Locked posterior dislocation of the shoulder

başal, özgür; Dinçer, Recep; Turk, Bulent

doi:10.1302/2058-5241.3.160089

Cited by 28 publications

(47 citation statements)

References 67 publications

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“…The clinical treatment depends on a number of anatomical and functional factors that must be evaluated in each patient. The treatment can be either nonoperative or surgical: The nonoperative approach is adopted when the dislocation is stable after a reduction maneuver and when there are no significant bone deficits; after the maneuver, the shoulder is immobilized for a limited period of time [ 8 , 9 ]. On the other hand, surgical treatments are preferred when the trauma has caused joint instability or lesions of bone or soft tissues that require surgical stabilization.…”

Section: Discussionmentioning

confidence: 99%

“…The reduction is achieved by applying longitudinal traction and direct posterior-anterior pressure on the humeral head. The arm is then rotated 15 degrees and immobilized in 15 degrees of extension for four to six weeks; this position relaxes the capsule posteriorly and accelerates the healing process [ 9 ]. However, this maneuver could lead to inveterate irreducible dislocations and surgical neck fractures.…”

Section: Discussionmentioning

confidence: 99%

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Posterior Shoulder Dislocation with Engaging Reverse Hill–Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization

Ippolito

Zitiello

Marinis

et al. 2021

JCM

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This study compares two surgical techniques used to treat patients with posterior shoulder dislocation with an engaging reverse Hill–Sachs lesion. We assessed ten patients who were treated at the Surgical Orthopedic and Traumatological Institute (ICOT) of Latina and the Clinic of Orthopedic and Traumatological Surgery of the ASST Sette Laghi of Varese between 2016 and 2019. The patients were divided into two groups: the first comprising six patients who underwent the open surgery McLaughlin procedure as modified by Neer, the second including four patients who underwent the arthroscopic McLaughlin procedure. All patients received postoperative rehabilitation to achieve the best possible functional recovery of the affected shoulder. We then assessed the shoulder range of motion, the pain level, and the impact on quality of life with four tests: the Constant Scale, the Simple Shoulder Test (SST), the OXFORD Scale, and The University of California—Los Angeles (UCLA) Shoulder Scale. The mean scores of the first group were: 81.3 ± 9.8 SD (Constant Scale), 10.8 ± 1.06 SD (SST), 42.5 ± 5.4 SD (Oxford Scale), 30.8 ± 3.02 SD (UCLA Shoulder Scale); we calculated the following mean scores in the second group: 80.25 ± 4.1 SD (Constant Scale), 11.5 ± 0.8 SD (SST), 42 ± 4.06 SD (Oxford Scale), 32 ± 2.9 SD (UCLA Shoulder Scale). We found no significant differences between the two groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Posterior Shoulder Dislocation with Engaging Reverse Hill–Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization

Ippolito

Zitiello

Marinis

et al. 2021

JCM

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“…Reconstruction procedures include the McLaughlin operation and its modifications, elevation of the bone defect or anatomic reconstruction with autografts or allografts, humeral rotational osteotomy and posterior glenoid bone blocks [ 7 ]. In case of bilateral PSD, the surgeon should consider the possibility of combining a shoulder replacement in one shoulder with a reconstruction procedure in the other one.…”

Section: Discussionmentioning

confidence: 99%

Bilateral neglected posterior dislocation of the shoulder treated by reverse arthroplasty and contralateral osteochondral autograft. A case report

Zanini¹,

Rusconi²,

Fornara³

et al. 2021

Trauma Case Reports

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Bilateral posterior dislocation of the glenohumeral joint is an uncommon event, that can be missed at the initial presentation. We report the case of a 76-year old woman, who suffered a traumatic bilateral posterior dislocation, that was diagnosed three months later. She underwent surgical treatment on both shoulders in a single stage. Since the right shoulder showed a defect of the articular surface >50%, a reverse shoulder arthroplasty was performed on this side. The resected portion of the humeral head was retrieved and used as osteochondral graft to fill the reverse Hill-Sachs lesion of the left shoulder. At 18-month follow up, the patient was pain-free and had recovered excellent shoulder function on both sides: Constant score was 79 for the right shoulder and 88 for the left one. X-rays showed a grade 1 scapular notch of the right reverse prosthesis and good incorporation of the graft in the left shoulder, with no evidence of degenerative joint changes. Neglected posterior dislocations of the shoulder can be surgically treated by replacement or reconstruction. In case of bilateral injuries, the surgeon should carefully evaluate the pathoanatomy of both glenohumeral joints in order to choose and plan the most suitable procedure. If shoulder replacement is required on one side, the resected portion of the humeral head can be used as osteochondral autograft for a reconstruction procedure in the opposite side. The choice is influenced by several variables and decision-making might be challenging.

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“…Even though the McLaughlin procedure provides significantly superior results in acute shoulder dislocations, a recent systematic review found that the results were not different in chronic cases 13 . Recently, there have been studies reporting case series of shoulder hemiarthroplasty in cases of chronic posterior shoulder dislocation in which the Hill-Sachs lesions did not even reach 50% of the humeral head.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopically Assisted Reduction in a Chronic Locked Posterior Shoulder Dislocation

Prasathaporn

Laohathaimongkol

Umprai

et al. 2019

Arthroscopy Techniques

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Neglected posterior shoulder dislocation is a difficult condition in terms of decision making and surgical technique. Not only the bony deformity but also the soft tissue and patient's underlying disease are of concern. Whether the poor results are associated with a time delay or the treatment method is not clear yet. To date, there is neither a consensus nor treatment guidelines. We describe an arthroscopically assisted reduction and open McLaughlin procedure. The advantage of this procedure is preservation of the soft tissue of the anterior part of the shoulder during the surgical reduction technique for chronic neglected posterior shoulder dislocation cases.

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Locked posterior dislocation of the shoulder

Cited by 28 publications

References 67 publications

Posterior Shoulder Dislocation with Engaging Reverse Hill–Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization

Posterior Shoulder Dislocation with Engaging Reverse Hill–Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization

Bilateral neglected posterior dislocation of the shoulder treated by reverse arthroplasty and contralateral osteochondral autograft. A case report

Arthroscopically Assisted Reduction in a Chronic Locked Posterior Shoulder Dislocation

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