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This article describes a surgical technique for the anatomical reduction and fixation of humeral head impaction injuries, aiming to restore the native sphericity of the articular surface and optimize joint stability. The proposed technique enables the precise realignment of the humeral cartilage and subchondral bone, thereby minimizing residual deformity and preserving the biomechanical integrity of the glenohumeral joint. When indicated, this approach offers a valuable alternative to traditional reconstructive procedures, potentially improving functional outcomes by preventing chronic instability and degenerative changes. The rationale, surgical steps, and key technical considerations are outlined, highlighting the advantages of early intervention in mitigating long-term sequelae.<\/jats:p>","DOI":"10.1007\/s00590-025-04499-8","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T12:09:57Z","timestamp":1756728597000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Anatomical reduction and fixation of reverse Hill\u2013Sachs lesion: description of a surgical technique"],"prefix":"10.1007","volume":"35","author":[{"given":"Michele","family":"Reboli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Bosco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Zorzolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Alonso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"issue":"7","key":"4499_CR1","doi-asserted-by":"publisher","first-page":"2083","DOI":"10.1016\/j.arthro.2023.12.012","volume":"40","author":"JP Van Der List","year":"2024","unstructured":"Van Der List JP, Glover MA, Mason TW, Parikh N, Waterman BR (2024) Low recurrence of instability and satisfying patient-reported outcomes following various surgical treatments of reverse Hill-Sachs lesions in the setting of posterior instability: a systematic review. 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