Bilateral posterior fracture-dislocation of the shoulder treated with a modification of the McLaughlin procedure. A case report.

Nicola, Fine; Ellman, Harvard; Eckardt, Jj; Finerman, Gerald A. M.

doi:10.2106/00004623-198163070-00018

Cited by 22 publications

(6 citation statements)

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“…When the diagnosis is delayed for several weeks or months and when when there is no evidence of avascular necrosis, other procedures can be preformed: humeral osteotomy to correct mal-union and a McLaughlin's procedure[ 20 ‐ 22 ] or auto/allograft reconstruction of the humeral head defect (residual reversed Hill-Sachs lesion)[ 23 24 ] to maintain reduction of the posterior dislocation. Some authors agree, depending on preoperative and intra-operative findings, about using shoulder replacement when duration of the dislocation is longer than 6 months.…”

Section: Discussionmentioning

confidence: 99%

Bilateral posterior fracture-dislocation of the shoulder: Report of two cases

Claro

Sousa

Massada

et al. 2009

Int J Shoulder Surg

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Bilateral posterior fracture-dislocation of the shoulder is a very rare injury. Almost 50% of bilateral posterior dislocations are due to a convulsive seizure, rising to 90% if the dislocations are associated with fractures. Electric shock accounts for less than 5% of bilateral posterior dislocations of the shoulder. A systematization of the clinical and radiological approach, followed by an early diagnosis and proper surgical treatment is essential. Authors report 2 cases of bilateral posterior fracture-dislocation of the shoulder, one caused by a convulsive seizure and the other by an electric shock. A review of literature and a treatment protocol are also presented.

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Section: Discussionmentioning

confidence: 99%

Bilateral posterior fracture-dislocation of the shoulder: Report of two cases

Claro

Sousa

Massada

et al. 2009

Int J Shoulder Surg

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“… Study Year Population Age (y) Sex Aetiology Uni/Bilateral Delay (mo) Initially radiological investigation Vastamäki and Solonen [5] 1980 4 35.3 F (2), M (2) Trauma (2), seizures (1), electric shock (1) Uni (2), Bil (2) 0.45 AP + Axi Nicola et al. [6] 1981 1 39 M Seizures Bil 0.13 AP + Axi Reckling [7] 1986 1 75 M Seizures Uni 0.3 AP + Axi Blasier et al. [8] 1988 2 39 M Seizures Uni 0 AP + Axi + CT Goldman et al.…”

Section: Systematic Review Of the Literaturementioning

confidence: 99%

Neglected posterior dislocation of the shoulder: A systematic literature review

Huang

Guo

et al. 2015

Journal of Orthopaedic Translation

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SummaryPosterior dislocation of the shoulder (PSD) is a rare injury; the diagnosis is often missed on initial examination. We present a systematic review of the current literature and discuss the key of the diagnosis of PSD. We searched the MEDLINE, PubMed, EMBASE, MD Consult, and the Cochrane Controlled Trial Register databases for the articles according to our eligibility criteria. Finally, 53 articles were included in our systematic review. There were 242 shoulders in 205 patients. In total, in the initial assessment with anteroposterior radiographs in 166 cases, only 19 (11.4%) cases confirmed the right diagnosis. When anteroposterior combined with axillary or Y view radiographs or computed tomography were present as the initial assessments in 36 cases, the diagnoses were made correctly and timely (100%). When axillary or Y view radiographs or computed tomography were taken subsequently, the diagnosis was confirmed in all 205 patients.

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“…5,6,16 Cuando el diagnóstico se retrasa durante varias semanas o meses y no existe evidencia de necrosis avascular, se pueden realizar otros procedimientos como: osteotomía humeral para corregir la mala unión y un procedimiento de McLaughlin o reconstrucción con aloinjerto del defecto de la cabeza humeral (lesión residual de Hill-Sachs reverso) para mantener una reducción estable. [17][18][19][20] Algunos autores están de acuerdo, dependiendo de los hallazgos pre e intraoperatorios y del reemplazo articular del hombro cuando la duración de la luxación es mayor a seis meses. 15,18,[21][22][23] Es esencial una sistematización constante del enfoque clínico y radiológico de los hombros lesionados ante la sospecha clínica de la luxación posterior para así evitar pasar por alto estas lesiones.…”

Section: Discussionunclassified

“…[17][18][19][20] Algunos autores están de acuerdo, dependiendo de los hallazgos pre e intraoperatorios y del reemplazo articular del hombro cuando la duración de la luxación es mayor a seis meses. 15,18,[21][22][23] Es esencial una sistematización constante del enfoque clínico y radiológico de los hombros lesionados ante la sospecha clínica de la luxación posterior para así evitar pasar por alto estas lesiones. El diagnóstico temprano y el tratamiento quirúrgico adecuado, realizado por un cirujano experimentado en tiempo y forma correcta contribuye a los resultados funcionales finales.…”

Section: Discussionunclassified