaedic Surgery, Avicenne Teaching Hospital, University of Paris 13, Bobigny, France
Department of Mechanical Engineering, Imperial College, London, UK

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Peter Reilly Department of Trauma & Orthopaedic Surgery, Imperial College, St Mary’s Hospital Campus, London, UK

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Origins and pathoanatomy When any of the primary ossification centres of the acromion fail to fuse to the basi-acromion the resulting non-union is termed an os acromiale. 1 An early mention of this type of os in the literature comes from

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Luciano A. Rossi Hospital Italiano de Buenos Aires, Buenos Aires City, Argentina

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Maximiliano Ranalletta Hospital Italiano de Buenos Aires, Buenos Aires City, Argentina

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Operative treatment Indications After failed conservative management, operative intervention is typically indicated for patients with persistent pain and disability symptoms. 1 , 2 , 14 PTRCTs are typically managed according to their depth, or the

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Abdul-ilah Hachem Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Andres Molina-Creixell Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico

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Xavier Rius Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Karla Rodriguez-Bascones Department of Orthopedic Surgery, Asepeyo Hospital, Barcelona, Spain

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Francisco Javier Cabo Cabo Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Jose Luis Agulló Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Miguel Angel Ruiz-Iban Ramón y Cajal University Hospital, Madrid, Spain

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muscles during shoulder and arm motion ( 26 ). When conservative treatment fails, surgical repair of capsulolabral lesions with soft tissue reconstruction techniques results in good clinical outcomes when there are minimal or no bone defects present, even

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Megan Conti Mica University of Chicago, Chicago, Illinois, USA
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium

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Pieter Caekebeke University of Chicago, Chicago, Illinois, USA
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium

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Roger van Riet University of Chicago, Chicago, Illinois, USA
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium

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radioulnar articulation is not involved since it moves as a unit. 1 Chronic instability typically occurs from a traumatic event that commonly involves an elbow dislocation that remains unstable as the lateral collateral ligament complex fails to heal

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Koray Şahin Bezmialem Vakif University, Department of Orthopedics and Traumatology, Istanbul, Turkey

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Alper Şükrü Kendirci Erciş Şehit Rıdvan Çevik State Hospital, Department of Orthopedics and Traumatology, Van, Turkey

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Muhammed Oğuzhan Albayrak Istanbul University Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey

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Gökhan Sayer Muş State Hospital, Department of Orthopedics and Traumatology, Muş, Turkey

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Ali Erşen Istanbul University Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey

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fails ( 21 , 22 ). Currently accepted management is that surgical intervention should be considered only for a limited group of patients whose symptoms persist despite the appropriate rehabilitation program. Surgical treatment should be avoided

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