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2nd patient: Technical steps applying consecutively the combined procedure. (a) Direct assessment of reverse Hill-Sachs (through a small cut in rotator cuff interval), (b) lesser tubercle osteotomy (with the attached subscapularis tendon), (c) under direct vision from the anterior joint, application of two anchors through a stab wound posteriorly, to repair the reverse Bankart lesion, and (d) lesser tubercle transfer medially in the impaction area, and fixation with screws.
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