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Shoulder Arthroplasty — Indications

Hemiarthroplasty: isolated humeral head disease (e.g., AVN, head-splitting fracture). Anatomic TSA: primary OA, RA, post-traumatic arthritis with intact rotator cuff. Reverse TSA: cuff tear arthropathy, pseudoparalysis, failed TSA. Contraindications: active infection, absent deltoid (RSA). Choice depends on cuff integrity, bone stock, patient age/activity.