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Adult Reconstruction
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Shoulder Hemiarthroplasty - Indications in Fracture and Osteoarthritis

Shoulder Hemiarthroplasty

A 72-year-old female with good premorbid function presents with a displaced 4-part proximal humerus fracture after a fall. The humeral head is markedly displaced and rotated, with complete loss of medial hinge. CT scan shows a head-split component with greater than 40% articular involvement. She has good bone quality on imaging and an intact rotator cuff on the contralateral shoulder. Regarding hemiarthroplasty for proximal humerus fractures:

Mark each as TRUE or FALSE

A

Traditional indications for hemiarthroplasty in proximal humerus fractures include 4-part fractures,...

B

Critical technical factors for hemiarthroplasty in fractures include proper humeral height (top of h...

C

Hemiarthroplasty for fractures produces equivalent outcomes to reverse shoulder arthroplasty in all ...

D

Reverse shoulder arthroplasty (RSA) has become increasingly preferred over hemiarthroplasty for elde...

E

The medial calcar (medial metaphyseal extension) integrity is an important prognostic factor in prox...

Answer the questions to see explanations

Click T (True) or F (False) for each option