PMC6376685_01
AP pre-operative radiograph of the right shoulder demonstrating superior migration of the humeral head and early acetabularization of the acromion
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Fig1
Radiographs at that time demonstrated superior escape of the humeral head with impingement of the greater tuberosity on the acromion and early acetabularization of the acromion (Fig. 1).
Intra-operative photograph via the deltopectoral approach to the glenohumeral joint. Yellow arrow: abberant axillary nerve, blue arrow: cephalic vein, green asterisk: humeral head
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Fig2
As the cephalic vein was mobilized and the clavipectoral fascia was incised, a discrete, branching, fascicular nerve was identified lateral and deep to the cephalic vein within the deltopectoral groove (Fig. 2).
a-b: Post-operative radiographs demonstrating implant position and alignment
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Fig3
The remainder of the operation concluded without complication and the wound was closed primarily (Fig. 3).
Clinical photo at 4-month follow-up demonstrating active forward flexion of shoulder to approximately 120 degrees
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Fig4
At 4-month follow-up, she was doing well and able to actively abduct and forward flex her right shoulder to approximately 120 degrees (Fig. 4).