14) The fracture plate system was introduced in the USA in 2010 and features a design that attempts to reduce humeral head
collapse and improve outcomes for patients with suboptimal bone stock by maximizing contact area.
Fifty-three consecutive patients complaining of anterolateral shoulder pain were treated with an MWM technique were treated with a posterolateral translation of the humeral head
in the glenoid fossa, as described by Mulligan (2010).
Initial non-enhanced MRI of the left shoulder demonstrated abnormal osseous edema in the lateral humeral head
and neck, and abnormal soft tissue edema in the teres minor muscle, including its myotendinous junction and humeral insertion (Figures 1 and 2).
Additionally, there are three dedicated calcar support screws intended to prevent the humerus from collapsing medially as well as more screw options in the humeral head
In the scintigraphic examination, we found increased activity involvement in both shoulders, especially in the right shoulder as well as on the right humeral head
and in the distal phalanx of the finger.
The glenoid is rimmed with soft tissue called the labrum that makes a deeper socket which forms to fit the humeral head
Subacromial impingement involves compression or mechanical irritation of the subacromial bursa, supraspinatus tendon, infraspinatus tendon, and/or long head of the biceps tendon between the coracoacromial arch and the humeral head
(Figure 2(a))  and is purported to occur at lower humeral elevation angles.
By Product Category: - Digits - Fingers (CMC, MCP, PIP), Toes (MTP, Big Toe) - Wrist (Total, distal ulnar head) - Elbow (Total, radial head) - Shoulder (Total, glenoid, proximal humeral head
, humeral stem) - Ankle (Total, Subtalar)
The treatment in most cases was open reduction with either osteosynthesis or prosthetic replacement of the humeral head
Our patient underwent a targeted physical and rehabilitation programme to reduce pain, strengthen the rotator cuff muscles and lower the humeral head
In addition to this, more than 80% have a Hill-Sachs lesion, which is an impression fracture of the posterior aspect of the humeral head
(Figs 3 and 4).
Radiographic evaluation of the left shoulder was unremarkable except for a few subchondral cystic lesions in the humeral head
(Figure 1) and, mild degenerative changes were reported by magnetic resonance imaging (MRI) studies performed prior to corticosteroid injections (Figure 2).